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      "hospital": "UPMC HORIZON-SHENANGO VALLEY-ER",
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    {
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      "hospital": "SPRINGFIELD HOSPITAL",
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    },
    {
      "id": "0001302118",
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      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "0001302907",
      "ccn": "",
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      "city": "PROVIDENCE",
      "state": "RI",
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      "parent_system": "Providence",
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      "affiliated_system": "Providence",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Providence",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "0001308302",
      "ccn": "",
      "hospital": "SEABROOK HOUSE",
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      "state": "NJ",
      "status": "corporate_chain",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "operator_name": "PROPRIETARY",
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    },
    {
      "id": "0001315202",
      "ccn": "",
      "hospital": "LIFECARE HOSPITALS OF PITTSBURGH - SUBURBAN",
      "city": "PITTSBURGH",
      "state": "PA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Lifecare Hospitals",
      "former_operator": "",
      "affiliated_system": "Lifecare Hospitals",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Lifecare Hospitals",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0001324701",
      "ccn": "",
      "hospital": "BLUEFIELD REGIONAL MEDICAL CENTER",
      "city": "BLUEFIELD",
      "state": "WV",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LifePoint Health",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
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    },
    {
      "id": "0001348532",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - FLINT",
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      "relationship_type": "",
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      "parent_system": "Select Medical",
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      "affiliated_system": "Select Medical",
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      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0001365265",
      "ccn": "",
      "hospital": "NOBLE HEALTH AUDRAIN COMMUNITY HOSPI",
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      "relationship_type": "",
      "pe_firm": "Nueterra Capital",
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      "former_operator": "Noble Health (later Platinum Health)",
      "affiliated_system": "",
      "acquired_date": "2020/2021",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 5,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
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      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
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      "research_incomplete": "false",
      "closure_date": "2022-03",
      "closure_year": 2022,
      "closure_status_label": "Full closure (abrupt suspension)",
      "closure_summary": "Audrain Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Noble Health (later Platinum Health). Historical PE sponsor/context: Nueterra Capital. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "PESP — rural hospitals and private-equity ownership",
      "closure_source_url": "https://pestakeholder.org/news/new-data-reveals-extent-of-pe-ownership-of-rural-hospitals/",
      "dossier_url": "/data/dossiers/0001365265.json"
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    {
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    },
    {
      "id": "0001368371",
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      "hospital": "HENDERSON HEALTH CARE SERVICES, INC",
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      "public_control_badge": "Corporate-chain controlled",
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      "operator_name": "PROPRIETARY",
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    },
    {
      "id": "0001374010",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0001376015",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ARLINGTON",
      "city": "ARLINGTON",
      "state": "TX",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Encompass Health",
      "former_operator": "",
      "affiliated_system": "Encompass Health",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
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      "operator_name": "Encompass Health",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "0001380113",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "NON-PROFIT",
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      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "closure_source_url": "",
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    },
    {
      "id": "0001385344",
      "ccn": "",
      "hospital": "PARKER IHS INDIAN HOSPITAL",
      "city": "PARKER",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Tribal / IHS authority",
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      "affiliated_system": "Ihs",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Ihs",
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      "classification_confidence": "medium",
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    },
    {
      "id": "0001392120",
      "ccn": "",
      "hospital": "ALVARADO HOSPITAL MEDICAL CENTER",
      "city": "SAN DIEGO",
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      "pe_firm": "",
      "parent_system": "ALVARADO HOSPITAL MEDICAL CENTER",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
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      "operator_name": "PROPRIETARY",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
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    },
    {
      "id": "0001401420",
      "ccn": "",
      "hospital": "HEALTH ALLIANCE HOSPITAL - BURBANK CAMPUS",
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      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UMass Memorial Health",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "0001405201",
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      "hospital": "SOUTHWESTERN VT MEDICAL CENTER",
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      "state": "VT",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Dartmouth Health",
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      "affiliated_system": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "0001419805",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL OF WILMINGTON",
      "city": "WILMINGTON",
      "state": "DE",
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      "parent_system": "Select Medical",
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      "affiliated_system": "Select Medical",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Select Medical",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "0001421620",
      "ccn": "",
      "hospital": "UMD SHORE MEDICAL CTR AT CHESTERTOWN",
      "city": "CHESTERTOWN",
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      "parent_system": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "closure_source_url": "",
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    },
    {
      "id": "0001438551",
      "ccn": "",
      "hospital": "CUMBERLAND RIVER HOSPITAL",
      "city": "CELINA",
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      "pe_firm": "",
      "parent_system": "CUMBERLAND RIVER HOSPITAL",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
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    },
    {
      "id": "0001439350",
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      "hospital": "MS BAND OF CHOCTAW HOSPITAL",
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      "parent_system": "MS BAND OF CHOCTAW HOSPITAL",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "GOVERNMENT - FEDERAL",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "0001450401",
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      "hospital": "NORTH IOWA MEDICAL CENTER WEST CAMPUS",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0001453715",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL MADISON",
      "city": "MADISON",
      "state": "WI",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Select Medical",
      "former_operator": "",
      "affiliated_system": "Select Medical",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Select Medical",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
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    },
    {
      "id": "0002312204",
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      "hospital": "ALBANY MEDICAL CENTER - SOUTH CLINICAL CAMPUS",
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    },
    {
      "id": "0002315217",
      "ccn": "",
      "hospital": "CHILDREN'S INSTITUTE OF PITTSBURGH, THE",
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    },
    {
      "id": "0002322903",
      "ccn": "",
      "hospital": "UVA ENCOMPASS HEALTH REHABILITATION HOSPITAL",
      "city": "CHARLOTTESVILLE",
      "state": "VA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Encompass Health",
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      "affiliated_system": "Encompass Health",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "operator_name": "Encompass Health",
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    },
    {
      "id": "0002328719",
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      "hospital": "CIHA HOSPITAL",
      "city": "CHEROKEE",
      "state": "NC",
      "status": "verified_independent",
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      "parent_system": "The Cherokee Indian Hospital Authority",
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      "evidence_grade": "completed state-template official-source baseline",
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      "tax_ownership_type": "Government / public",
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      "operator_name": "The Cherokee Indian Hospital Authority",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0002328719.json"
    },
    {
      "id": "0002329020",
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      "hospital": "MUSC HEALTH KERSHAW MEDICAL CENTER",
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      "parent_system": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
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      "source_count": 0,
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    },
    {
      "id": "0002336116",
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      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MONTGOMERY",
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    },
    {
      "id": "0002337205",
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    },
    {
      "id": "0002338614",
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      "source_count": 0,
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    },
    {
      "id": "0002360608",
      "ccn": "",
      "hospital": "SCHWAB REHABILITATION HOSPITAL AND CARE NETWORK",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SINAI HEALTH SYSTEM",
      "former_operator": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "0002365804",
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      "hospital": "SELECT SPECIALTY HOSPITAL - SPRINGFIELD",
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      "parent_system": "Select Medical",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "operator_name": "Select Medical",
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    },
    {
      "id": "0002387110",
      "ccn": "",
      "hospital": "PRESBYTERIAN KASEMAN HOSPITAL",
      "city": "ALBUQUERQUE",
      "state": "NM",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Presbyterian Healthcare Services",
      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "0002402135",
      "ccn": "",
      "hospital": "ST ELIZABETH'S MEDICAL CENTER",
      "city": "BOSTON",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Tenet Healthcare",
      "former_operator": "",
      "affiliated_system": "",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "0002407922",
      "ccn": "",
      "hospital": "CORNERSTONE BEHAVIORAL HEALTH HOSPITAL OF UNION COUNTY",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "RUNNELLS BH OPERATING LLC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0002426554",
      "ccn": "",
      "hospital": "FAIRMONT GENERAL HOSPITAL",
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      "state": "WV",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "",
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      "former_operator": "Alecto subsidiary",
      "affiliated_system": "",
      "acquired_date": "2014",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 2,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed / historical for-profit facility",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
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      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "Apr 2020 (announced Feb 18 2020, 60-day notice)",
      "closure_year": 2020,
      "closure_status_label": "Full closure",
      "closure_summary": "Fairmont Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Alecto subsidiary. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://www.theintelligencer.net/news/top-headlines/2020/02/alecto-owned-fairmont-regional-medical-center-to-close/",
      "dossier_url": "/data/dossiers/0002426554.json"
    },
    {
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      "ccn": "",
      "hospital": "LAUREL HEIGHTS HOSPITAL",
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      "state": "GA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Universal Health Services",
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    },
    {
      "id": "0002448706",
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      "hospital": "MCLAREN BAY SPECIAL CARE",
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      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0002454729",
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      "hospital": "ST JOSEPHS HOSPITAL",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0002461832",
      "ccn": "",
      "hospital": "VETERANS AFFAIRS ILLIANA HEALTH CARE SYSTEM",
      "city": "DANVILLE",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Veterans Health Administration",
      "former_operator": "",
      "affiliated_system": "U.S. Department of Veterans Affairs",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "U.S. Department of Veterans Affairs",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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      "closure_source": "",
      "closure_source_url": "",
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    },
    {
      "id": "0002465201",
      "ccn": "",
      "hospital": "LANDMARK HOSPITAL OF COLUMBIA, LLC",
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      "state": "MO",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LANDMARK HOLDINGS OF FLORIDA, LLC",
      "former_operator": "",
      "affiliated_system": "Landmarkhospitals",
      "acquired_date": "",
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      "city": "MILES CITY",
      "state": "MT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "INTERMOUNTAIN HEALTH CARE, INC",
      "former_operator": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "NON-PROFIT",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0002960164",
      "ccn": "142008",
      "hospital": "KINDRED CHICAGO NORTHLAKE, LLC",
      "city": "NORTHLAKE",
      "state": "IL",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "Kentucky Hospital Holdings JV LP",
      "former_operator": "",
      "affiliated_system": "ScionHealth",
      "acquired_date": "December 2021",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "ScionHealth",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0002960164.json"
    },
    {
      "id": "0002962650",
      "ccn": "",
      "hospital": "PASSAVANT AREA HOSPITAL",
      "city": "JACKSONVILLE",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MEMORIAL HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "closure_year": "",
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    },
    {
      "id": "0002970506",
      "ccn": "",
      "hospital": "LOUISIANA EXTENDED CARE HOSPITAL OF LAFAYETTE",
      "city": "LAFAYETTE",
      "state": "LA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "PRIORITY HOSPITAL GROUP LLC",
      "former_operator": "",
      "affiliated_system": "Lhcgroup",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Lhcgroup",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0002973110",
      "ccn": "",
      "hospital": "ALLIANCEHEALTH MIDWEST",
      "city": "MIDWEST CITY",
      "state": "OK",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SSM HEALTH CARE CORPORATION",
      "former_operator": "",
      "affiliated_system": "Myalliancehealth",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Myalliancehealth",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0002983854",
      "ccn": "",
      "hospital": "NORTHERN IDAHO ADVANCED CARE HOSPITAL",
      "city": "POST FALLS",
      "state": "ID",
      "status": "disputed",
      "relationship_type": "ownership",
      "pe_firm": "One Equity Partners",
      "parent_system": "EPOCH ACQUISITION INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "October 2018",
      "confidence": "low",
      "evidence_grade": "single-source ownership baseline",
      "source_count": 2,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Ernest Health",
      "control_category": "private_equity",
      "classification_depth": "baseline",
      "classification_confidence": "high",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0002983854.json"
    },
    {
      "id": "0002984102",
      "ccn": "",
      "hospital": "SALT LAKE REGIONAL MEDICAL CENTER",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CommonSpirit Health",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0002988203",
      "ccn": "",
      "hospital": "NEW MEXICO REHABILITATION CENTER",
      "city": "ROSWELL",
      "state": "NM",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "STATE OF NEW MEXICO",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "GOVERNMENT - STATE",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0002989431",
      "ccn": "",
      "hospital": "DINI - TOWNSEND HOSPITAL AT NORTHERN NEVADA ADULT MENTAL HEALTH SERVICES",
      "city": "SPARKS",
      "state": "NV",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "STATE OF NEVADA",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "GOVERNMENT - STATE",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
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      "closure_source_url": "",
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    },
    {
      "id": "0003028801",
      "ccn": "342017",
      "hospital": "ASHEVILLE SPECIALTY HOSPITAL",
      "city": "ASHEVILLE",
      "state": "NC",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HCA Healthcare",
      "former_operator": "",
      "affiliated_system": "Mission Health",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "completed state-template official-source baseline",
      "source_count": 19,
      "reviewed_at": "2026-07-02",
      "public_control_badge": "Closed / shut down in 2024",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2024",
      "closure_year": 2024,
      "closure_status_label": "Closed / shut down in 2024",
      "closure_summary": "Mission Health permanently closed Asheville Specialty Hospital in 2024 after suspending services following Tropical Storm Helene.",
      "closure_source": "North Carolina Health News / Asheville Watchdog",
      "closure_source_url": "https://www.northcarolinahealthnews.org/2024/11/30/mission-health-permanently-shutters-asheville-specialty-hospital/",
      "dossier_url": "/data/dossiers/0003028801.json"
    },
    {
      "id": "0003030428",
      "ccn": "",
      "hospital": "LOWER OCONEE COMMUNITY HOSPITAL, INC",
      "city": "GLENWOOD",
      "state": "GA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0003037421",
      "ccn": "",
      "hospital": "ERLANGER EAST HOSPITAL - SATELLITE",
      "city": "CHATTANOOGA",
      "state": "TN",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ERLANGER EAST HOSPITAL - SATELLITE",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "GOVERNMENT - DISTRICT/AUTHORITY",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0003039501",
      "ccn": "",
      "hospital": "MEMORIAL HOSPITAL OF GULFPORT",
      "city": "GULFPORT",
      "state": "MS",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CITY OF GULFPORT",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "GOVERNMENT - LOCAL",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0003045817",
      "ccn": "",
      "hospital": "BLANCHARD VALLEY REG. HLTH CTR - BLUF",
      "city": "BLUFFTON",
      "state": "OH",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BLANCHARD VALLEY HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0003049098",
      "ccn": "",
      "hospital": "LAKELAND HOSPITAL WATERVLIET",
      "city": "WATERVLIET",
      "state": "MI",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "COREWELL HEALTH",
      "former_operator": "",
      "affiliated_system": "Lakelandhealth",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Lakelandhealth",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0003059526",
      "ccn": "",
      "hospital": "FORT BELKNAP HOSPITAL",
      "city": "HARLEM",
      "state": "MT",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Indian Health Service",
      "former_operator": "",
      "affiliated_system": "Ihs",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
      "operator_type": "Corporate chain",
      "operator_name": "Ihs",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0003060178",
      "ccn": "",
      "hospital": "KINDRED SYCAMORE, LLC",
      "city": "SYCAMORE",
      "state": "IL",
      "status": "closed",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "ScionHealth",
      "former_operator": "ScionHealth / Kindred Hospitals",
      "affiliated_system": "ScionHealth",
      "acquired_date": "2021-12",
      "confidence": "medium",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 5,
      "reviewed_at": "2026-07-10",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "baseline",
      "classification_confidence": "high",
      "research_incomplete": "true",
      "closure_date": "2025-03-19",
      "closure_year": 2025,
      "closure_status_label": "Closed / shut down in 2025",
      "closure_summary": "KINDRED SYCAMORE, LLC closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Apollo Global Management; operating platform: ScionHealth / Kindred Hospitals. This sequence does not by itself prove that PE ownership caused the closure.",
      "closure_source": "PESP — Apollo-owned hospitals close",
      "closure_source_url": "https://pestakeholder.org/news/apollo-owned-hospitals-close-amid-declining-financial-condition/",
      "dossier_url": "/data/dossiers/0003060178.json"
    },
    {
      "id": "0003065251",
      "ccn": "",
      "hospital": "NOBLE HEALTH CALLAWAY COMMUNITY HOS",
      "city": "FULTON",
      "state": "MO",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Nueterra Capital",
      "parent_system": "Noble Health (later Platinum Health)",
      "former_operator": "Noble Health (later Platinum Health)",
      "affiliated_system": "",
      "acquired_date": "2019/2020",
      "confidence": "medium",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 5,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2022-03",
      "closure_year": 2022,
      "closure_status_label": "Full closure (abrupt suspension)",
      "closure_summary": "Callaway Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Noble Health (later Platinum Health). Historical PE sponsor/context: Nueterra Capital. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "PESP — rural hospitals and private-equity ownership",
      "closure_source_url": "https://pestakeholder.org/news/new-data-reveals-extent-of-pe-ownership-of-rural-hospitals/",
      "dossier_url": "/data/dossiers/0003065251.json"
    },
    {
      "id": "0003067801",
      "ccn": "",
      "hospital": "WESTERN PLAINS MEDICAL COMPLEX",
      "city": "DODGE CITY",
      "state": "KS",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CommonSpirit Health",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0003070737",
      "ccn": "",
      "hospital": "UNITED MEDICAL REHABILITATION HOSPITAL",
      "city": "GONZALES",
      "state": "LA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ROSEMILL LLC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0003072205",
      "ccn": "",
      "hospital": "UAMS MEDICAL CENTER",
      "city": "LITTLE ROCK",
      "state": "AR",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "University of Arkansas for Medical Sciences",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "GOVERNMENT - STATE",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    {
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    {
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    {
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      "city": "FARMINGTON",
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    },
    {
      "id": "0003414263",
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      "hospital": "ROSWELL PARK CANCER INSTITUTE",
      "city": "BUFFALO",
      "state": "NY",
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      "relationship_type": "",
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      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0003429302",
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      "hospital": "CHILDREN'S HABILITATION CENTER",
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "0003434209",
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      "hospital": "HCA FLORIDA BLAKE HOSPITAL",
      "city": "BRADENTON",
      "state": "FL",
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      "relationship_type": "corporate_chain",
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      "parent_system": "HCA Healthcare",
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      "confidence": "high",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 8,
      "reviewed_at": "2026-07-01",
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    {
      "id": "0003442701",
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      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAKEVIEW",
      "city": "ELIZABETHTOWN",
      "state": "KY",
      "status": "corporate_chain",
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    },
    {
      "id": "0003455379",
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      "hospital": "ST. FRANCIS REGIONAL MED CTR",
      "city": "SHAKOPEE",
      "state": "MN",
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      "parent_system": "ALLINA HEALTH SYSTEM",
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    },
    {
      "id": "0003460525",
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      "hospital": "ADVENTIST MIDWEST HEALTH",
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      "parent_system": "ADVENTIST MIDWEST HEALTH",
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    },
    {
      "id": "0003480218",
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      "hospital": "KINDRED HOSPITAL - DENVER",
      "city": "DENVER",
      "state": "CO",
      "status": "disputed",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "Kentucky Hospital Holdings JV LP",
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      "confidence": "low",
      "evidence_grade": "single-source ownership baseline",
      "source_count": 2,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
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      "classification_depth": "baseline",
      "classification_confidence": "high",
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      "dossier_url": "/data/dossiers/0003480218.json"
    },
    {
      "id": "0003484103",
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      "hospital": "SHRINERS HOSPITALS FOR CHILDREN - SALT LAKE CITY",
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      "state": "UT",
      "status": "verified_independent",
      "relationship_type": "",
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      "parent_system": "Shriners Children's",
      "former_operator": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "0003489121",
      "ccn": "",
      "hospital": "LAS VEGAS - AMG SPECIALTY HOSPITAL",
      "city": "LAS VEGAS",
      "state": "NV",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "AMG 2 0 HOLDCO INC",
      "former_operator": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0003500726",
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      "hospital": "HIMA SAN PABLO - CAGUAS",
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      "state": "PR",
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      "relationship_type": "",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0003504092",
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      "hospital": "MERCY WESTBROOK",
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      "pe_firm": "",
      "parent_system": "Northern Light Health",
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      "acquired_date": "",
      "confidence": "low",
      "evidence_grade": "completed state-template official-source baseline",
      "source_count": 2,
      "reviewed_at": "2026-07-02",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "0003526003",
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      "hospital": "OHIO VALLEY MEDICAL CENTER",
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      "state": "WV",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Alecto Wheeling LLC",
      "former_operator": "Alecto Wheeling LLC",
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      "acquired_date": "2017",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 3,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed / historical for-profit facility",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "No active hospital operator",
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      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "Sep-Oct 2019",
      "closure_year": 2019,
      "closure_status_label": "Full closure",
      "closure_summary": "Ohio Valley Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Alecto Wheeling LLC. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://governorjustice.wv.gov/News/press-releases/2019/Pages/Gov.-Justice-issues-statement-on-Alecto-Healthcare%E2%80%99s-decision-to-abruptly-close-OVMC-in-Wheeling.aspx",
      "dossier_url": "/data/dossiers/0003526003.json"
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    {
      "id": "0003529203",
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      "hospital": "CORRECT CARE OF SOUTH CAROLINA",
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    {
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    {
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      "hospital": "OCEAN SPRINGS HOSPITAL",
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    },
    {
      "id": "0003541017",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTHERN KENTUCKY",
      "city": "EDGEWOOD",
      "state": "KY",
      "status": "corporate_chain",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "operator_name": "Encompass Health",
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    },
    {
      "id": "0003553098",
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      "hospital": "WATERTOWN REGIONAL MEDICAL CENTER",
      "city": "WATERTOWN",
      "state": "WI",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "For-profit",
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    },
    {
      "id": "0003555422",
      "ccn": "",
      "hospital": "REGENCY HOSPITAL OF MPLS LLC",
      "city": "GOLDEN VALLEY",
      "state": "MN",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Select Medical",
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      "affiliated_system": "Regencyhospital",
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    {
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    {
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    {
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    {
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    },
    {
      "id": "0004149048",
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    {
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    {
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    {
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    {
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    {
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      "operator_name": "PROPRIETARY",
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    },
    {
      "id": "0004801102",
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      "hospital": "MERCY MEDICAL CENTER CAMPUS",
      "city": "SPRINGFIELD",
      "state": "MA",
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      "relationship_type": "",
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      "parent_system": "Trinity Health",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
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      "classification_confidence": "medium",
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    },
    {
      "id": "0004807801",
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      "hospital": "SAINT CLARE'S HOSPITAL",
      "city": "DOVER",
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      "parent_system": "Kentucky Hospital Holdings JV LP",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0004819026",
      "ccn": "",
      "hospital": "DELAWARE COUNTY MEMORIAL HOSPITAL",
      "city": "DREXEL HILL",
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      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Leonard Green & Partners",
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      "former_operator": "Prospect Medical Holdings (Crozer Health)",
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      "confidence": "low",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 5,
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      "public_control_badge": "Closed after documented PE acquisition",
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      "operator_name": "No active hospital operator",
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      "classification_depth": "source_backed_closure_import",
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      "research_incomplete": "false",
      "closure_date": "2022-11",
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      "closure_status_label": "Full closure",
      "closure_summary": "Delaware County Memorial Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Prospect Medical Holdings (Crozer Health). Historical PE sponsor/context: Leonard Green & Partners. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Delaware County Health Department — Prospect Medical bankruptcy update",
      "closure_source_url": "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
      "dossier_url": "/data/dossiers/0004819026.json"
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    {
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      "hospital": "CAROLINAS REHABILITATION MT. HOLLY",
      "city": "BELMONT",
      "state": "NC",
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      "parent_system": "Atrium Health",
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      "evidence_grade": "completed state-template official-source baseline",
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      "reviewed_at": "2026-07-02",
      "public_control_badge": "Major-system controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major health system",
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      "classification_confidence": "high",
      "research_incomplete": "false",
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      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0004828012.json"
    },
    {
      "id": "0004829690",
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      "hospital": "PRISMA HEALTH NORTH GREENVILLE LONG TERM ACUTE CARE HOSPITAL",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0004833064",
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      "state": "FL",
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      "parent_system": "NORTH BROWARD HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "Browardhealth",
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      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0004839301",
      "ccn": "",
      "hospital": "THE SPECIALTY HOSPITAL OF MERIDIAN",
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      "parent_system": "Ochsner Health",
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      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "0004845840",
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      "hospital": "BLANCHARD VALLEY REGIONAL HLTH CTR",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0004848801",
      "ccn": "",
      "hospital": "MIDMICHIGAN MEDICAL CENTER - GRATIOT",
      "city": "ALMA",
      "state": "MI",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MYMICHIGAN HEALTH",
      "former_operator": "",
      "affiliated_system": "Midmichigan",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Midmichigan",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
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    },
    {
      "id": "0004855092",
      "ccn": "",
      "hospital": "FAIRVIEW LAKES MEDICAL CENTER",
      "city": "WYOMING",
      "state": "MN",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "FAIRVIEW LAKES HEALTH SERVICES",
      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "0004858208",
      "ccn": "",
      "hospital": "RED RIVER BEHAVIORAL HEALTH SYSTEM",
      "city": "GRAND FORKS",
      "state": "ND",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "RED RIVER BEHAVIORAL HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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      "closure_source_url": "",
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    },
    {
      "id": "0004871301",
      "ccn": "",
      "hospital": "HEART HOSPITAL OF LAFAYETTE",
      "city": "LAFAYETTE",
      "state": "LA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Ochsner Lafayette General",
      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "PROPRIETARY",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "0004887401",
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      "hospital": "SAN JUAN REGIONAL REHABILITATION UNIT",
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      "pe_firm": "",
      "parent_system": "SAN JUAN REGIONAL MEDICAL CENTER, INC.",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0004889820",
      "ccn": "",
      "hospital": "BATTLE MOUNTAIN GENERAL HOSPITAL",
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      "state": "NV",
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      "relationship_type": "",
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      "parent_system": "BATTLE MOUNTAIN GENERAL HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "GOVERNMENT - DISTRICT/AUTHORITY",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "0004894118",
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      "hospital": "CALIFORNIA PACIFIC MED CTR-CALIFORNIA WEST",
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      "state": "CA",
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      "pe_firm": "",
      "parent_system": "CALIFORNIA PACIFIC MED CTR-CALIFORNIA WEST",
      "former_operator": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "0004898195",
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      "hospital": "UW MEDICINE - UNIVERSITY OF WASHINGTON MEDICAL CENTER",
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      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "University of Washington Medicine",
      "former_operator": "",
      "affiliated_system": "Wsha",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
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    },
    {
      "id": "0004938916",
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      "hospital": "BAPTIST MEMORIAL HOSPITAL - CALHOUN",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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      "closure_date": "",
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    },
    {
      "id": "0004955101",
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      "hospital": "GILLETTE CHILDREN'S SPEC HOSPITAL",
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      "parent_system": "GILLETTE CHILDRENS SPECIALTY HEALTHCARE",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0004958206",
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      "hospital": "ALTRU REHABILITATION CENTER",
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      "parent_system": "Encompass Health",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "For-profit",
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      "operator_name": "NON-PROFIT",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0004959107",
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      "hospital": "ST VINCENT HEALTH CARE",
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      "parent_system": "INTERMOUNTAIN HEALTH CARE, INC",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0004960064",
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      "hospital": "CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER",
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      "pe_firm": "",
      "parent_system": "CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "GOVERNMENT - FEDERAL",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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      "closure_date": "",
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    },
    {
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    {
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    },
    {
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      "parent_system": "Indian Health Service",
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    },
    {
      "id": "0005000914",
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    },
    {
      "id": "0005001082",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "control_category": "local_independent",
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    },
    {
      "id": "0005021237",
      "ccn": "",
      "hospital": "MEDSTAR FRANKLIN SQUARE MEDICAL CENTER",
      "city": "BALTIMORE",
      "state": "MD",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MEDSTAR HEALTH, INC.",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0005029210",
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      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0005042276",
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      "hospital": "LOGAN MEMORIAL HOSPITAL",
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      "parent_system": "COMMONWEALTH HEALTH CORPORATION, INC.",
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      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0005060450",
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      "hospital": "MORRIS HOSPITAL AND HEALTH CARE CENTERS",
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      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0005068114",
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    },
    {
      "id": "0005073036",
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      "hospital": "MERCY HOSPITAL EL RENO",
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    },
    {
      "id": "0005080920",
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      "hospital": "UNIVERSITY COLO HEALTH MEMORIAL HOSPITAL NORTH",
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      "pe_firm": "",
      "parent_system": "UNIVERSITY COLO HEALTH MEMORIAL HOSPITAL NORTH",
      "former_operator": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "GOVERNMENT - LOCAL",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "0005098034",
      "ccn": "",
      "hospital": "LAKESIDE MILAM RECOVERY CENTER",
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      "relationship_type": "",
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      "parent_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
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    },
    {
      "id": "0005102571",
      "ccn": "",
      "hospital": "SOUTHCOAST HOSPS GRP INC - TOBEY",
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      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Southcoast Health",
      "former_operator": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "closure_year": "",
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    },
    {
      "id": "0005104064",
      "ccn": "",
      "hospital": "MILESTONE FOUNDATION - EXTENDED CARE",
      "city": "OLD ORCHARD BEACH",
      "state": "ME",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "low",
      "evidence_grade": "completed state-template official-source baseline",
      "source_count": 2,
      "reviewed_at": "2026-07-02",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0005104064.json"
    },
    {
      "id": "0005108401",
      "ccn": "",
      "hospital": "JOHN BROOKS RECOVERY CENTER - RESIDENT DRUG TREATMENT (MEN)",
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      "state": "NJ",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
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      "closure_source": "",
      "closure_source_url": "",
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    },
    {
      "id": "0005116117",
      "ccn": "",
      "hospital": "ELLWOOD CITY HOSPITAL",
      "city": "ELLWOOD CITY",
      "state": "PA",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Americore Health",
      "former_operator": "Americore Health",
      "affiliated_system": "",
      "acquired_date": "2017",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 2,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed / historical for-profit facility",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2020-01",
      "closure_year": 2020,
      "closure_status_label": "Full closure (ER/inpatient suspended Nov 2019 after violations; closed Jan 2020)",
      "closure_summary": "Ellwood City Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Americore Health. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://www.pahealthaccess.org/resource/promises-made-promises-broken-what-really-happens-when-local-hospitals-are-acquired/",
      "dossier_url": "/data/dossiers/0005116117.json"
    },
    {
      "id": "0005129010",
      "ccn": "",
      "hospital": "LEE CORRECTIONAL INSTITUTION INFIRMARY",
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      "state": "SC",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Doc Sc",
      "former_operator": "",
      "affiliated_system": "Doc Sc",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
      "operator_type": "Corporate chain",
      "operator_name": "Doc Sc",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0005144875",
      "ccn": "",
      "hospital": "MEDCENTRAL HLTH SYST - SHELBY HOSP",
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      "state": "OH",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "OHIOHEALTH CORPORATION",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
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    },
    {
      "id": "0005148910",
      "ccn": "",
      "hospital": "MCLAREN ORTHOPEDIC HOSPITAL",
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      "state": "MI",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Mclaren",
      "former_operator": "",
      "affiliated_system": "Mclaren",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Mclaren",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    {
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    {
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    {
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    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
      "id": "0005732353",
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      "hospital": "CAPITAL REGIONAL MEDICAL CENTER GADSDEN MEMORIAL CAMPUS",
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      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0005756258",
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      "parent_system": "AVERA HEALTH",
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      "affiliated_system": "Avera",
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      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0005766439",
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      "research_incomplete": "false",
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      "closure_summary": "Horton Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: EmpowerHMS. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
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    {
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    },
    {
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    {
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    },
    {
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    },
    {
      "id": "0005846250",
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      "hospital": "COMMUNITY HEART AND VASCULAR HOSPITAL",
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      "state": "IN",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
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    },
    {
      "id": "0005848843",
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      "hospital": "SAINT JOSEPH MERCY LIVINGSTON HOSPITAL",
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      "state": "MI",
      "status": "verified_independent",
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      "pe_firm": "",
      "parent_system": "Trinity Health",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0005864089",
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      "hospital": "SAINT LUKE'S NORTH HOSPITAL",
      "city": "SMITHVILLE",
      "state": "MO",
      "status": "verified_independent",
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      "parent_system": "SAINT LUKES NORTH HOSPITAL",
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      "reviewed_at": "2026-06-24",
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    },
    {
      "id": "0005866044",
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      "hospital": "LAWRENCE MEMORIAL HOSPITAL",
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    {
      "id": "0006728379",
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      "hospital": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - RICHMOND",
      "city": "ROCKINGHAM",
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      "evidence_grade": "completed state-template official-source baseline",
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      "public_control_badge": "Major-system controlled",
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      "classification_depth": "full_research",
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    {
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      "hospital": "INDIANA UNIVERSITY HEALTH MORGAN HOSPITAL INC",
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    },
    {
      "id": "0006753132",
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      "hospital": "ASCENSION SE WISCONSIN HOSPITAL - FRANKLIN CAMPUS",
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    {
      "id": "0006757069",
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    },
    {
      "id": "0006766112",
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      "hospital": "SELECT SPECIALTY HOSPITAL - KANSAS CITY",
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      "state": "KS",
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    },
    {
      "id": "0006770503",
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    },
    {
      "id": "0006780538",
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      "parent_system": "Banner Health",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0006800910",
      "ccn": "",
      "hospital": "DOCTOR'S CENTER DE SAN JUAN",
      "city": "FERNANDEZ JUNCOS",
      "state": "PR",
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    },
    {
      "id": "0006802132",
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      "hospital": "WEST ROXBURY VA MEDICAL CENTER",
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      "pe_firm": "",
      "parent_system": "U.S. Department of Veterans Affairs",
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      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0006802190",
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      "hospital": "SOUTH SHORE HOSPITAL",
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      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SOUTH SHORE HOSPITAL INC.",
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      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0006811530",
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      "hospital": "MERCY HOSPITAL",
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      "state": "NY",
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      "parent_system": "CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC",
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    },
    {
      "id": "0006819102",
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      "status": "closed",
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      "pe_firm": "Paladin Healthcare Capital",
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      "former_operator": "American Academic Health System / Philadelphia Academic Health System",
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      "acquired_date": "2018",
      "confidence": "high",
      "evidence_grade": "deep source-backed closed-historical dossier",
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      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
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      "operator_name": "No active hospital operator",
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      "research_incomplete": "false",
      "closure_date": "2019-09-06",
      "closure_year": 2019,
      "closure_status_label": "Full closure",
      "closure_summary": "Hahnemann University Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: American Academic Health System / Philadelphia Academic Health System. Historical PE sponsor/context: Paladin Healthcare Capital. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "ACGME Hahnemann University Hospital Closure / CMS POS termination",
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      "dossier_url": "/data/dossiers/0006819102.json"
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    {
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      "hospital": "PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH",
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    {
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      "hospital": "JFK MEDICAL CENTER NORTH CAMPUS",
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    {
      "id": "0006840217",
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    {
      "id": "0006844115",
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      "state": "OH",
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      "parent_system": "Sisters of Charity Health System",
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "0006849503",
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      "hospital": "MARY FREE BED REHABILITATION HOSPITAL",
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      "relationship_type": "ownership",
      "pe_firm": "Graham Healthcare Capital",
      "parent_system": "MARY FREE BED GUILD OF GRAND RAPIDS MICHIGAN",
      "former_operator": "",
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      "acquired_date": "April 2022",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Mary Free Bed Rehabilitation Hospital",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "dossier_url": "/data/dossiers/0006849503.json"
    },
    {
      "id": "0006853110",
      "ccn": "",
      "hospital": "AURORA ST LUKES MED CTR SOUTH SHORE",
      "city": "CUDAHY",
      "state": "WI",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Advocate Health",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "0006857747",
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      "hospital": "VETERANS AFFAIRS BLACK HILLS HEALTH CARE SYSTEM - HOT SPRINGS CAMPUS",
      "city": "HOT SPRINGS",
      "state": "SD",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "U.S. Department of Veterans Affairs",
      "former_operator": "",
      "affiliated_system": "U.S. Department of Veterans Affairs",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "U.S. Department of Veterans Affairs",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0006899362",
      "ccn": "",
      "hospital": "ADVENTIST HEALTH WALLA WALLA GENERAL HOSPITAL",
      "city": "WALLA WALLA",
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      "city": "LITTLE RIVER",
      "state": "SC",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Mcleodhealth",
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      "affiliated_system": "Mcleodhealth",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Mcleodhealth",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0010267356",
      "ccn": "",
      "hospital": "OSWEGO COMMUNITY HOSPITAL",
      "city": "OSWEGO",
      "state": "KS",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "EmpowerHMS",
      "former_operator": "EmpowerHMS",
      "affiliated_system": "",
      "acquired_date": "needs verification",
      "confidence": "medium",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 3,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed / historical for-profit facility",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "Feb 2019",
      "closure_year": 2019,
      "closure_status_label": "Full closure",
      "closure_summary": "Oswego Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: EmpowerHMS. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://www.kcur.org/health/2019-03-07/another-rural-hospital-once-owned-by-north-kansas-city-company-is-in-dire-straits",
      "dossier_url": "/data/dossiers/0010267356.json"
    },
    {
      "id": "0010298109",
      "ccn": "",
      "hospital": "SEATTLE CANCER CARE ALLIANCE",
      "city": "SEATTLE",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "FRED HUTCHINSON CANCER CENTER",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "For-profit",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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      "dossier_url": ""
    },
    {
      "id": "0010302131",
      "ccn": "",
      "hospital": "HEBREW REHABILITATION CENTER",
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      "relationship_type": "",
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      "parent_system": "HEBREW SENIORLIFE, INC.",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "0010314424",
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      "hospital": "VA MEDICAL CENTER - CANANDAIGUA",
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      "pe_firm": "",
      "parent_system": "U.S. Department of Veterans Affairs",
      "former_operator": "",
      "affiliated_system": "U.S. Department of Veterans Affairs",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0010328722",
      "ccn": "",
      "hospital": "ST. LUKE'S HOSPITAL",
      "city": "COLUMBUS",
      "state": "NC",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "low",
      "evidence_grade": "completed state-template official-source baseline",
      "source_count": 4,
      "reviewed_at": "2026-07-02",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0010328722.json"
    },
    {
      "id": "0010329401",
      "ccn": "",
      "hospital": "RALPH H. JOHNSON DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
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      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Veterans Health Administration",
      "former_operator": "",
      "affiliated_system": "U.S. Department of Veterans Affairs",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "U.S. Department of Veterans Affairs",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
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      "dossier_url": ""
    },
    {
      "id": "0010337601",
      "ccn": "",
      "hospital": "QUILLEN REHABILITATION HOSPITAL - A JOINT VENTURE OF BALLAD HEALTH",
      "city": "JOHNSON CITY",
      "state": "TN",
      "status": "verified_independent",
      "relationship_type": "",
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      "parent_system": "Encompass Health",
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      "affiliated_system": "",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0010341014",
      "ccn": "",
      "hospital": "ST. ELIZABETH COVINGTON",
      "city": "COVINGTON",
      "state": "KY",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Stelizabeth",
      "former_operator": "",
      "affiliated_system": "Stelizabeth",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Stelizabeth",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source": "",
      "closure_source_url": "",
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    },
    {
      "id": "0010366067",
      "ccn": "",
      "hospital": "ADVENTHEALTH OTAWA",
      "city": "OTTAWA",
      "state": "KS",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ADVENTISIT HEALTH MID-AMERICA INC",
      "former_operator": "",
      "affiliated_system": "AdventHealth",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "AdventHealth",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0010386314",
      "ccn": "",
      "hospital": "YAVAPAI REGIONAL MEDICAL CENTER - EAST CAMPUS",
      "city": "PRESCOTT VALLEY",
      "state": "AZ",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CommonSpirit Health",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0010391790",
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      "hospital": "WEST COVINA MEDICAL CENTER",
      "city": "WEST COVINA",
      "state": "CA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "WEST COVINA MEDICAL CENTER",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "0010398902",
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      "hospital": "VIRGINIA MASON MEMORIAL HOSPITAL",
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      "state": "WA",
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      "pe_firm": "",
      "parent_system": "MULTICARE HEALTH SYSTEM",
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      "affiliated_system": "Wsha",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Wsha",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "dossier_url": ""
    },
    {
      "id": "0010402130",
      "ccn": "",
      "hospital": "LEMUEL SHATTUCK HOSPITAL",
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      "parent_system": "THE COMMONWEALTH OF MASSACHUSETTS",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "GOVERNMENT - STATE",
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    },
    {
      "id": "0010412511",
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      "hospital": "VA MEDICAL CENTER - CASTLE POINT CAMPUS",
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      "parent_system": "U.S. Department of Veterans Affairs",
      "former_operator": "",
      "affiliated_system": "U.S. Department of Veterans Affairs",
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      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0010428002",
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      "confidence": "low",
      "evidence_grade": "completed state-template official-source baseline",
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      "reviewed_at": "2026-07-02",
      "public_control_badge": "Major-system controlled",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Atrium Health",
      "control_category": "major_health_system",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0010428002.json"
    },
    {
      "id": "0010437604",
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      "hospital": "WOODRIDGE PSYCHIATRIC HOSPITAL",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "dossier_url": ""
    },
    {
      "id": "0010456296",
      "ccn": "",
      "hospital": "SANFORD MEDICAL CENTER WHEATON",
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      "parent_system": "SANFORD",
      "former_operator": "",
      "affiliated_system": "Sanfordhealth",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Sanfordhealth",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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      "closure_source": "",
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      "dossier_url": ""
    },
    {
      "id": "0010466213",
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      "hospital": "PINNACLE REGIONAL HOSPITAL INC",
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      "relationship_type": "",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "0010498034",
      "ccn": "",
      "hospital": "FAIRFAX BEHAVIORAL HEALTH",
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      "pe_firm": "",
      "parent_system": "Universal Health Services",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
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    },
    {
      "id": "0010510548",
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      "hospital": "VA MEDICAL CENTER - MONTROSE CAMPUS",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "U.S. Department of Veterans Affairs",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "0010532701",
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      "hospital": "ADVENTHEALTH ALTAMONTE SPRINGS",
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      "confidence": "medium",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 4,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0012870115",
      "ccn": "",
      "hospital": "OCHSNER BAPTIST MEDICAL CENTER",
      "city": "NEW ORLEANS",
      "state": "LA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Ochsner Health",
      "former_operator": "",
      "affiliated_system": "Ochsner",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Ochsner",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0012878413",
      "ccn": "",
      "hospital": "PAM SPECIALTY HOSPITAL OF CORPUS CHRISTI NORTH",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "PAM Health",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
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    },
    {
      "id": "0012892626",
      "ccn": "",
      "hospital": "FAIRVIEW DEVELOPMENTAL CENTER",
      "city": "COSTA MESA",
      "state": "CA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "FAIRVIEW DEVELOPMENTAL CENTER",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "GOVERNMENT - STATE",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0012902072",
      "ccn": "",
      "hospital": "CURAHEALTH STOUGHTON",
      "city": "STOUGHTON",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CURAHEALTH MASSACHUSETTS HOLDCO LLC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0012917866",
      "ccn": "",
      "hospital": "GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL",
      "city": "COAL TOWNSHIP",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "GEISINGER MEDICAL CENTER",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0012923502",
      "ccn": "",
      "hospital": "LAKE TAYLOR TRANSITIONAL CARE HOSPITAL",
      "city": "NORFOLK",
      "state": "VA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HOSPITAL AUTHORITY OF NORFOLK",
      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0012930308",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - MIDTOWN ATLANTA, LLC",
      "city": "ATLANTA",
      "state": "GA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Select Medical",
      "former_operator": "",
      "affiliated_system": "Select Medical",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 8,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Select Medical",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0012930308.json"
    },
    {
      "id": "0012943537",
      "ccn": "",
      "hospital": "ST LUKE'S HOSPITAL",
      "city": "MAUMEE",
      "state": "OH",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "McLaren Health Care",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0012956728",
      "ccn": "",
      "hospital": "KITTSON MEMORIAL HOSPITAL",
      "city": "HALLOCK",
      "state": "MN",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "KITTSON MEMORIAL HOSPITAL ASSOCIATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0012960139",
      "ccn": "",
      "hospital": "ADVENTIST GLEN OAKS HOSPITAL",
      "city": "GLENDALE HEIGHTS",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ADVENTIST MIDWEST HEALTH",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0012970065",
      "ccn": "",
      "hospital": "OCHSNER EXTENDED CARE HOSPITAL OF KENNER",
      "city": "KENNER",
      "state": "LA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Ochsner Health",
      "former_operator": "",
      "affiliated_system": "Lhcgroup",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Lhcgroup",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0012974066",
      "ccn": "",
      "hospital": "ASCENION ST. JOHN SAPULPA",
      "city": "SAPULPA",
      "state": "OK",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ST JOHN HEALTH SYSTEMS INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0013002072",
      "ccn": "",
      "hospital": "NEW ENGLAND SINAI HOSPITAL",
      "city": "STOUGHTON",
      "state": "MA",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Cerberus Capital Management",
      "parent_system": "No active hospital operator",
      "former_operator": "Steward Health Care",
      "affiliated_system": "",
      "acquired_date": "2012",
      "confidence": "medium",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 3,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "baseline",
      "classification_confidence": "high",
      "research_incomplete": "true",
      "closure_date": "2024-04-01",
      "closure_year": 2024,
      "closure_status_label": "Closed / shut down in 2024",
      "closure_summary": "NEW ENGLAND SINAI HOSPITAL closed or ceased hospital operations in 2024 after a documented private-equity acquisition. Former PE sponsor: Cerberus Capital Management; operating platform: Steward Health Care. This sequence does not by itself prove that PE ownership caused the closure.",
      "closure_source": "Steward Health Care — permanent closure notice",
      "closure_source_url": "https://www.steward.org/newenglandsinai",
      "dossier_url": "/data/dossiers/0013002072.json"
    },
    {
      "id": "0013016146",
      "ccn": "",
      "hospital": "SHARON REGIONAL HEALTH SYSTEM",
      "city": "SHARON",
      "state": "PA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "TENOR HEALTH FOUNDATION SHARON, LLC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0013038017",
      "ccn": "",
      "hospital": "BAPTIST MEMORIAL HOSPITAL - COLLIERVILLE",
      "city": "COLLIERVILLE",
      "state": "TN",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Baptistonline",
      "former_operator": "",
      "affiliated_system": "Baptistonline",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Baptistonline",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0013062864",
      "ccn": "",
      "hospital": "CROSSROADS COMMUNITY HOSPITAL",
      "city": "MT VERNON",
      "state": "IL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0013063017",
      "ccn": "",
      "hospital": "ST. LUKE'S REHABILITATION HOSPITAL",
      "city": "CHESTERFIELD",
      "state": "MO",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "PAM CUBED AT CHESTERFIELD LLC",
      "former_operator": "",
      "affiliated_system": "Kindredhealthcare",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Kindredhealthcare",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0013079731",
      "ccn": "",
      "hospital": "SOUTH TEXAS SURGICAL HOSPITAL",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "status": "disputed",
      "relationship_type": "ownership",
      "pe_firm": "Bain Capital",
      "parent_system": "Surgery Partners",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "August 2017",
      "confidence": "low",
      "evidence_grade": "single-source ownership baseline",
      "source_count": 2,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Surgery Partners",
      "control_category": "private_equity",
      "classification_depth": "baseline",
      "classification_confidence": "high",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0013079731.json"
    },
    {
      "id": "0013107825",
      "ccn": "",
      "hospital": "LITTLE HILL ALINA LODGE",
      "city": "BLAIRSTOWN",
      "state": "NJ",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LITTLE HILL ALINA LODGE",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0013116505",
      "ccn": "",
      "hospital": "SHRINERS HOSPITALS FOR CHILDREN - ERIE",
      "city": "ERIE",
      "state": "PA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Shrinershospitalsforchildren",
      "former_operator": "",
      "affiliated_system": "Shrinershospitalsforchildren",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Shrinershospitalsforchildren",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0013130106",
      "ccn": "",
      "hospital": "WELLSTAR COBB HOSPITAL",
      "city": "AUSTELL",
      "state": "GA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "WELLSTAR HEALTH SYSTEM INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0013137203",
      "ccn": "",
      "hospital": "SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY",
      "city": "NASHVILLE",
      "state": "TN",
      "status": "verified_independent",
      "relationship_type": "",
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      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Encompass Health",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016215143",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SEWICKLEY, LLC",
      "city": "SEWICKLEY",
      "state": "PA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Encompass Health",
      "former_operator": "",
      "affiliated_system": "Encompass Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Encompass Health",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016234240",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SARASOTA",
      "city": "SARASOTA",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Encompass Health",
      "former_operator": "",
      "affiliated_system": "Encompass Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Encompass Health",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016244041",
      "ccn": "",
      "hospital": "UHHS - MEMORIAL HOSP OF GENEVA",
      "city": "GENEVA",
      "state": "OH",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016292543",
      "ccn": "",
      "hospital": "HEMET VALLEY HEALTH CARE CENTER",
      "city": "HEMET",
      "state": "CA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HEMET VALLEY HEALTH CARE CENTER",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "GOVERNMENT - DISTRICT/AUTHORITY",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016331701",
      "ccn": "",
      "hospital": "PHOEBE NORTH",
      "city": "ALBANY",
      "state": "GA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Phoebeputney",
      "former_operator": "",
      "affiliated_system": "Phoebeputney",
      "acquired_date": "",
      "confidence": "low",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 7,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Phoebeputney",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0016331701.json"
    },
    {
      "id": "0016334613",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SPRING HILL",
      "city": "BROOKSVILLE",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Encompass Health",
      "former_operator": "",
      "affiliated_system": "Encompass Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Encompass Health",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016431213",
      "ccn": "",
      "hospital": "PIEDMONT MACON MEDICAL CENTER",
      "city": "MACON",
      "state": "GA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "PIEDMONT HEALTHCARE INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "low",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 8,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0016431213.json"
    },
    {
      "id": "0016432308",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TALLAHASSEE",
      "city": "TALLAHASSEE",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Encompass Health",
      "former_operator": "",
      "affiliated_system": "Encompass Health",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 8,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Encompass Health",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0016432308.json"
    },
    {
      "id": "0016438024",
      "ccn": "",
      "hospital": "WEST TENNESSEE HEALTHCARE DYERSBURG HOSPITAL",
      "city": "DYERSBURG",
      "state": "TN",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "DYERSBURG HEALTH",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016438138",
      "ccn": "443034",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
      "city": "GERMANTOWN",
      "state": "TN",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "CHC Community Care",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0016438138.json"
    },
    {
      "id": "0016446307",
      "ccn": "",
      "hospital": "VIBRA HOSPITAL OF NORTHWESTERN INDIANA",
      "city": "CROWN POINT",
      "state": "IN",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "AMG 3.0, LLC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016476201",
      "ccn": "",
      "hospital": "SELECT REHABILITATION HOSPITAL OF DENTON",
      "city": "DENTON",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Select Medical",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016517801",
      "ccn": "",
      "hospital": "SUNBURY COMMUNITY HOSPITAL",
      "city": "SUNBURY",
      "state": "PA",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Quorum Health, then UPMC Susquehanna",
      "former_operator": "Quorum Health, then UPMC Susquehanna",
      "affiliated_system": "",
      "acquired_date": "2015 (spinoff); sold 2017",
      "confidence": "medium",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 2,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed / historical for-profit facility",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2020-03-31",
      "closure_year": 2020,
      "closure_status_label": "Full closure",
      "closure_summary": "Sunbury Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Quorum Health, then UPMC Susquehanna. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://www.northcentralpa.com/life/health/after-two-years-under-upmc-susquehanna-ownership-sunbury-hospital-to-close-in-2020/article_d4e2059a-1903-11ea-b97b-cbd901eb8f7c.html",
      "dossier_url": "/data/dossiers/0016517801.json"
    },
    {
      "id": "0016530165",
      "ccn": "",
      "hospital": "REDMOND REGIONAL MEDICAL CENTER",
      "city": "ROME",
      "state": "GA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Adventist Health",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "low",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 5,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0016530165.json"
    },
    {
      "id": "0016532901",
      "ccn": "",
      "hospital": "SEA PINES REHABILITATION HOSPITAL AFFILIATE OF ENCOMPASS HEALTH",
      "city": "MELBOURNE",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Encompass Health",
      "former_operator": "",
      "affiliated_system": "Encompass Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Encompass Health",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016538120",
      "ccn": "",
      "hospital": "BAPTIST MEMORIAL RESTORATIVE CARE HOSPITAL",
      "city": "MEMPHIS",
      "state": "TN",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Baptist Memorial Health Care",
      "former_operator": "",
      "affiliated_system": "Baptistonline",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Baptistonline",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016543935",
      "ccn": "",
      "hospital": "EAST OHIO HOSPITAL, LLC",
      "city": "MARTINS FERRY",
      "state": "OH",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "EAST OHIO REGIONAL HOSPITAL",
      "former_operator": "Alecto subsidiary",
      "affiliated_system": "",
      "acquired_date": "2017",
      "confidence": "medium",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 3,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed / historical for-profit facility",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2025-03-20",
      "closure_year": 2025,
      "closure_status_label": "Closed again in March 2025; planned reopening did not occur",
      "closure_summary": "East Ohio Regional Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Alecto subsidiary. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://dam.assets.ohio.gov/image/upload/jfs.ohio.gov/warn/WARN%202025/EastOhioRegionalHospital.pdf",
      "dossier_url": "/data/dossiers/0016543935.json"
    },
    {
      "id": "0016548235",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - NORTHWEST DETROIT",
      "city": "DETROIT",
      "state": "MI",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Tenet Healthcare",
      "former_operator": "",
      "affiliated_system": "Select Medical",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Select Medical",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016553295",
      "ccn": "",
      "hospital": "CLEMENT J ZABLOCKI VETERANS AFFAIRS",
      "city": "MILWAUKEE",
      "state": "WI",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Veterans Health Administration",
      "former_operator": "",
      "affiliated_system": "U.S. Department of Veterans Affairs",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "U.S. Department of Veterans Affairs",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016611235",
      "ccn": "",
      "hospital": "CONEY ISLAND HOSPITAL",
      "city": "BROOKLYN",
      "state": "NY",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "former_operator": "",
      "affiliated_system": "Nyc",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
      "operator_type": "Corporate chain",
      "operator_name": "Nyc",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0016633351",
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      "classification_depth": "full_research",
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    },
    {
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      "status": "corporate_chain",
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    },
    {
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    },
    {
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      "evidence_grade": "single-source ownership baseline",
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      "dossier_url": "/data/dossiers/0019933418.json"
    },
    {
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      "hospital": "TRI PARISH REHABILITATION HOSPITAL, LLC",
      "city": "LEESVILLE",
      "state": "LA",
      "status": "corporate_chain",
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      "parent_system": "Titan Rehabilitation Institute of America",
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    },
    {
      "id": "0019976104",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
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      "hospital": "MERCY FITZGERALD HOSPITAL",
      "city": "DARBY",
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      "relationship_type": "",
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      "parent_system": "MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD",
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      "public_control_badge": "Independent / no big-corp signal",
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      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0020023188",
      "ccn": "",
      "hospital": "EASTERN STATE HOSPITAL",
      "city": "WILLIAMSBURG",
      "state": "VA",
      "status": "verified_independent",
      "relationship_type": "",
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      "parent_system": "Virginia state health authority",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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    },
    {
      "id": "0020033705",
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      "hospital": "KINDRED HOSPITAL - BAY AREA - ST PETERSBURG",
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      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ScionHealth",
      "former_operator": "",
      "affiliated_system": "ScionHealth",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "ScionHealth",
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      "classification_depth": "baseline",
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    },
    {
      "id": "0020076104",
      "ccn": "",
      "hospital": "JOHN PETER SMITH HOSPITAL",
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      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "TARRANT COUNTY HOSPITAL DISTRICT",
      "former_operator": "",
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      "evidence_grade": "",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
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    },
    {
      "id": "0020092120",
      "ccn": "",
      "hospital": "KAISER FOUNDATION HOSPITAL - ZION",
      "city": "SAN DIEGO",
      "state": "CA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "KAISER FOUNDATION HOSPITALS",
      "former_operator": "",
      "affiliated_system": "Kaiser Permanente",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Kaiser Permanente",
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    },
    {
      "id": "0020133611",
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      "status": "closed",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "Kentucky Hospital Holdings JV LP",
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      "confidence": "medium",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 5,
      "reviewed_at": "2026-07-10",
      "public_control_badge": "Closed after documented PE acquisition",
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      "operator_name": "No active hospital operator",
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      "classification_depth": "baseline",
      "classification_confidence": "high",
      "research_incomplete": "true",
      "closure_date": "2025-04-30",
      "closure_year": 2025,
      "closure_status_label": "Closed / shut down in 2025",
      "closure_summary": "KINDRED HOSPITAL - BAY AREA - TAMPA closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Apollo Global Management; operating platform: ScionHealth / Kindred Hospitals. This sequence does not by itself prove that PE ownership caused the closure.",
      "closure_source": "Florida WARN closure notice / Business Observer",
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      "dossier_url": "/data/dossiers/0020133611.json"
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    {
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      "parent_system": "UNIVERSITY HEALTHCARE SYSTEM, L.C.",
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      "reviewed_at": "2026-06-24",
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    },
    {
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
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      "classification_confidence": "low",
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    },
    {
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      "parent_system": "Devereux Advanced Behavioral Health",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
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      "hospital": "PIEDMONT GERIATRIC HOSPITAL",
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      "state": "VA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "PIEDMONT GERIATRIC HOSPITAL",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "GOVERNMENT - STATE",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
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      "status": "confirmed_pe",
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      "affiliated_system": "ScionHealth",
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      "confidence": "medium",
      "evidence_grade": "government-corroborated",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0020233603.json"
    },
    {
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      "hospital": "LAFAYETTE BEHAVIORAL HEALTH UNIT",
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      "state": "LA",
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      "relationship_type": "",
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      "parent_system": "LAFAYETTE GENERAL MEDICAL CENTER INC",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
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      "city": "GREEN COVE SPRINGS",
      "state": "FL",
      "status": "disputed",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "Kentucky Hospital Holdings JV LP",
      "former_operator": "",
      "affiliated_system": "ScionHealth",
      "acquired_date": "",
      "confidence": "low",
      "evidence_grade": "single-source ownership baseline",
      "source_count": 2,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "ScionHealth",
      "control_category": "private_equity",
      "classification_depth": "baseline",
      "classification_confidence": "high",
      "research_incomplete": "true",
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      "closure_year": "",
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      "dossier_url": "/data/dossiers/0020332043.json"
    },
    {
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      "hospital": "TEXAS HEALTH HUGULEY HOSPITAL",
      "city": "BURLESON",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "TEXAS HEALTH RESOURCES",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0020433134",
      "ccn": "",
      "hospital": "KINDRED HOSPITAL - SOUTH FLORIDA - CORAL GABLES",
      "city": "CORAL GABLES",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ScionHealth",
      "former_operator": "",
      "affiliated_system": "ScionHealth",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 10,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "ScionHealth",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "dossier_url": "/data/dossiers/0020433134.json"
    },
    {
      "id": "0020470403",
      "ccn": "",
      "hospital": "UNITED MEDICAL REHABILITATION HOSPITAL",
      "city": "HAMMOND",
      "state": "LA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ROSEMILL LLC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
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      "affiliated_system": "Northflorida Va",
      "acquired_date": "needs verification",
      "confidence": "low",
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      "public_control_badge": "Closed / historical for-profit facility",
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      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2020",
      "closure_year": 2020,
      "closure_status_label": "Full closure",
      "closure_summary": "Shands Lake Shore Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: CHS + Lake Shore Hospital Authority lease. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://riverbendnews.org/florida-voices-for-health-pushes-for-stronger-rural-healthcare-access/",
      "dossier_url": "/data/dossiers/0035632055.json"
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    {
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      "city": "ALTAMONTE SPRINGS",
      "state": "FL",
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      "pe_firm": "",
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      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0035632714.json"
    },
    {
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      "city": "LIVE OAK",
      "state": "FL",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
      "closure_year": "",
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      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
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      "hospital": "BETHESDA HOSPITAL WEST",
      "city": "BOYNTON BEACH",
      "state": "FL",
      "status": "verified_independent",
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      "parent_system": "BAPTIST HEALTH SOUTH FLORIDA INC",
      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0035832117",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - DAYTONA BEACH",
      "city": "DAYTONA BEACH",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Select Medical",
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      "affiliated_system": "Select Medical",
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      "confidence": "medium",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 8,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
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      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0035832117.json"
    },
    {
      "id": "0035832606",
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      "hospital": "UF HEALTH SHANDS REHAB HOSPITAL",
      "city": "GAINESVILLE",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Ufhealth",
      "former_operator": "",
      "affiliated_system": "Ufhealth",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Ufhealth",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0035879416",
      "ccn": "450876",
      "hospital": "LUBBOCK HEART AND SURGICAL HOSPITAL",
      "city": "LUBBOCK",
      "state": "TX",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Bain Capital",
      "parent_system": "SP Management Services",
      "former_operator": "",
      "affiliated_system": "Surgery Partners",
      "acquired_date": "August 2017",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Surgery Partners",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0035879416.json"
    },
    {
      "id": "0035932091",
      "ccn": "",
      "hospital": "NORTH FLORIDA REGIONAL MEDICAL CENTER STARKE CAMPUS",
      "city": "STARKE",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HCA Healthcare",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0035933905",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - FORT MYERS",
      "city": "FORT MYERS",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Select Medical",
      "former_operator": "",
      "affiliated_system": "Select Medical",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 8,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Select Medical",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0035933905.json"
    },
    {
      "id": "0035979410",
      "ccn": "",
      "hospital": "COVENANT SPECIALTY HOSPITAL",
      "city": "LUBBOCK",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
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      "parent_system": "Providence",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Covenanthealth",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "dossier_url": ""
    },
    {
      "id": "0036033612",
      "ccn": "",
      "hospital": "SHRINERS HOSPITALS FOR CHILDREN - TAMPA",
      "city": "TAMPA",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Shrinershospitalsforchildren",
      "former_operator": "",
      "affiliated_system": "Shrinershospitalsforchildren",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Shrinershospitalsforchildren",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "0036034758",
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      "hospital": "HCA FLORIDA POINCIANA HOSPITAL",
      "city": "KISSIMMEE",
      "state": "FL",
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      "relationship_type": "corporate_chain",
      "pe_firm": "",
      "parent_system": "HCA Healthcare",
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      "affiliated_system": "HCA Healthcare",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-25",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "HCA Healthcare",
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      "classification_depth": "baseline",
      "classification_confidence": "high",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
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      "hospital": "SELECT SPECIALTY HOSPITAL - MIAMI LAKES",
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      "dossier_url": "/data/dossiers/0036133016.json"
    },
    {
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    },
    {
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0036233573",
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      "dossier_url": ""
    },
    {
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
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      "closure_date": "",
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    },
    {
      "id": "0036290503",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "closure_date": "",
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    },
    {
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    },
    {
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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    },
    {
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0036591505",
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      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Providence",
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    {
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    },
    {
      "id": "0042192118",
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    },
    {
      "id": "0042232514",
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      "city": "PENSACOLA",
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    },
    {
      "id": "0042292123",
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      "hospital": "SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS",
      "city": "SAN DIEGO",
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      "status": "verified_independent",
      "relationship_type": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "0042333155",
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      "city": "MIAMI",
      "state": "FL",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Select Medical",
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      "source_count": 0,
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      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "0042392111",
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      "hospital": "SHARP MCDONALD CENTER",
      "city": "SAN DIEGO",
      "state": "CA",
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      "public_control_badge": "Independent / no big-corp signal",
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      "operator_type": "Independent / local",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "0042534474",
      "ccn": "",
      "hospital": "WEST MARION COMMUNITY HOSPITAL",
      "city": "OCALA",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HCA Healthcare",
      "former_operator": "",
      "affiliated_system": "Ocalahealthsystem",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Ocalahealthsystem",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0042575075",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF PLANO",
      "city": "PLANO",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Encompass Health",
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      "affiliated_system": "Encompass Health",
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      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Encompass Health",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "0042633410",
      "ccn": "",
      "hospital": "WEST PALM BEACH VA MEDICAL CENTER",
      "city": "WEST PALM BEACH",
      "state": "FL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "W PALM BEACH VA MEDICAL CENTER",
      "former_operator": "",
      "affiliated_system": "U.S. Department of Veterans Affairs",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "U.S. Department of Veterans Affairs",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0042975093",
      "ccn": "",
      "hospital": "TEXAS HEALTH SEAY BEHAVIORAL HEALTH HOSPITAL",
      "city": "PLANO",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "TEXAS HEALTH RESOURCES",
      "former_operator": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "NON-PROFIT",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0043075024",
      "ccn": "",
      "hospital": "LIFECARE HOSPITALS OF PLANO",
      "city": "PLANO",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Lifecare Hospitals",
      "former_operator": "",
      "affiliated_system": "Lifecare Hospitals",
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      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Lifecare Hospitals",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "0043175093",
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      "hospital": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - PLANO",
      "city": "PLANO",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BAYLOR HEALTH CARE SYSTEM",
      "former_operator": "",
      "affiliated_system": "Baylor Scott & White Health",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "operator_type": "Corporate chain",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "0043275093",
      "ccn": "",
      "hospital": "TEXAS HEALTH CENTER FOR DIAGNOSTICS AND SURGERY PLANO",
      "city": "PLANO",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "TEXAS HEALTH RESOURCES",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
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    },
    {
      "id": "0043375093",
      "ccn": "",
      "hospital": "BAYLOR SCOTT AND WHITE THE HEART HOSPITAL - PLANO",
      "city": "PLANO",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BAYLOR HEALTH CARE SYSTEM",
      "former_operator": "",
      "affiliated_system": "Baylor Scott & White Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Baylor Scott & White Health",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "0043493405",
      "ccn": "",
      "hospital": "TENET HEALTH CENTRAL COAST SIERRA VISTA REGIONAL MEDICAL CENTER",
      "city": "SAN LUIS OBISPO",
      "state": "CA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Tenet Healthcare",
      "former_operator": "",
      "affiliated_system": "Tenet Healthcare",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Tenet Healthcare",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0043632792",
      "ccn": "",
      "hospital": "ADVENTHEALTH WINTER PARK",
      "city": "WINTER PARK",
      "state": "FL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "AdventHealth",
      "former_operator": "",
      "affiliated_system": "AdventHealth",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 4,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "AdventHealth",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/0043632792.json"
    },
    {
      "id": "0043691770",
      "ccn": "",
      "hospital": "L.A. DOWNTOWN MEDICAL CENTER - INGLESIDE CAMPUS D/P APH",
      "city": "ROSEMEAD",
      "state": "CA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Pipeline Health",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "PROPRIETARY",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0043932935",
      "ccn": "",
      "hospital": "MELBOURNE REGIONAL MEDICAL CENTER",
      "city": "MELBOURNE",
      "state": "FL",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Cerberus Capital Management",
      "parent_system": "Orlando Health",
      "former_operator": "Steward Health Care",
      "affiliated_system": "",
      "acquired_date": "2017",
      "confidence": "medium",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 3,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2024-10",
      "closure_year": 2024,
      "closure_status_label": "Full closure (nonoperational at bankruptcy; formal closure notice Oct 2024)",
      "closure_summary": "Melbourne Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://www.beckershospitalreview.com/finance/closures-bids-layoffs-where-stewards-31-hospitals-stand/",
      "dossier_url": "/data/dossiers/0043932935.json"
    },
    {
      "id": "0044032955",
      "ccn": "",
      "hospital": "ROCKLEDGE REGIONAL MEDICAL CENTER",
      "city": "ROCKLEDGE",
      "state": "FL",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Cerberus Capital Management",
      "parent_system": "",
      "former_operator": "Steward Health Care (closed by Orlando Health post-purchase)",
      "affiliated_system": "",
      "acquired_date": "2017",
      "confidence": "medium",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 5,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2025-04-23",
      "closure_year": 2025,
      "closure_status_label": "Full closure",
      "closure_summary": "Rockledge Hospital (fmr Rockledge Regional Medical Center) is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care (closed by Orlando Health post-purchase). Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "PESP — Steward bankruptcy one year later",
      "closure_source_url": "https://pestakeholder.org/news/steward-health-cares-bankruptcy-one-year-later/",
      "dossier_url": "/data/dossiers/0044032955.json"
    },
    {
      "id": "0044132214",
      "ccn": "",
      "hospital": "NAVAL HOSPITAL JACKSONVILLE",
      "city": "JACKSONVILLE",
      "state": "FL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Department of Defense",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "GOVERNMENT - FEDERAL",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "0044275080",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF RICHARDSON",
      "city": "RICHARDSON",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
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    },
    {
      "id": "010039-loc-al-huntsville-huntsville-hospital-women-and-children-e",
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      "id": "010045",
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      "parent_system": "THE DCH HEALTHCARE AUTHORITY",
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      "source_count": 0,
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      "public_control_badge": "Corporate-chain controlled",
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      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    },
    {
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      "parent_system": "Prime Healthcare",
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      "affiliated_system": "Prime Healthcare",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
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      "operator_name": "Proprietary",
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      "closure_date": "",
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      "closure_source_url": "",
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    },
    {
      "id": "010049",
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      "city": "ENTERPRISE",
      "state": "AL",
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      "evidence_grade": "",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010052",
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      "state": "AL",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "IVY CREEK OF TALLAPOOSA LLC",
      "former_operator": "",
      "affiliated_system": "Ivy Creek Healthcare",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
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      "classification_depth": "baseline",
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      "closure_date": "",
      "closure_year": "",
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      "dossier_url": ""
    },
    {
      "id": "010055",
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      "hospital": "FLOWERS HOSPITAL",
      "city": "DOTHAN",
      "state": "AL",
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      "pe_firm": "",
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      "affiliated_system": "Community Health Systems",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "010056",
      "ccn": "010056",
      "hospital": "ST. VINCENT'S BIRMINGHAM",
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      "state": "AL",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ST VINCENT'S HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "UAB St. Vincent's",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Stvhs",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "010058",
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      "state": "AL",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CAHABA VALLEY HEALTH SERVICES INC",
      "former_operator": "",
      "affiliated_system": "CAHABA VALLEY HEALTH SERVICES INC",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "closure_date": "",
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    },
    {
      "id": "010061",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE",
      "former_operator": "",
      "affiliated_system": "HH Health",
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      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
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    },
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      "id": "010065",
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      "city": "ALEXANDER CITY",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "RUSSELL HOSPITAL CORPORATION",
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      "affiliated_system": "RUSSELL HOSPITAL CORPORATION",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
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    },
    {
      "id": "010073",
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      "hospital": "CLAY COUNTY HOSPITAL",
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      "state": "AL",
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      "pe_firm": "",
      "parent_system": "CLAY COUNTY HOSPITAL",
      "former_operator": "",
      "affiliated_system": "Government - Hospital District or Authority",
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      "evidence_grade": "",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "010078",
      "ccn": "010078",
      "hospital": "NORTHEAST ALABAMA REGIONAL MEDICAL CENTER",
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      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON",
      "former_operator": "",
      "affiliated_system": "THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
      "closure_date": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010078-loc-al-anniston-stringfellow-campus-of-northeast-alabama-r",
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      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON",
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      "affiliated_system": "THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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    },
    {
      "id": "010079",
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      "city": "ATHENS",
      "state": "AL",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HH-HEALTH SYSTEM - ATHENS LIMESTONE LLC",
      "former_operator": "",
      "affiliated_system": "HH Health",
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      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/010079.json"
    },
    {
      "id": "010085",
      "ccn": "010085",
      "hospital": "DECATUR MORGAN HOSPITAL - DECATUR CAMPUS",
      "city": "DECATUR",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HH HEALTH SYSTEM - MORGAN, LLC",
      "former_operator": "",
      "affiliated_system": "HH Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Decaturgeneral",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010086",
      "ccn": "010086",
      "hospital": "NORTHWEST MEDICAL CENTER",
      "city": "WINFIELD",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "NORTH MISSISSIPPI HEALTH SERVICES INC",
      "former_operator": "",
      "affiliated_system": "North Mississippi Health Services",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Community Health Systems",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010087",
      "ccn": "010087",
      "hospital": "USA HEALTH UNIVERSITY HOSPITAL",
      "city": "MOBILE",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UNIVERSITY OF SOUTH ALABAMA",
      "former_operator": "",
      "affiliated_system": "USA Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - State",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010089",
      "ccn": "010089",
      "hospital": "WALKER BAPTIST MEDICAL CENTER",
      "city": "JASPER",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Orlando Health",
      "former_operator": "",
      "affiliated_system": "Orlando Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Bhsala",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "010090",
      "ccn": "010090",
      "hospital": "PROVIDENCE HOSPITAL",
      "city": "MOBILE",
      "state": "AL",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UNIVERSITY OF SOUTH ALABAMA",
      "former_operator": "",
      "affiliated_system": "USA Health",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Government / public",
      "operator_type": "Transaction warning",
      "operator_name": "Providence",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/010090.json"
    },
    {
      "id": "010091",
      "ccn": "010091",
      "hospital": "GROVE HILL MEMORIAL HOSPITAL",
      "city": "GROVE HILL",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "GROVE HILL MEMORIAL HOSPITAL, INC",
      "former_operator": "",
      "affiliated_system": "GROVE HILL MEMORIAL HOSPITAL, INC",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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    },
    {
      "id": "010092",
      "ccn": "010092",
      "hospital": "DCH REGIONAL MEDICAL CENTER",
      "city": "TUSCALOOSA",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "THE DCH HEALTHCARE AUTHORITY",
      "former_operator": "",
      "affiliated_system": "DCH Health System",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
      "operator_type": "Corporate chain",
      "operator_name": "Dchsystem",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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    },
    {
      "id": "010095",
      "ccn": "010095",
      "hospital": "HALE COUNTY HOSPITAL",
      "city": "GREENSBORO",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HALE COUNTY HEALTHCARE AUTHORITY",
      "former_operator": "",
      "affiliated_system": "HALE COUNTY HEALTHCARE AUTHORITY",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
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    },
    {
      "id": "010097",
      "ccn": "010097",
      "hospital": "ELMORE COMMUNITY HOSPITAL",
      "city": "WETUMPKA",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "IVY CREEK OF ELMORE LLC",
      "former_operator": "",
      "affiliated_system": "Ivy Creek Healthcare",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Proprietary",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "dossier_url": ""
    },
    {
      "id": "010099",
      "ccn": "010099",
      "hospital": "D. W. MCMILLAN MEMORIAL HOSPITAL",
      "city": "BREWTON",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "D.W. MCMILLAN MEMORIAL HOSPITAL",
      "former_operator": "",
      "affiliated_system": "D.W. MCMILLAN MEMORIAL HOSPITAL",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010100",
      "ccn": "010100",
      "hospital": "THOMAS HOSPITAL",
      "city": "FAIRHOPE",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "GULF HEALTH HOSPITALS INC",
      "former_operator": "",
      "affiliated_system": "GULF HEALTH HOSPITALS INC",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010101",
      "ccn": "010101",
      "hospital": "CITIZENS BAPTIST MEDICAL CENTER",
      "city": "TALLADEGA",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Orlando Health",
      "former_operator": "",
      "affiliated_system": "Orlando Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Bhsala",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010103",
      "ccn": "010103",
      "hospital": "PRINCETON BAPTIST MEDICAL CENTER",
      "city": "BIRMINGHAM",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Orlando Health",
      "former_operator": "",
      "affiliated_system": "Orlando Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Bhsala",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010104",
      "ccn": "010104",
      "hospital": "GRANDVIEW MEDICAL CENTER",
      "city": "BIRMINGHAM",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Community Health Systems",
      "former_operator": "",
      "affiliated_system": "Community Health Systems",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Proprietary",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010108",
      "ccn": "010108",
      "hospital": "PRATTVILLE BAPTIST HOSPITAL",
      "city": "PRATTVILLE",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS",
      "former_operator": "",
      "affiliated_system": "Baptist Health Montgomery (UAB Health System affiliate)",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
      "operator_type": "Corporate chain",
      "operator_name": "Baptistfirst",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010112",
      "ccn": "010112",
      "hospital": "WHITFIELD REGIONAL HOSPITAL",
      "city": "DEMOPOLIS",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "TOMBIGBEE HEALTHCARE AUTHORITY",
      "former_operator": "",
      "affiliated_system": "TOMBIGBEE HEALTHCARE AUTHORITY",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010113",
      "ccn": "010113",
      "hospital": "MOBILE INFIRMARY MEDICAL CENTER",
      "city": "MOBILE",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "INFIRMARY HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "Infirmary Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010118",
      "ccn": "010118",
      "hospital": "VAUGHAN REGIONAL MEDICAL CENTER - PARKWAY CAMPUS",
      "city": "SELMA",
      "state": "AL",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "ScionHealth",
      "former_operator": "",
      "affiliated_system": "ScionHealth",
      "acquired_date": "November 2018",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "ScionHealth",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/010118.json"
    },
    {
      "id": "010120",
      "ccn": "010120",
      "hospital": "MONROE COUNTY HOSPITAL",
      "city": "MONROEVILLE",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MONROE COUNTY HOSPITAL",
      "former_operator": "",
      "affiliated_system": "Government - Hospital District or Authority",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010125",
      "ccn": "010125",
      "hospital": "LAKELAND COMMUNITY HOSPITAL",
      "city": "HALEYVILLE",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LAKELAND COMMUNITY HOSPITAL",
      "former_operator": "",
      "affiliated_system": "Proprietary",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "LifePoint Health",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010126",
      "ccn": "010126",
      "hospital": "TROY REGIONAL MEDICAL CENTER",
      "city": "TROY",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "TROY HOSPITAL HEALTH CARE AUTHORITY",
      "former_operator": "",
      "affiliated_system": "TROY HOSPITAL HEALTH CARE AUTHORITY",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Federal",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010128",
      "ccn": "010128",
      "hospital": "JACKSON MEDICAL CENTER",
      "city": "JACKSON",
      "state": "AL",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CITY OF JACKSON HEALTH CARE AUTHORITY",
      "former_operator": "",
      "affiliated_system": "City of Jackson Health Care Authority",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Government / public",
      "operator_type": "Transaction warning",
      "operator_name": "Proprietary",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/010128.json"
    },
    {
      "id": "010129",
      "ccn": "010129",
      "hospital": "NORTH BALDWIN INFIRMARY",
      "city": "BAY MINETTE",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "INFIRMARY HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "Infirmary Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010130",
      "ccn": "010130",
      "hospital": "ST. VINCENT'S ST.CLAIR",
      "city": "PELL CITY",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ST VINCENT'S HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "UAB St. Vincent's",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
      "operator_type": "Corporate chain",
      "operator_name": "Stvhs",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010131",
      "ccn": "010131",
      "hospital": "CRESTWOOD MEDICAL CENTER",
      "city": "HUNTSVILLE",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Community Health Systems",
      "former_operator": "",
      "affiliated_system": "Community Health Systems",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Proprietary",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010138",
      "ccn": "010138",
      "hospital": "HILL HOSPITAL OF SUMTER COUNTY",
      "city": "YORK",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HILL HOSPITAL OF YORK",
      "former_operator": "",
      "affiliated_system": "HILL HOSPITAL OF YORK",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010148",
      "ccn": "010148",
      "hospital": "EVERGREEN MEDICAL CENTER",
      "city": "EVERGREEN",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "EVERGREEN MEDICAL CENTER LLC",
      "former_operator": "",
      "affiliated_system": "EVERGREEN MEDICAL CENTER LLC",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Proprietary",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010149",
      "ccn": "010149",
      "hospital": "BAPTIST MEDICAL CENTER EAST",
      "city": "MONTGOMERY",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS",
      "former_operator": "",
      "affiliated_system": "Baptist Health Montgomery (UAB Health System affiliate)",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
      "operator_type": "Corporate chain",
      "operator_name": "Baptistfirst",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "01014F",
      "ccn": "01014F",
      "hospital": "BIRMINGHAM VA MEDICAL CENTER",
      "city": "BIRMINGHAM",
      "state": "AL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Veterans Health Administration",
      "former_operator": "",
      "affiliated_system": "Veterans Health Administration",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "U.S. Department of Veterans Affairs",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "010157",
      "ccn": "010157",
      "hospital": "SHOALS HOSPITAL",
      "city": "MUSCLE SHOALS",
      "state": "AL",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "DSB ACQUISITION LLC",
      "former_operator": "",
      "affiliated_system": "Lifepoint Health",
      "acquired_date": "December 2015",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/010157.json"
    },
    {
      "id": "010158",
      "ccn": "010158",
      "hospital": "RUSSELLVILLE HOSPITAL",
      "city": "RUSSELLVILLE",
      "state": "AL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "JAVA MEDICAL GROUP LLC",
      "former_operator": "",
      "affiliated_system": "JAVA MEDICAL GROUP LLC",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Proprietary",
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    {
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    {
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    {
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    {
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    {
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    {
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    {
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    {
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    {
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      "former_operator": "Steward Health Care",
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      "public_control_badge": "Closed after documented PE acquisition",
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      "research_incomplete": "false",
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      "closure_status_label": "Closed; Medicare agreement terminated October 2025",
      "closure_summary": "Hillside Rehabilitation Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "The Vindicator — dormant since March 2025",
      "closure_source_url": "https://www.vindy.com/news/local-news/2026/04/insight-seems-no-closer-to-reopening/",
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    {
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    {
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      "evidence_grade": "government-corroborated",
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      "public_control_badge": "PE-acquired / controlled",
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    {
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    },
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    },
    {
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      "parent_system": "Sequel Youth & Family Services",
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    },
    {
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    },
    {
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    },
    {
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    {
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    },
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    },
    {
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    },
    {
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      "parent_system": "Shriners Children's",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    {
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      "public_control_badge": "Independent / no big-corp signal",
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    {
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Oumedicine",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
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    },
    {
      "id": "0130774801",
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      "affiliated_system": "ScionHealth",
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      "confidence": "low",
      "evidence_grade": "single-source ownership baseline",
      "source_count": 2,
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    {
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    },
    {
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    },
    {
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    },
    {
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      "reviewed_at": "2026-06-24",
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    },
    {
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      "dossier_url": ""
    },
    {
      "id": "030002-loc-az-phoenix-banner-university-medical-center-phoenix",
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      "closure_date": "",
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    },
    {
      "id": "030006",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "030006-loc-az-tucson-tucson-medical-center-rincon",
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    },
    {
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      "reviewed_at": "2026-06-24",
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    },
    {
      "id": "030010",
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      "parent_system": "Carondelet Health Network (Tenet majority-owned JV)",
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      "affiliated_system": "CHN HOLDINGS LLC",
      "acquired_date": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_confidence": "low",
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    },
    {
      "id": "030011",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_depth": "baseline",
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      "closure_date": "",
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    },
    {
      "id": "030012",
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      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "030013",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
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    },
    {
      "id": "030014",
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      "affiliated_system": "HonorHealth",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
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      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "030014-loc-az-phoenix-honorhealth-john-c-lincoln-medical-center",
      "ccn": "030014",
      "hospital": "HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "030016",
      "ccn": "030016",
      "hospital": "BANNER CASA GRANDE MEDICAL CENTER",
      "city": "CASA GRANDE",
      "state": "AZ",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "Banner Health",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "dossier_url": ""
    },
    {
      "id": "030022",
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      "state": "AZ",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT",
      "former_operator": "",
      "affiliated_system": "MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Local",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "030023",
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      "pe_firm": "",
      "parent_system": "NORTHERN ARIZONA HEALTHCARE CORPORATION",
      "former_operator": "",
      "affiliated_system": "Northern Arizona Healthcare",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "030024",
      "ccn": "030024",
      "hospital": "ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER",
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      "state": "AZ",
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      "pe_firm": "",
      "parent_system": "CommonSpirit Health",
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      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "030024-loc-az-phoenix-st-joseph-s-hospital-and-medical-center",
      "ccn": "030024",
      "hospital": "ST JOSEPH'S HOSPITAL AND MEDICAL CENTER",
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      "state": "AZ",
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      "affiliated_system": "CommonSpirit Health",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "030030",
      "ccn": "030030",
      "hospital": "ABRAZO CENTRAL CAMPUS",
      "city": "PHOENIX",
      "state": "AZ",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "TENET HEALTHCARE CORPORATION",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Unknown",
      "operator_type": "Corporate chain",
      "operator_name": "Abrazohealth",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "030038",
      "ccn": "030038",
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    },
    {
      "id": "030055-loc-az-kingman-kingman-regional-medical-center",
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      "id": "030061",
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    },
    {
      "id": "030062",
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    {
      "id": "030064",
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    },
    {
      "id": "030065",
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      "state": "AZ",
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    },
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      "id": "030069",
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      "pe_firm": "",
      "parent_system": "TUBA CITY REGIONAL HEALTH CARE CORPORATION",
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      "evidence_grade": "",
      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "030073-loc-az-tuba-city-tuba-city-regional-health-care",
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    },
    {
      "id": "030074",
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      "affiliated_system": "Indian Health Service",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "closure_date": "",
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    },
    {
      "id": "030074-loc-az-sells-sells-hospital",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "030078",
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      "hospital": "PHOENIX INDIAN MEDICAL CENTER",
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      "state": "AZ",
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      "pe_firm": "",
      "parent_system": "PHOENIX INDIAN MEDICAL CENTER",
      "former_operator": "",
      "affiliated_system": "Indian Health Service",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
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    },
    {
      "id": "030083",
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      "hospital": "ABRAZO SCOTTSDALE CAMPUS",
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      "state": "AZ",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "TENET HEALTHCARE CORPORATION",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    {
      "id": "030084",
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      "hospital": "DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
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      "state": "AZ",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
      "former_operator": "",
      "affiliated_system": "Indian Health Service",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "dossier_url": ""
    },
    {
      "id": "030084-loc-az-chinle-chinle-comprehensive-health-care-facility",
      "ccn": "030084",
      "hospital": "CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
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      "state": "AZ",
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      "parent_system": "CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
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      "affiliated_system": "Indian Health Service",
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    },
    {
      "id": "030085",
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      "state": "AZ",
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      "affiliated_system": "Community Health Systems",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "030085-loc-az-tucson-northwest-medical-center-houghton",
      "ccn": "030085",
      "hospital": "NORTHWEST MEDICAL CENTER HOUGHTON",
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      "state": "AZ",
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    {
      "id": "030087",
      "ccn": "030087",
      "hospital": "HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER",
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      "state": "AZ",
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      "parent_system": "HONORHEALTH AMBULATORY",
      "former_operator": "",
      "affiliated_system": "HonorHealth",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "030088",
      "ccn": "030088",
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      "state": "AZ",
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      "affiliated_system": "Banner Health",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "030089",
      "ccn": "030089",
      "hospital": "BANNER THUNDERBIRD MEDICAL CENTER",
      "city": "GLENDALE",
      "state": "AZ",
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      "pe_firm": "",
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      "affiliated_system": "Banner Health",
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      "source_count": 0,
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    },
    {
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    },
    {
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    },
    {
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    },
    {
      "id": "030105",
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    },
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    },
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    {
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    },
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      "evidence_grade": "government-corroborated",
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    },
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      "reviewed_at": "2026-06-24",
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      "dossier_url": ""
    },
    {
      "id": "030119-loc-az-gilbert-mercy-gilbert-medical-center",
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    },
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      "id": "030122",
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      "id": "03012F",
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      "reviewed_at": "2026-06-24",
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      "id": "030130",
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    },
    {
      "id": "030134",
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    },
    {
      "id": "030136",
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    },
    {
      "id": "030139",
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    },
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    },
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    },
    {
      "id": "031305-loc-az-polacca-hopi-health-care-center",
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    },
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      "id": "031308",
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    },
    {
      "id": "031308-loc-az-sacaton-gila-river-health-care-corporation-hu-hu-ka",
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    },
    {
      "id": "031309-loc-az-ganado-sage-memorial-hospital",
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      "id": "031312",
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      "id": "031313",
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      "parent_system": "Carondelet Health Network (Tenet majority-owned JV)",
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      "affiliated_system": "CHN HOLDINGS LLC",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    {
      "id": "031314",
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      "id": "031318",
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      "parent_system": "MT GRAHAM REGIONAL MEDICAL CENTER INC",
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      "affiliated_system": "MT GRAHAM REGIONAL MEDICAL CENTER INC",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    {
      "id": "031320",
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      "hospital": "SAN CARLOS APACHE HEALTHCARE CORP",
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      "state": "AZ",
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    },
    {
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    },
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    },
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      "reviewed_at": "2026-06-24",
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      "id": "040050",
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    },
    {
      "id": "040051",
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      "id": "040062",
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    },
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      "pe_firm": "",
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      "former_operator": "",
      "affiliated_system": "MISSISSIPPI COUNTY ARKANSAS",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "reviewed_at": "2026-06-24",
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    },
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    },
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    },
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    },
    {
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    },
    {
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    },
    {
      "id": "050075",
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    {
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    },
    {
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    },
    {
      "id": "050077-loc-ca-san-diego-scripps-mercy-hospital-d-p-aph",
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      "parent_system": "PORT CITY OPERATING COMPANY LLC",
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      "dossier_url": ""
    },
    {
      "id": "050089-loc-ca-san-bernardino-community-hospital-of-san-bernardino",
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    },
    {
      "id": "050090",
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    },
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      "pe_firm": "Stanton Road Capital, Davidson Kempner, Deerfield Management",
      "parent_system": "AVANTI HEALTHCARE HOLDINGS LLC",
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      "source_count": 6,
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      "classification_confidence": "high",
      "research_incomplete": "false",
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      "dossier_url": "/data/dossiers/050091.json"
    },
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      "evidence_grade": "source-family review completed with explicit unresolved items",
      "source_count": 5,
      "reviewed_at": "2026-07-04",
      "public_control_badge": "Nonprofit / Faith-based health system",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Trinity Health / Saint Agnes Medical Center",
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      "classification_confidence": "high",
      "research_incomplete": "false",
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      "dossier_url": "/data/dossiers/050093.json"
    },
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      "id": "050099",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "050100",
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      "state": "CA",
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      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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      "dossier_url": ""
    },
    {
      "id": "050100-loc-ca-san-diego-sharp-memorial-hospital",
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    },
    {
      "id": "050101",
      "ccn": "050101",
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      "state": "CA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Sutter Health",
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    },
    {
      "id": "050211-loc-ca-alameda-alameda-hospital-south-shore-convalescent-h",
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      "reviewed_at": "2026-06-24",
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    },
    {
      "id": "050224",
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      "id": "050226",
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      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "id": "050231",
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      "classification_depth": "baseline",
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    {
      "id": "050232",
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      "public_control_badge": "Ownership warning",
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      "id": "050236",
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      "reviewed_at": "2026-06-24",
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    },
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      "id": "050239",
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      "classification_depth": "baseline",
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    {
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      "id": "050254",
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      "evidence_grade": "source-family review completed with explicit unresolved items",
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      "id": "050261",
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      "parent_system": "SIERRA VIEW LOCAL HEALTH CARE DISTRICT",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "parent_system": "REGENTS UNIV OF CALIF LOS ANGELES",
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      "affiliated_system": "University of California Health",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "id": "050272-loc-ca-redlands-redlands-community-hospital-d-p-aph",
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      "state": "CA",
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      "public_control_badge": "Independent / no big-corp signal",
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    {
      "id": "050276",
      "ccn": "050276",
      "hospital": "CONTRA COSTA REGIONAL MEDICAL CENTER",
      "city": "MARTINEZ",
      "state": "CA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CONTRA COSTA COUNTY",
      "former_operator": "",
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      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "050276-loc-ca-martinez-contra-costa-regional-medical-center-d-p-a",
      "ccn": "050276",
      "hospital": "CONTRA COSTA REGIONAL MEDICAL CENTER D/P APH",
      "city": "MARTINEZ",
      "state": "CA",
      "status": "verified_independent",
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      "parent_system": "CONTRA COSTA COUNTY",
      "former_operator": "",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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    {
      "id": "050278",
      "ccn": "050278",
      "hospital": "PROVIDENCE HOLY CROSS MEDICAL CENTER",
      "city": "MISSION HILLS",
      "state": "CA",
      "status": "corporate_chain",
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      "pe_firm": "",
      "parent_system": "Providence",
      "former_operator": "",
      "affiliated_system": "Providence",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    {
      "id": "050279",
      "ccn": "050279",
      "hospital": "HI - DESERT MEDICAL CENTER",
      "city": "JOSHUA TREE",
      "state": "CA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Tenet Healthcare",
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      "affiliated_system": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_confidence": "low",
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    {
      "id": "05027F",
      "ccn": "05027F",
      "hospital": "VA LONG BEACH HEALTHCARE SYSTEM",
      "city": "LONG BEACH",
      "state": "CA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "VA LONG BEACH HEALTHCARE SYSTEM",
      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Veterans Health Administration",
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      "classification_confidence": "medium",
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    },
    {
      "id": "050280",
      "ccn": "050280",
      "hospital": "MERCY MEDICAL CENTER REDDING",
      "city": "REDDING",
      "state": "CA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CommonSpirit Health",
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      "affiliated_system": "CommonSpirit Health",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "050281",
      "ccn": "050281",
      "hospital": "ALHAMBRA HOSPITAL MEDICAL CENTER",
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      "state": "CA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ALHAMBRA HOSPITAL MEDICAL CENTER, LP",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "050289",
      "ccn": "050289",
      "hospital": "AHMC SETON MEDICAL CENTER",
      "city": "DALY CITY",
      "state": "CA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "AHMC HEALTHCARE, LP",
      "former_operator": "",
      "affiliated_system": "Ascension",
      "acquired_date": "",
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      "evidence_grade": "",
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      "confidence": "high",
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      "public_control_badge": "PE-acquired / controlled",
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      "classification_depth": "full_research",
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    {
      "id": "050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
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      "dossier_url": "/data/dossiers/050315-loc-ca-bakersfield-kern-medical-center-d-p-aph.json"
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    {
      "id": "050320",
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      "pe_firm": "",
      "parent_system": "ALAMEDA HEALTH SYSTEM",
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      "public_control_badge": "Ownership warning",
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      "dossier_url": "/data/dossiers/050320.json"
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      "id": "050327",
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      "state": "CA",
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      "parent_system": "LOMA LINDA UNIVERSITY HEALTH",
      "former_operator": "",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "dossier_url": ""
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      "id": "050327-loc-ca-loma-linda-loma-linda-university-medical-center",
      "ccn": "050327",
      "hospital": "LOMA LINDA UNIVERSITY MEDICAL CENTER",
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    {
      "id": "050327-loc-ca-loma-linda-loma-linda-university-medical",
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      "state": "CA",
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      "id": "050329",
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      "state": "CA",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
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    },
    {
      "id": "050329-loc-ca-corona-corona-regional-medical-center",
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    },
    {
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    {
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    },
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    },
    {
      "id": "050360-loc-ca-greenbrae-marinhealth-medical-center-d-p-aph",
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    },
    {
      "id": "050367",
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    },
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    },
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      "acquired_date": "March 2021",
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      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/050378.json"
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    {
      "id": "050378-loc-ca-sun-valley-pacifica-hospital-of-the-valley-d-p-aph",
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      "dossier_url": "/data/dossiers/050378-loc-ca-sun-valley-pacifica-hospital-of-the-valley-d-p-aph.json"
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      "id": "050380",
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      "state": "CA",
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    },
    {
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      "hospital": "EMANATE HEALTH INTER - COMMUNITY HOSPITAL, D/P APH",
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      "state": "CA",
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      "parent_system": "KPC GLOBAL MEDICAL CENTERS INC.",
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      "id": "050464",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "id": "050543-loc-ca-costa-mesa-college-hospital-costa-mesa-d-p-aph",
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    },
    {
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    },
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    },
    {
      "id": "050689",
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      "parent_system": "Tenet Healthcare",
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      "dossier_url": ""
    },
    {
      "id": "050689-loc-ca-san-ramon-san-ramon-regional-medical-center",
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    },
    {
      "id": "050690",
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    },
    {
      "id": "050696",
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      "evidence_grade": "government-corroborated",
      "source_count": 6,
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      "public_control_badge": "Ownership warning",
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      "operator_name": "Voluntary non-profit - Other",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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    {
      "id": "050697",
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      "parent_system": "JAMES D TATE MD",
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    },
    {
      "id": "050704",
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      "parent_system": "DEANCO PANORAMA CITY HOLDINGS LLC",
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    },
    {
      "id": "050704-loc-ca-panorama-city-mission-community-hospital-panorama-c",
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    },
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      "id": "050708",
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      "acquired_date": "",
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      "evidence_grade": "source-family review completed with explicit unresolved items",
      "source_count": 7,
      "reviewed_at": "2026-07-04",
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      "tax_ownership_type": "For-profit",
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      "classification_confidence": "high",
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      "dossier_url": "/data/dossiers/050708.json"
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      "dossier_url": ""
    },
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      "classification_confidence": "high",
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      "dossier_url": "/data/dossiers/050710.json"
    },
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      "classification_depth": "baseline",
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    {
      "id": "050726",
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      "state": "CA",
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      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "050735",
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      "state": "CA",
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      "parent_system": "GEMW HEALTHCARE INVESTMENT, LP",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "classification_depth": "baseline",
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    },
    {
      "id": "050736",
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      "city": "MONTEREY PARK",
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      "parent_system": "GEMW HEALTHCARE INVESTMENT, LP",
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    },
    {
      "id": "050737",
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      "parent_system": "GEMW HEALTHCARE INVESTMENT, LP",
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      "classification_confidence": "low",
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    },
    {
      "id": "050738",
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      "pe_firm": "",
      "parent_system": "AHMC GREATER EL MONTE COMMUNITY HOSPITAL LP",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "050739",
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      "parent_system": "Prime Healthcare",
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      "source_count": 0,
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      "classification_confidence": "low",
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    },
    {
      "id": "050744",
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      "parent_system": "KPC Healthcare",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_confidence": "low",
      "research_incomplete": "true",
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      "dossier_url": ""
    },
    {
      "id": "050744-loc-ca-anaheim-anaheim-global-medical-center-d-p-aph",
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      "state": "CA",
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      "evidence_grade": "",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
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    },
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    {
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      "public_control_badge": "Independent / no big-corp signal",
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    {
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      "id": "061326",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "061344",
      "ccn": "061344",
      "hospital": "CENTURA HEALTH - ST THOMAS MORE HOSPITAL",
      "city": "CANON CITY",
      "state": "CO",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CommonSpirit Health",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "063301",
      "ccn": "063301",
      "hospital": "CHILDREN'S HOSPITAL COLORADO",
      "city": "AURORA",
      "state": "CO",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CHILDREN'S HOSPITAL COLORADO",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "064007",
      "ccn": "064007",
      "hospital": "CENTENNIAL PEAKS HOSPITAL",
      "city": "LOUISVILLE",
      "state": "CO",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UHS OF DENVER INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Government - Hospital District or Authority",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "064024",
      "ccn": "064024",
      "hospital": "HIGHLANDS BEHAVIORAL HEALTH SYSTEM",
      "city": "LITTLETON",
      "state": "CO",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Universal Health Services",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Proprietary",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "064026",
      "ccn": "064026",
      "hospital": "PEAK VIEW BEHAVIORAL HEALTH",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Patient Square Capital",
      "parent_system": "SBHC HOLDINGS LLC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "November 2021",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Summit Behavioral Healthcare",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/064026.json"
    },
    {
      "id": "064028",
      "ccn": "064028",
      "hospital": "DENVER SPRINGS",
      "city": "ENGLEWOOD",
      "state": "CO",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "DSB ACQUISITION LLC",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "February 2023",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/064028.json"
    },
    {
      "id": "064029",
      "ccn": "064029",
      "hospital": "JOHNSTOWN HEIGHTS BEHAVIORAL HEALTH LLC",
      "city": "JOHNSTOWN",
      "state": "CO",
      "status": "closed",
      "relationship_type": "ownership",
      "pe_firm": "Patient Square Capital",
      "parent_system": "JOHNSTOWN HEIGHTS BEHAVIORAL HEALTH",
      "former_operator": "Summit Behavioral Healthcare",
      "affiliated_system": "",
      "acquired_date": "2021",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 7,
      "reviewed_at": "2026-07-10",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "baseline",
      "classification_confidence": "high",
      "research_incomplete": "true",
      "closure_date": "2025-03-31",
      "closure_year": 2025,
      "closure_status_label": "Closed / shut down in 2025",
      "closure_summary": "JOHNSTOWN HEIGHTS BEHAVIORAL HEALTH LLC closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Patient Square Capital; operating platform: Summit Behavioral Healthcare. This sequence does not by itself prove that PE ownership caused the closure.",
      "closure_source": "PESP — PE-owned behavioral health hospital closes",
      "closure_source_url": "https://pestakeholder.org/news/pe-owned-behavioral-health-hospital-closes/",
      "dossier_url": "/data/dossiers/064029.json"
    },
    {
      "id": "070003",
      "ccn": "070003",
      "hospital": "DAY KIMBALL HOSPITAL",
      "city": "PUTNAM",
      "state": "CT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "DAY KIMBALL HEALTHCARE, INC.",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "070004",
      "ccn": "070004",
      "hospital": "SHARON HOSPITAL",
      "city": "SHARON",
      "state": "CT",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HEALTH QUEST SYSTEMS INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Transaction warning",
      "operator_name": "Proprietary",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/070004.json"
    },
    {
      "id": "070005",
      "ccn": "070005",
      "hospital": "THE WATERBURY HOSPITAL",
      "city": "WATERBURY",
      "state": "CT",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CHAMBER INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Proprietary",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "070006",
      "ccn": "070006",
      "hospital": "THE STAMFORD HOSPITAL",
      "city": "STAMFORD",
      "state": "CT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "STAMFORD HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "070007",
      "ccn": "070007",
      "hospital": "LAWRENCE MEMORIAL HOSPITAL",
      "city": "NEW LONDON",
      "state": "CT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LAWRENCE AND MEMORIAL HOSPITAL INC.",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "070008",
      "ccn": "070008",
      "hospital": "JOHNSON MEMORIAL HOSPITAL",
      "city": "STAFFORD SPRINGS",
      "state": "CT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Trinity Health",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "070010",
      "ccn": "070010",
      "hospital": "BRIDGEPORT HOSPITAL",
      "city": "BRIDGEPORT",
      "state": "CT",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "YALE-NEW HAVEN HEALTH SERVICES CORPORATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Transaction warning",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/070010.json"
    },
    {
      "id": "070011",
      "ccn": "070011",
      "hospital": "THE CHARLOTTE HUNGERFORD HOSPITAL",
      "city": "TORRINGTON",
      "state": "CT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HARTFORD HEALTHCARE CORPORATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "070016",
      "ccn": "070016",
      "hospital": "SAINT MARY'S HOSPITAL, INC",
      "city": "WATERBURY",
      "state": "CT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Trinity Health",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Church",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "070017",
      "ccn": "070017",
      "hospital": "MIDSTATE MEDICAL CENTER",
      "city": "MERIDEN",
      "state": "CT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HARTFORD HEALTHCARE CORPORATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "070018",
      "ccn": "070018",
      "hospital": "GREENWICH HOSPITAL",
      "city": "GREENWICH",
      "state": "CT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "YALE-NEW HAVEN HEALTH SERVICES CORPORATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "070020",
      "ccn": "070020",
      "hospital": "MIDDLESEX HOSPITAL",
      "city": "MIDDLETOWN",
      "state": "CT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MIDDLESEX HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "070021",
      "ccn": "070021",
      "hospital": "WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC",
      "city": "WILLIMANTIC",
      "state": "CT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HARTFORD HEALTHCARE CORPORATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "070022",
      "ccn": "070022",
      "hospital": "YALE NEW HAVEN HOSPITAL, INC",
      "city": "NEW HAVEN",
      "state": "CT",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "YALE-NEW HAVEN HEALTH SERVICES CORPORATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
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    {
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    },
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      "id": "100050",
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    },
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      "source_count": 6,
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      "public_control_badge": "Ownership warning",
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      "classification_depth": "full_research",
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    },
    {
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    },
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      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 8,
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    },
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      "id": "110010",
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      "evidence_grade": "source-family review complete; classification retained",
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      "public_control_badge": "Corporate-chain controlled",
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      "classification_depth": "baseline",
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      "dossier_url": "/data/dossiers/110010.json"
    },
    {
      "id": "110010-loc-ga-atlanta-emory-university-hospital-wesley-woods-geri",
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    },
    {
      "id": "110010-loc-ga-atlanta-emory-university-hospital",
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    },
    {
      "id": "110011",
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      "state": "GA",
      "status": "corporate_chain",
      "relationship_type": "",
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      "parent_system": "TANNER MEDICAL CENTER INC",
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      "affiliated_system": "Tanner",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "110015",
      "ccn": "110015",
      "hospital": "TANNER MEDICAL CENTER VILLA RICA",
      "city": "VILLA RICA",
      "state": "GA",
      "status": "corporate_chain",
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      "acquired_date": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "110016",
      "ccn": "110016",
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      "city": "LAGRANGE",
      "state": "GA",
      "status": "corporate_chain",
      "relationship_type": "",
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      "parent_system": "WELLSTAR HEALTH SYSTEM INC",
      "former_operator": "",
      "affiliated_system": "Wellstar",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "110018",
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      "parent_system": "PIEDMONT HEALTHCARE INC",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "110023",
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      "city": "CALHOUN",
      "state": "GA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "former_operator": "",
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      "acquired_date": "",
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      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 7,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
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      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": "/data/dossiers/110023.json"
    },
    {
      "id": "110024",
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      "pe_firm": "",
      "parent_system": "ST JOSEPHS CANDLER HEALTH SYSTEM INC",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
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    },
    {
      "id": "110025",
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      "parent_system": "SOUTHEAST GEORGIA HEALTH SYSTEM, INC",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "110029",
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      "relationship_type": "",
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    },
    {
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      "public_control_badge": "Corporate-chain controlled",
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    },
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      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "For-profit",
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      "operator_name": "Voluntary non-profit - Other",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "reviewed_at": "2026-06-24",
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    },
    {
      "id": "110043",
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      "parent_system": "ST JOSEPHS CANDLER HEALTH SYSTEM INC",
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      "classification_depth": "baseline",
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    },
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      "parent_system": "PHOEBE PUTNEY HEALTH SYSTEMS INC",
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      "affiliated_system": "Phoebeputney",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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    },
    {
      "id": "110046",
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      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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    },
    {
      "id": "110050",
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      "city": "CHATSWORTH",
      "state": "GA",
      "status": "corporate_chain",
      "relationship_type": "",
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      "parent_system": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "former_operator": "",
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      "acquired_date": "",
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      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 7,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
      "closure_date": "",
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    },
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      "id": "110051",
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      "pe_firm": "",
      "parent_system": "HOSPITAL AUTHORITY OF UNION COUNTY",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "research_incomplete": "true",
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    },
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      "id": "110054",
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      "state": "GA",
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      "pe_firm": "",
      "parent_system": "Advocate Health",
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      "affiliated_system": "Atrium Health",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
      "closure_date": "",
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    },
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      "id": "110064",
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      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
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    },
    {
      "id": "110073",
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      "parent_system": "ER HOSPITAL, LLC",
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      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "research_incomplete": "true",
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    },
    {
      "id": "110074",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
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    },
    {
      "id": "110075",
      "ccn": "110075",
      "hospital": "EAST GEORGIA REGIONAL MEDICAL CENTER",
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      "pe_firm": "",
      "parent_system": "Community Health Systems",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
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    },
    {
      "id": "110076",
      "ccn": "110076",
      "hospital": "EMORY DECATUR HOSPITAL",
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      "state": "GA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "DEKALB REGIONAL HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "110078",
      "ccn": "110078",
      "hospital": "EMORY UNIVERSITY HOSPITAL MIDTOWN",
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      "state": "GA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Emory University",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "classification_confidence": "medium",
      "research_incomplete": "true",
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    {
      "id": "110079",
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      "hospital": "GRADY MEMORIAL HOSPITAL",
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      "state": "GA",
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      "pe_firm": "",
      "parent_system": "GRADY MEMORIAL HOSPITAL CORPORATION",
      "former_operator": "",
      "affiliated_system": "",
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      "confidence": "medium",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 8,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Independent / no big-corp signal",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
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      "id": "110082",
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      "status": "verified_independent",
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      "pe_firm": "",
      "parent_system": "EMORY/SAINT JOSEPH'S INC.",
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      "affiliated_system": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "110083",
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      "state": "GA",
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      "parent_system": "PIEDMONT HEALTHCARE INC",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "operator_name": "Government - Federal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "110086",
      "ccn": "110086",
      "hospital": "WASHINGTON COUNTY REGIONAL MEDICAL CENTER",
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      "state": "GA",
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      "relationship_type": "",
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      "parent_system": "HOSPITAL AUTHORITY OF WASHINGTON COUNTY",
      "former_operator": "",
      "affiliated_system": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
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      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "110087",
      "ccn": "110087",
      "hospital": "NORTHSIDE HOSPITAL GWINNETT",
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      "state": "GA",
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      "pe_firm": "",
      "parent_system": "NORTHSIDE HOSPITAL INC",
      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Government - Hospital District or Authority",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "110089",
      "ccn": "110089",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "id": "110091",
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      "confidence": "medium",
      "evidence_grade": "government-corroborated",
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      "public_control_badge": "Ownership warning",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "closure_year": "",
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      "closure_source_url": "",
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    {
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      "former_operator": "",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "former_operator": "",
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      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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    },
    {
      "id": "110100",
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      "relationship_type": "",
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      "parent_system": "HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE",
      "former_operator": "",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "110101",
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      "state": "GA",
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      "parent_system": "SOUTHWELL MEDICAL, A CAMPUS OF TRMC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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    },
    {
      "id": "110104",
      "ccn": "110104",
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      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "110105",
      "ccn": "110105",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "COLQUITT REGIONAL MEDICAL CENTER",
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      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "closure_status_label": "",
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      "dossier_url": ""
    },
    {
      "id": "110107",
      "ccn": "110107",
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      "state": "GA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Advocate Health",
      "former_operator": "",
      "affiliated_system": "Atrium Health",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "source-family review complete; classification retained",
      "source_count": 8,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Atrium Health",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/110107.json"
    },
    {
      "id": "110109",
      "ccn": "110109",
      "hospital": "EMANUEL MEDICAL CENTER",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "EMANUEL COUNTY HOSPITAL AUTHORITY",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "research_incomplete": "true",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "110113",
      "ccn": "110113",
      "hospital": "BURKE MEDICAL CENTER",
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      "relationship_type": "",
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      "parent_system": "BURKE HOSPITAL COMPANY",
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      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "government-corroborated",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/110113.json"
    },
    {
      "id": "110121",
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      "hospital": "GRADY GENERAL HOSPITAL",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "JOHN D ARCHBOLD MEMORIAL HOSPITAL INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "operator_name": "Voluntary non-profit - Private",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "110124",
      "ccn": "110124",
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      "city": "JESUP",
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      "parent_system": "HOSPITAL AUTHORITY OF WAYNE COUNTY GEORGIA",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "dossier_url": ""
    },
    {
      "id": "110125",
      "ccn": "110125",
      "hospital": "FAIRVIEW PARK HOSPITAL",
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      "state": "GA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "DUBLIN COMMUNITY HOSPITAL LLC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
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      "closure_date": "",
      "closure_year": "",
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    },
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      "id": "110128",
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      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HCA Healthcare",
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      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "For-profit",
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      "operator_name": "Proprietary",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/110128.json"
    },
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      "id": "110129",
      "ccn": "110129",
      "hospital": "ST FRANCIS HOSPITAL - EMORY HEALTHCARE",
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      "state": "GA",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "ScionHealth",
      "former_operator": "",
      "affiliated_system": "ScionHealth",
      "acquired_date": "November 2018",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "ScionHealth",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/110129.json"
    },
    {
      "id": "110132",
      "ccn": "110132",
      "hospital": "MEMORIAL HOSPITAL AND MANOR",
      "city": "BAINBRIDGE",
      "state": "GA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "110142",
      "ccn": "110142",
      "hospital": "EVANS MEMORIAL HOSPITAL",
      "city": "CLAXTON",
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      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "EVANS MEMORIAL HOSPITAL INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "110146",
      "ccn": "110146",
      "hospital": "SOUTHEAST GEORGIA HEALTH SYSTEM - CAMDEN CAMPUS",
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      "state": "GA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SOUTHEAST GEORGIA HEALTH SYSTEM, INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "110150",
      "ccn": "110150",
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      "city": "MILLEDGEVILLE",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Advocate Health",
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      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Transaction warning",
      "operator_name": "Proprietary",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/110150.json"
    },
    {
      "id": "110161",
      "ccn": "110161",
      "hospital": "NORTHSIDE HOSPITAL",
      "city": "ATLANTA",
      "state": "GA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "NORTHSIDE HOSPITAL INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
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    },
    {
      "id": "110165",
      "ccn": "110165",
      "hospital": "SOUTHERN REGIONAL MEDICAL CENTER",
      "city": "RIVERDALE",
      "state": "GA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Prime Healthcare",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-07-01",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "For-profit",
      "operator_type": "Transaction warning",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
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    },
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      "public_control_badge": "Ownership warning",
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      "id": "111316",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "id": "111318",
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      "parent_system": "THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA",
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      "id": "111320",
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      "public_control_badge": "Corporate-chain controlled",
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      "id": "111323",
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      "public_control_badge": "PE-acquired / controlled",
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      "pe_firm": "",
      "parent_system": "UNION COUNTY HOSPITAL AUTHORITY",
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      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "id": "111325",
      "ccn": "111325",
      "hospital": "WILLS MEMORIAL HOSPITAL",
      "city": "WASHINGTON",
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      "parent_system": "HOSPITAL AUTHORITY OF WILKES COUNTY",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "id": "111327",
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      "city": "ALMA",
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      "parent_system": "BACON COUNTY HEALTH SERVICES, INC.",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "111328",
      "ccn": "111328",
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      "state": "GA",
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      "pe_firm": "",
      "parent_system": "PHOEBE PUTNEY HEALTH SYSTEMS INC",
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      "affiliated_system": "Phoebeputney",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "111329",
      "ccn": "111329",
      "hospital": "ST MARY'S GOOD SAMARITAN HOSPITAL",
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      "state": "GA",
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      "parent_system": "Trinity Health",
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      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "111330",
      "ccn": "111330",
      "hospital": "POLK MEDICAL CENTER",
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      "state": "GA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "POLK MEDICAL CENTER INC",
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      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "research_incomplete": "true",
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    {
      "id": "111333",
      "ccn": "111333",
      "hospital": "JEFF DAVIS HOSPITAL",
      "city": "HAZLEHURST",
      "state": "GA",
      "status": "verified_independent",
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      "pe_firm": "",
      "parent_system": "HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
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      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "111334",
      "ccn": "111334",
      "hospital": "CANDLER COUNTY HOSPITAL",
      "city": "METTER",
      "state": "GA",
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      "pe_firm": "",
      "parent_system": "HOSPITAL AUTHORITY OF CANDLER COUNTY",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "111335",
      "ccn": "111335",
      "hospital": "LIBERTY REGIONAL MEDICAL CENTER",
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      "state": "GA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HOSPITAL AUTHORITY OF LIBERTY COUNTY",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "parent_system": "STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE",
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    },
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      "relationship_type": "ownership",
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      "public_control_badge": "PE-acquired / controlled",
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    },
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    },
    {
      "id": "140010",
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      "confidence": "high",
      "evidence_grade": "major_system_affiliation_with_pe_claim_refuted",
      "source_count": 14,
      "reviewed_at": "2026-06-29",
      "public_control_badge": "Major-system controlled",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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    },
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      "id": "140011",
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      "parent_system": "SOUTHERN ILLINOIS HOSPITAL SERVICES",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
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      "id": "140013",
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      "parent_system": "THE CARLE FOUNDATION",
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      "classification_confidence": "medium",
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    },
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      "id": "140015",
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      "city": "QUINCY",
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      "parent_system": "BLESSING CORPORATE SERVICES, INC.",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140018",
      "ccn": "140018",
      "hospital": "MT. SINAI HOSPITAL MEDICAL CENTER",
      "city": "CHICAGO",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SINAI HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140030",
      "ccn": "140030",
      "hospital": "ADVOCATE SHERMAN HOSPITAL",
      "city": "ELGIN",
      "state": "IL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ADVOCATE AURORA HEALTH, INC.",
      "former_operator": "",
      "affiliated_system": "Advocatehealth",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Advocatehealth",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140032",
      "ccn": "140032",
      "hospital": "ST. ANTHONY'S MEMORIAL HOSPITAL",
      "city": "EFFINGHAM",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HOSPITAL SISTERS HEALTH SYSTEM INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Church",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140034",
      "ccn": "140034",
      "hospital": "ST. MARY'S HOSPITAL",
      "city": "CENTRALIA",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SSM HEALTH CARE CORPORATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Church",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140043",
      "ccn": "140043",
      "hospital": "CGH MEDICAL CENTER",
      "city": "STERLING",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CGH MEDICAL CENTER",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Local",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140048",
      "ccn": "140048",
      "hospital": "ADVOCATE TRINITY HOSPITAL",
      "city": "CHICAGO",
      "state": "IL",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ADVOCATE AURORA HEALTH, INC.",
      "former_operator": "",
      "affiliated_system": "Advocatehealth",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Transaction warning",
      "operator_name": "Advocatehealth",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/140048.json"
    },
    {
      "id": "140049",
      "ccn": "140049",
      "hospital": "PIPELINE - WEST SUBURBAN MEDICAL CENTER, LLC",
      "city": "OAK PARK",
      "state": "IL",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Pipeline Health",
      "parent_system": "WESTLAW MANAGEMENT GROUP, LLC",
      "former_operator": "Resilience Healthcare",
      "affiliated_system": "",
      "acquired_date": "2019 (Pipeline); 2022 (Resilience)",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 10,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2026-03-27",
      "closure_year": 2026,
      "closure_status_label": "Hospital services suspended; campus closed in June 2026",
      "closure_summary": "West Suburban Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Resilience Healthcare. Historical PE sponsor/context: Pipeline Health. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://www.westsuburbanmc.com/category/news/",
      "dossier_url": "/data/dossiers/140049.json"
    },
    {
      "id": "140052",
      "ccn": "140052",
      "hospital": "OSF SAINT ANTHONY'S HEALTH CENTER",
      "city": "ALTON",
      "state": "IL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "OSF HEALTHCARE MINISTRIES",
      "former_operator": "",
      "affiliated_system": "OSF HealthCare",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "OSF HealthCare",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140053",
      "ccn": "140053",
      "hospital": "ST. JOHN'S HOSPITAL",
      "city": "SPRINGFIELD",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HOSPITAL SISTERS SERVICES INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Church",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140054",
      "ccn": "140054",
      "hospital": "LOYOLA MACNEAL HOSPITAL",
      "city": "BERWYN",
      "state": "IL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LOYOLA UNIVERSITY HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Proprietary",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140059",
      "ccn": "140059",
      "hospital": "JERSEY COMMUNITY HOSPITAL",
      "city": "JERSEYVILLE",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "JERSEY COMMUNITY HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Local",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140063",
      "ccn": "140063",
      "hospital": "RUSH OAK PARK HOSPITAL, INC",
      "city": "OAK PARK",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "RUSH SYSTEM FOR HEALTH",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Church",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140064",
      "ccn": "140064",
      "hospital": "ST. MARY MEDICAL CENTER",
      "city": "GALESBURG",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "OSF HEALTHCARE MINISTRIES",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Church",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140067",
      "ccn": "140067",
      "hospital": "SAINT FRANCIS MEDICAL CENTER",
      "city": "PEORIA",
      "state": "IL",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SAINT FRANCIS MEDICAL CENTER",
      "former_operator": "",
      "affiliated_system": "OSF HealthCare",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "OSF HealthCare",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140068",
      "ccn": "140068",
      "hospital": "ROSELAND COMMUNITY HOSPITAL",
      "city": "CHICAGO",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ROSELAND COMMUNITY HOSPITAL ASSOCIATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140077",
      "ccn": "140077",
      "hospital": "TOUCHETTE REGIONAL HOSPITAL, INC",
      "city": "CENTREVILLE",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140083",
      "ccn": "140083",
      "hospital": "LORETTO HOSPITAL",
      "city": "CHICAGO",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LORETTO HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Other",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140084",
      "ccn": "140084",
      "hospital": "VISTA MEDICAL CENTER EAST",
      "city": "WAUKEGAN",
      "state": "IL",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "GoldenTree Asset Management, Davidson Kempner",
      "parent_system": "AHS VISTA LLC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "May 2020",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Quorum Health Corporation",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/140084.json"
    },
    {
      "id": "140088",
      "ccn": "140088",
      "hospital": "THE UNIVERSITY OF CHICAGO MEDICAL CENTER",
      "city": "CHICAGO",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UNIVERSITY OF CHICAGO",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140089",
      "ccn": "140089",
      "hospital": "MCDONOUGH DISTRICT HOSPITAL",
      "city": "MACOMB",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MCDONOUGH COUNTY HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140091",
      "ccn": "140091",
      "hospital": "THE CARLE FOUNDATION HOSPITAL",
      "city": "URBANA",
      "state": "IL",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "THE CARLE FOUNDATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "140095",
      "ccn": "140095",
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    {
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    },
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    },
    {
      "id": "140239",
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      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "140239-loc-il-rockford-mercyhealth-javon-bea-hospital-riverside-b",
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    },
    {
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    },
    {
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      "parent_system": "COMMUNITY FIRST HEALTHCARE OF ILLINOIS INC",
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      "id": "141308",
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      "public_control_badge": "Ownership warning",
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    {
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    {
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    {
      "id": "141334",
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      "id": "141335",
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      "id": "141338",
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    {
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    {
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    },
    {
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      "id": "150024",
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      "id": "151325",
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      "id": "151326",
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      "id": "151327",
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      "id": "151328",
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    {
      "id": "151330",
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      "id": "151331",
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    {
      "id": "151332",
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    {
      "id": "151333",
      "ccn": "151333",
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    },
    {
      "id": "154005",
      "ccn": "154005",
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      "city": "WEST LAFAYETTE",
      "state": "IN",
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      "parent_system": "NORTH CENTRAL HEALTH SERVICES, INC.",
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    },
    {
      "id": "154008",
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      "id": "170780",
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      "parent_system": "CHURCH OF GOD IN CHRIST MENNONITE",
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      "id": "170781",
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      "id": "171300",
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      "id": "171301",
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      "id": "171303",
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      "id": "171306",
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    },
    {
      "id": "171306-loc-ks-leoti-wichita-county-health-center",
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    },
    {
      "id": "171307",
      "ccn": "171307",
      "hospital": "RAWLINS COUNTY HEALTH CENTER",
      "city": "ATWOOD",
      "state": "KS",
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      "pe_firm": "",
      "parent_system": "CommonSpirit Health",
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "171308",
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      "hospital": "MERCY HOSPITAL COLUMBUS",
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    },
    {
      "id": "171309",
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    },
    {
      "id": "171310",
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    },
    {
      "id": "171311",
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    },
    {
      "id": "171312",
      "ccn": "171312",
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      "affiliated_system": "",
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    },
    {
      "id": "171313",
      "ccn": "171313",
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      "city": "LAKIN",
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    },
    {
      "id": "171314",
      "ccn": "171314",
      "hospital": "F. W. HUSTON MEDICAL CENTER",
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      "state": "KS",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "JEFFERSON COUNTY MEMORIAL HOSPITAL, INC",
      "former_operator": "",
      "affiliated_system": "",
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    },
    {
      "id": "171314-loc-ks-winchester-f-w-huston-medical-center",
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    },
    {
      "id": "171315",
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      "hospital": "NEMAHA VALLEY COMMUNITY HOSPITAL",
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      "parent_system": "NEMAHA VALLEY COMMUNITY HOSPITAL",
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      "affiliated_system": "",
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    },
    {
      "id": "171316",
      "ccn": "171316",
      "hospital": "ANDERSON COUNTY HOSPITAL",
      "city": "GARNETT",
      "state": "KS",
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      "pe_firm": "",
      "parent_system": "BJC HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "Saintlukeshealthsystem",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Saintlukeshealthsystem",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
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    },
    {
      "id": "171318",
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      "hospital": "SEDAN CITY HOSPITAL",
      "city": "SEDAN",
      "state": "KS",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Jane Phillips Memorial Medical Center",
      "former_operator": "",
      "affiliated_system": "",
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      "public_control_badge": "Independent / no big-corp signal",
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      "operator_name": "Government - Local",
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    },
    {
      "id": "171319",
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      "hospital": "HOLTON COMMUNITY HOSPITAL",
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      "state": "KS",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "RURAL HEALTH RESOURCES OF JACKSON CO INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "171321",
      "ccn": "171321",
      "hospital": "MEADE DISTRICT HOSPITAL",
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      "state": "KS",
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      "parent_system": "MEADE HOSPITAL DISTRICT",
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      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
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    },
    {
      "id": "171322",
      "ccn": "171322",
      "hospital": "HAMILTON COUNTY HOSPITAL",
      "city": "SYRACUSE",
      "state": "KS",
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      "pe_firm": "",
      "parent_system": "HAMILTON COUNTY HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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    },
    {
      "id": "171323",
      "ccn": "171323",
      "hospital": "STAFFORD COUNTY HOSPITAL",
      "city": "STAFFORD",
      "state": "KS",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "STAFFORD COUNTY HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
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      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "171324",
      "ccn": "171324",
      "hospital": "SATANTA DISTRICT HOSPITAL",
      "city": "SATANTA",
      "state": "KS",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE",
      "former_operator": "",
      "affiliated_system": "",
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      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "171325",
      "ccn": "171325",
      "hospital": "GRAHAM COUNTY HOSPITAL",
      "city": "HILL CITY",
      "state": "KS",
      "status": "verified_independent",
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      "pe_firm": "",
      "parent_system": "GRAHAM COUNTY HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "171326",
      "ccn": "171326",
      "hospital": "LOGAN COUNTY HOSPITAL",
      "city": "OAKLEY",
      "state": "KS",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "COUNTY OF LOGAN",
      "former_operator": "",
      "affiliated_system": "",
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      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
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      "operator_name": "Government - Local",
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    },
    {
      "id": "171327",
      "ccn": "171327",
      "hospital": "ELLSWORTH COUNTY MEDICAL CENTER",
      "city": "ELLSWORTH",
      "state": "KS",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ELLSWORTH COUNTY MEDICAL CENTER",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
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      "operator_name": "Proprietary",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "171328",
      "ccn": "171328",
      "hospital": "OTTAWA COUNTY HEALTH CENTER",
      "city": "MINNEAPOLIS",
      "state": "KS",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Great Plains Health Alliance",
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      "affiliated_system": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "operator_name": "Voluntary non-profit - Other",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "171329",
      "ccn": "171329",
      "hospital": "CALDWELL REGIONAL MEDICAL CENTER",
      "city": "CALDWELL",
      "state": "KS",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SUMNER COUNTY HOSPITAL DISTRICT NO 1",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
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    {
      "id": "171381",
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      "id": "171382",
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      "id": "171382-loc-ks-atchison-amberwell-atchison-association",
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    {
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      "id": "180017",
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      "source_count": 0,
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      "id": "180019",
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      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "180024",
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    {
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    },
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      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "reviewed_at": "2026-06-24",
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    },
    {
      "id": "180035",
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      "parent_system": "ST ELIZABETH MEDICAL CENTER, INC",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "180038-loc-ky-owensboro-owensboro-health",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "id": "180040",
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      "parent_system": "UNIVERSITY OF LOUISVILLE",
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      "affiliated_system": "Kentuckyonehealth",
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      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
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      "research_incomplete": "false",
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      "closure_year": "",
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    },
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      "id": "180043",
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      "city": "MANCHESTER",
      "state": "KY",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "former_operator": "",
      "affiliated_system": "AdventHealth",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "closure_date": "",
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    },
    {
      "id": "180044",
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      "parent_system": "PIKEVILLE MEDICAL CENTER INC",
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      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "research_incomplete": "true",
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    },
    {
      "id": "180045",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ST ELIZABETH MEDICAL CENTER, INC",
      "former_operator": "",
      "affiliated_system": "Stelizabeth",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Stelizabeth",
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      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "180046",
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      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "state": "KY",
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      "former_operator": "",
      "affiliated_system": "LifePoint Health",
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      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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    },
    {
      "id": "180048",
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      "parent_system": "EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "180049",
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      "hospital": "BAPTIST HEALTH RICHMOND",
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      "relationship_type": "",
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      "parent_system": "BAPTIST HEALTHCARE SYSTEM INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
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      "classification_confidence": "high",
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      "dossier_url": "/data/dossiers/180049.json"
    },
    {
      "id": "180050",
      "ccn": "180050",
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      "state": "KY",
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      "pe_firm": "",
      "parent_system": "Appalachian Regional Healthcare",
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      "affiliated_system": "Arh",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
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      "id": "180051",
      "ccn": "180051",
      "hospital": "JENNIE STUART MEDICAL CENTER",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "JENNIE STUART MEDICAL CENTER INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
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    },
    {
      "id": "180056",
      "ccn": "180056",
      "hospital": "DEACONESS HENDERSON HOSPITAL",
      "city": "HENDERSON",
      "state": "KY",
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      "pe_firm": "",
      "parent_system": "DEACONESS HEALTH KENTUCKY INC",
      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "180064",
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      "hospital": "CHI SAINT JOSEPH MOUNT STERLING",
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      "state": "KY",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CommonSpirit Health",
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      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
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      "id": "180066",
      "ccn": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "state": "KY",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "COMMONWEALTH HEALTH CORPORATION, INC.",
      "former_operator": "",
      "affiliated_system": "ScionHealth",
      "acquired_date": "November 2018",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
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      "dossier_url": "/data/dossiers/180066.json"
    },
    {
      "id": "180067",
      "ccn": "180067",
      "hospital": "UNIVERSITY OF KENTUCKY HOSPITAL",
      "city": "LEXINGTON",
      "state": "KY",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UNIVERSITY OF KENTUCKY",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - State",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "180069",
      "ccn": "180069",
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      "city": "SOUTH WILLIAMSON",
      "state": "KY",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Appalachian Regional Healthcare",
      "former_operator": "",
      "affiliated_system": "Arh",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Arh",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "180070",
      "ccn": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
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      "state": "KY",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Transaction warning",
      "operator_name": "Voluntary non-profit - Other",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/180070.json"
    },
    {
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      "ccn": "180078",
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    },
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    },
    {
      "id": "18007F-loc-ky-lexington-lexington-va-medical-center",
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    },
    {
      "id": "180080",
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      "city": "CORBIN",
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      "public_control_badge": "Independent / no big-corp signal",
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      "closure_year": "",
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    },
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      "state": "KY",
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      "parent_system": "TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION",
      "former_operator": "",
      "affiliated_system": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "classification_confidence": "medium",
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      "dossier_url": ""
    },
    {
      "id": "180092",
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      "city": "WINCHESTER",
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      "pe_firm": "Apollo Global Management",
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      "former_operator": "",
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      "evidence_grade": "government-corroborated",
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      "public_control_badge": "PE-acquired / controlled",
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      "classification_confidence": "high",
      "research_incomplete": "false",
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      "closure_year": "",
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      "closure_source_url": "",
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    },
    {
      "id": "180101",
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      "city": "GEORGETOWN",
      "state": "KY",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
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      "public_control_badge": "PE-acquired / controlled",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/180101.json"
    },
    {
      "id": "180102",
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      "city": "PADUCAH",
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      "pe_firm": "",
      "parent_system": "BON SECOURS MERCY HEALTH INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
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      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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    },
    {
      "id": "180103",
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      "source_count": 0,
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      "dossier_url": ""
    },
    {
      "id": "180104",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "180105",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MONROE MEDICAL FOUNDATION, INC.",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "180116",
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      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
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      "evidence_grade": "government-corroborated",
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      "public_control_badge": "PE-acquired / controlled",
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      "closure_source_url": "",
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    },
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      "id": "180124",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HCA Healthcare",
      "former_operator": "",
      "affiliated_system": "HCA Healthcare",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "operator_name": "HCA Healthcare",
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    },
    {
      "id": "180127",
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      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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    },
    {
      "id": "180128",
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      "pe_firm": "GoldenTree Asset Management, Davidson Kempner",
      "parent_system": "GOLDENTREE DISTRESSED ONSHORE MASTER FUND III LP",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "May 2020",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/180128.json"
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    {
      "id": "180130",
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      "hospital": "BAPTIST HEALTH LOUISVILLE",
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      "state": "KY",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BAPTIST HEALTHCARE SYSTEM INC",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "180132",
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      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "state": "KY",
      "status": "confirmed_pe",
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      "evidence_grade": "government-corroborated",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
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      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/180132.json"
    },
    {
      "id": "180138",
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      "hospital": "BAPTIST HEALTH LA GRANGE",
      "city": "LA GRANGE",
      "state": "KY",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BAPTIST HEALTHCARE SYSTEM INC",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Baptisthealth",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "180141",
      "ccn": "180141",
      "hospital": "UNIVERSITY OF LOUISVILLE HOSPITAL",
      "city": "LOUISVILLE",
      "state": "KY",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UNIVERSITY OF LOUISVILLE",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "180143",
      "ccn": "180143",
      "hospital": "CHI SAINT JOSEPH EAST",
      "city": "LEXINGTON",
      "state": "KY",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CommonSpirit Health",
      "former_operator": "",
      "affiliated_system": "CommonSpirit Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "CommonSpirit Health",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "180149",
      "ccn": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "state": "KY",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "TJ REGIONAL HEALTH INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
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    {
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      "id": "181317",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    {
      "id": "181318",
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      "parent_system": "COMMONWEALTH HEALTH CORPORATION, INC.",
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      "public_control_badge": "Ownership warning",
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      "id": "181319",
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      "public_control_badge": "Independent / no big-corp signal",
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      "id": "181320",
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    {
      "id": "181321",
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      "id": "181322",
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    {
      "id": "181323",
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      "source_count": 0,
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      "public_control_badge": "Corporate-chain controlled",
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      "operator_name": "Proprietary",
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      "classification_confidence": "low",
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      "closure_date": "",
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    {
      "id": "181324",
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      "hospital": "THE MEDICAL CENTER AT SCOTTSVILLE",
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    },
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      "parent_system": "COMMONWEALTH OF KENTUCKY",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "id": "184017",
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      "parent_system": "LAFAYETTE GENERAL HEALTH SYSTEM INC",
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      "id": "190005",
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      "public_control_badge": "PE-acquired / controlled",
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      "id": "190278",
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      "parent_system": "MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC",
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      "operator_name": "Government - State",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "214020",
      "ccn": "214020",
      "hospital": "LUMINIS HEALTH J KENT MCNEW FAMILY MEDICAL CENTER",
      "city": "ANNAPOLIS",
      "state": "MD",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LUMINIS HEALTH J. KENT MCNEW FAMILY MEDICAL CENTER, INC.",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "214022",
      "ccn": "214022",
      "hospital": "UM UPPER CHESAPEAKE BEHAVIORAL HEALTH PAVILION AT",
      "city": "ABERDEEN",
      "state": "MD",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UPPER CHESAPEAKE MEDICAL CENTER INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220002",
      "ccn": "220002",
      "hospital": "MOUNT AUBURN HOSPITAL",
      "city": "CAMBRIDGE",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BETH ISRAEL LAHEY HEALTH, INC.",
      "former_operator": "",
      "affiliated_system": "Beth Israel Lahey Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "system_affiliation_and_accountability_context",
      "source_count": 17,
      "reviewed_at": "2026-06-25",
      "public_control_badge": "Major-system controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major health system",
      "operator_name": "Beth Israel Lahey Health",
      "control_category": "major_health_system",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220002.json"
    },
    {
      "id": "220008",
      "ccn": "220008",
      "hospital": "STURDY MEMORIAL HOSPITAL",
      "city": "ATTLEBORO",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "STURDY MEMORIAL HOSPITAL INC",
      "former_operator": "",
      "affiliated_system": "Sturdy Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Other",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220015",
      "ccn": "220015",
      "hospital": "THE COOLEY DICKINSON HOSPITAL INC",
      "city": "NORTHAMPTON",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "COOLEY DICKINSON HEALTH CARE CORPORATION",
      "former_operator": "",
      "affiliated_system": "Mass General Brigham",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220016",
      "ccn": "220016",
      "hospital": "BAYSTATE FRANKLIN MEDICAL CENTER",
      "city": "GREENFIELD",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Baystate Health",
      "former_operator": "",
      "affiliated_system": "Baystate Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220017",
      "ccn": "220017",
      "hospital": "CARNEY HOSPITAL",
      "city": "BOSTON",
      "state": "MA",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Cerberus Capital Management",
      "parent_system": "CARNEY HOSPITAL",
      "former_operator": "Steward Health Care",
      "affiliated_system": "Steward Health Care",
      "acquired_date": "2010",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 5,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2024-08-31",
      "closure_year": 2024,
      "closure_status_label": "Full closure",
      "closure_summary": "Carney Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Kim et al. verified PE hospital deal-and-exit dataset",
      "closure_source_url": "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
      "dossier_url": "/data/dossiers/220017.json"
    },
    {
      "id": "22001F",
      "ccn": "22001F",
      "hospital": "BEDFORD VA MEDICAL CENTER",
      "city": "BEDFORD",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Veterans Health Administration",
      "former_operator": "",
      "affiliated_system": "U.S. Department of Veterans Affairs",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "U.S. Department of Veterans Affairs",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220020",
      "ccn": "220020",
      "hospital": "SAINT ANNE'S HOSPITAL",
      "city": "FALL RIVER",
      "state": "MA",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LIFESPAN OF MASSACHUSETTS, INC.",
      "former_operator": "",
      "affiliated_system": "Brown University Health",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Transaction warning",
      "operator_name": "Proprietary",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220020.json"
    },
    {
      "id": "220024",
      "ccn": "220024",
      "hospital": "HOLYOKE MEDICAL CENTER",
      "city": "HOLYOKE",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "VALLEY HEALTH SYSTEMS INC",
      "former_operator": "",
      "affiliated_system": "Valley Health Systems",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220029",
      "ccn": "220029",
      "hospital": "ANNA JAQUES HOSPITAL",
      "city": "NEWBURYPORT",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BETH ISRAEL LAHEY HEALTH, INC.",
      "former_operator": "",
      "affiliated_system": "Beth Israel Lahey Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "system_affiliation_and_accountability_context",
      "source_count": 17,
      "reviewed_at": "2026-06-25",
      "public_control_badge": "Major-system controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major health system",
      "operator_name": "Beth Israel Lahey Health",
      "control_category": "major_health_system",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220029.json"
    },
    {
      "id": "220030",
      "ccn": "220030",
      "hospital": "BAYSTATE WING HOSPITAL AND MEDICAL CENTERS",
      "city": "PALMER",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BAYSTATE WING HOSPITAL CORPORATION",
      "former_operator": "",
      "affiliated_system": "Baystate Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Other",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220031",
      "ccn": "220031",
      "hospital": "BOSTON MEDICAL CENTER",
      "city": "BOSTON",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BOSTON MEDICAL CENTER CORPORATION",
      "former_operator": "",
      "affiliated_system": "Boston Medical Center Health System",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "primary_government_audited_and_attributed_labor_sources",
      "source_count": 32,
      "reviewed_at": "2026-07-12",
      "public_control_badge": "Major nonprofit health-system accountability warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major health system",
      "operator_name": "BMC Health System",
      "control_category": "major_health_system",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220031.json"
    },
    {
      "id": "220036",
      "ccn": "220036",
      "hospital": "BOSTON MEDICAL CENTER-BRIGHTON",
      "city": "BRIGHTON",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BMC COMMUNITY HOSPITAL CORPORATION II",
      "former_operator": "Steward Health Care",
      "affiliated_system": "Boston Medical Center Health System",
      "acquired_date": "2024-10-01",
      "confidence": "high",
      "evidence_grade": "primary_government_audited_and_attributed_labor_sources",
      "source_count": 32,
      "reviewed_at": "2026-07-12",
      "public_control_badge": "Major nonprofit health-system accountability warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major health system",
      "operator_name": "BMC Health System",
      "control_category": "major_health_system",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220036.json"
    },
    {
      "id": "220046",
      "ccn": "220046",
      "hospital": "BERKSHIRE MEDICAL CENTER - HILLCREST CAMPUS",
      "city": "PITTSFIELD",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BHS MANAGEMENT SERVICES INC",
      "former_operator": "",
      "affiliated_system": "Berkshire Health Systems",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Berkshirehealthsystems",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220049",
      "ccn": "220049",
      "hospital": "MARLBOROUGH HOSPITAL",
      "city": "MARLBOROUGH",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL",
      "former_operator": "",
      "affiliated_system": "UMass Memorial Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220052",
      "ccn": "220052",
      "hospital": "SIGNATURE HEALTHCARE BROCKTON HOSPITAL",
      "city": "BROCKTON",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BROCKTON HOSPITAL, INC.",
      "former_operator": "",
      "affiliated_system": "Signature Healthcare",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Other",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220060",
      "ccn": "220060",
      "hospital": "BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH",
      "city": "PLYMOUTH",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BETH ISRAEL LAHEY HEALTH, INC.",
      "former_operator": "",
      "affiliated_system": "Beth Israel Lahey Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "system_affiliation_and_accountability_context",
      "source_count": 17,
      "reviewed_at": "2026-06-25",
      "public_control_badge": "Major-system controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major health system",
      "operator_name": "Beth Israel Lahey Health",
      "control_category": "major_health_system",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220060.json"
    },
    {
      "id": "220062",
      "ccn": "220062",
      "hospital": "ADCARE HOSPITAL OF WORCESTER INC",
      "city": "WORCESTER",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "AAC HEALTHCARE NETWORK, INC.",
      "former_operator": "",
      "affiliated_system": "American Addiction Centers",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Proprietary",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220063",
      "ccn": "220063",
      "hospital": "LOWELL GENERAL HOSPITAL",
      "city": "LOWELL",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Tufts Medicine",
      "former_operator": "",
      "affiliated_system": "Tufts Medicine",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220065",
      "ccn": "220065",
      "hospital": "BAYSTATE NOBLE HOSPITAL",
      "city": "WESTFIELD",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Baystate Health",
      "former_operator": "",
      "affiliated_system": "Baystate Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220071",
      "ccn": "220071",
      "hospital": "MASSACHUSETTS GENERAL HOSPITAL",
      "city": "BOSTON",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "THE GENERAL HOSPITAL CORPORATION",
      "former_operator": "",
      "affiliated_system": "Mass General Brigham",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Mass General Brigham",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220073",
      "ccn": "220073",
      "hospital": "MORTON HOSPITAL",
      "city": "TAUNTON",
      "state": "MA",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LIFESPAN OF MASSACHUSETTS, INC.",
      "former_operator": "",
      "affiliated_system": "Brown University Health",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Transaction warning",
      "operator_name": "Proprietary",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220073.json"
    },
    {
      "id": "220075",
      "ccn": "220075",
      "hospital": "MASSACHUSETTS EYE AND EAR INFIRMARY - MAIN CAMPUS",
      "city": "BOSTON",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Mass General Brigham",
      "former_operator": "",
      "affiliated_system": "Mass General Brigham",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220077",
      "ccn": "220077",
      "hospital": "BAYSTATE MEDICAL CENTER",
      "city": "SPRINGFIELD",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Baystate Health",
      "former_operator": "",
      "affiliated_system": "Baystate Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220080",
      "ccn": "220080",
      "hospital": "HOLY FAMILY HOSPITAL",
      "city": "METHUEN",
      "state": "MA",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LG NEWCORP INC.",
      "former_operator": "",
      "affiliated_system": "Merrimack Health",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Transaction warning",
      "operator_name": "Proprietary",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220080.json"
    },
    {
      "id": "220083",
      "ccn": "220083",
      "hospital": "BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM",
      "city": "NEEDHAM",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM",
      "former_operator": "",
      "affiliated_system": "Beth Israel Lahey Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "system_affiliation_and_accountability_context",
      "source_count": 17,
      "reviewed_at": "2026-06-25",
      "public_control_badge": "Major-system controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major health system",
      "operator_name": "Beth Israel Lahey Health",
      "control_category": "major_health_system",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220083.json"
    },
    {
      "id": "220088",
      "ccn": "220088",
      "hospital": "NEW ENGLAND BAPTIST HOSPITAL",
      "city": "BOSTON",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BETH ISRAEL LAHEY HEALTH, INC.",
      "former_operator": "",
      "affiliated_system": "Beth Israel Lahey Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "system_affiliation_and_accountability_context",
      "source_count": 17,
      "reviewed_at": "2026-06-25",
      "public_control_badge": "Major-system controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major health system",
      "operator_name": "Beth Israel Lahey Health",
      "control_category": "major_health_system",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220088.json"
    },
    {
      "id": "220090",
      "ccn": "220090",
      "hospital": "MILFORD REGIONAL MEDICAL CENTER",
      "city": "MILFORD",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UMASS MEMORIAL COMMUNITY HOSPITALS",
      "former_operator": "",
      "affiliated_system": "UMass Memorial Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Other",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220095",
      "ccn": "220095",
      "hospital": "HEYWOOD HOSPITAL -",
      "city": "GARDNER",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HEYWOOD HEALTHCARE INC",
      "former_operator": "",
      "affiliated_system": "Heywood Healthcare",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220098",
      "ccn": "220098",
      "hospital": "NASHOBA VALLEY MEDICAL CENTER",
      "city": "AYER",
      "state": "MA",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Cerberus Capital Management",
      "parent_system": "NASHOBA VALLEY MEDICAL CENTER",
      "former_operator": "Steward Health Care",
      "affiliated_system": "Steward Health Care",
      "acquired_date": "2011",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 5,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2024-08-31",
      "closure_year": 2024,
      "closure_status_label": "Full closure",
      "closure_summary": "Nashoba Valley Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Kim et al. verified PE hospital deal-and-exit dataset",
      "closure_source_url": "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
      "dossier_url": "/data/dossiers/220098.json"
    },
    {
      "id": "22009F",
      "ccn": "22009F",
      "hospital": "NORTHAMPTON VA MEDICAL CENTER",
      "city": "LEEDS",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Veterans Health Administration",
      "former_operator": "",
      "affiliated_system": "U.S. Department of Veterans Affairs",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "U.S. Department of Veterans Affairs",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220101",
      "ccn": "220101",
      "hospital": "NEWTON - WELLESLEY HOSPITAL",
      "city": "NEWTON",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "NEWTON-WELLESLEY HOSPITAL",
      "former_operator": "",
      "affiliated_system": "Mass General Brigham",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220105",
      "ccn": "220105",
      "hospital": "WINCHESTER HOSPITAL",
      "city": "WINCHESTER",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BETH ISRAEL LAHEY HEALTH, INC.",
      "former_operator": "",
      "affiliated_system": "Beth Israel Lahey Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "system_affiliation_and_accountability_context",
      "source_count": 17,
      "reviewed_at": "2026-06-25",
      "public_control_badge": "Major-system controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major health system",
      "operator_name": "Beth Israel Lahey Health",
      "control_category": "major_health_system",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220105.json"
    },
    {
      "id": "220108",
      "ccn": "220108",
      "hospital": "BETH ISRAEL DEACONESS HOSPITAL - MILTON INC",
      "city": "MILTON",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BETH ISRAEL LAHEY HEALTH, INC.",
      "former_operator": "",
      "affiliated_system": "Beth Israel Lahey Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "system_affiliation_and_accountability_context",
      "source_count": 17,
      "reviewed_at": "2026-06-25",
      "public_control_badge": "Major-system controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major health system",
      "operator_name": "Beth Israel Lahey Health",
      "control_category": "major_health_system",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220108.json"
    },
    {
      "id": "22010F",
      "ccn": "22010F",
      "hospital": "VA BOSTON HEALTHCARE SYSTEM - JAMAICA PLAIN",
      "city": "JAMAICA PLAIN",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Veterans Health Administration",
      "former_operator": "",
      "affiliated_system": "U.S. Department of Veterans Affairs",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
      "operator_type": "Corporate chain",
      "operator_name": "Boston Va",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220110",
      "ccn": "220110",
      "hospital": "BRIGHAM AND WOMEN'S HOSPITAL",
      "city": "BOSTON",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Mass General Brigham",
      "former_operator": "",
      "affiliated_system": "Mass General Brigham",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "contractor_connections_source_backed",
      "source_count": 37,
      "reviewed_at": "2026-07-09",
      "public_control_badge": "Major nonprofit system; PE-linked contractor exposure documented",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major nonprofit health system",
      "operator_name": "Mass General Brigham",
      "control_category": "corporate_chain",
      "classification_depth": "full_research",
      "classification_confidence": "medium",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220110.json"
    },
    {
      "id": "220111",
      "ccn": "220111",
      "hospital": "BOSTON MEDICAL CENTER-SOUTH",
      "city": "BROCKTON",
      "state": "MA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BMC COMMUNITY HOSPITAL CORPORATION",
      "former_operator": "Steward Health Care",
      "affiliated_system": "Boston Medical Center Health System",
      "acquired_date": "2024-10-01",
      "confidence": "high",
      "evidence_grade": "primary_government_audited_and_attributed_labor_sources",
      "source_count": 32,
      "reviewed_at": "2026-07-12",
      "public_control_badge": "Major nonprofit health-system accountability warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Major health system",
      "operator_name": "BMC Health System",
      "control_category": "major_health_system",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/220111.json"
    },
    {
      "id": "220116",
      "ccn": "220116",
      "hospital": "TUFTS MEDICAL CENTER",
      "city": "BOSTON",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "TUFTS MEDICINE, INC",
      "former_operator": "",
      "affiliated_system": "Tufts Medicine",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "220126",
      "ccn": "220126",
      "hospital": "NORWOOD HOSPITAL",
      "city": "NORWOOD",
      "state": "MA",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Cerberus Capital Management",
      "parent_system": "NORWOOD HOSPITAL",
      "former_operator": "Steward Health Care",
      "affiliated_system": "Steward Health Care",
      "acquired_date": "2010",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 5,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2020-06-28",
      "closure_year": 2020,
      "closure_status_label": "Full closure (flood; never reopened)",
      "closure_summary": "Norwood Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Kim et al. verified PE hospital deal-and-exit dataset",
      "closure_source_url": "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
      "dossier_url": "/data/dossiers/220126.json"
    },
    {
      "id": "220135",
      "ccn": "220135",
      "hospital": "FALMOUTH HOSPITAL",
      "city": "FALMOUTH",
      "state": "MA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "FALMOUTH HOSPITAL ASSOCIATION INC",
      "former_operator": "",
      "affiliated_system": "Cape Cod Healthcare",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
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      "state": "MA",
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      "pe_firm": "",
      "parent_system": "TPG HOLDINGS LLC",
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    },
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      "parent_system": "FORREST COUNTY BOARD OF SUPERVIORS",
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    },
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      "id": "250081",
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      "parent_system": "Baptist Memorial Health Care",
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    },
    {
      "id": "250084",
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    },
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      "id": "250085",
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      "id": "250093",
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      "evidence_grade": "government-corroborated",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "id": "250094",
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      "id": "250095",
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      "pe_firm": "",
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      "former_operator": "",
      "affiliated_system": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "id": "250097",
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      "relationship_type": "",
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      "parent_system": "AMITE COUNTY BOARD OF SUPERVISORS",
      "former_operator": "",
      "affiliated_system": "",
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      "id": "250099",
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      "parent_system": "CITY OF GREENWOOD",
      "former_operator": "",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "id": "250102",
      "ccn": "250102",
      "hospital": "MISSISSIPPI BAPTIST MEDICAL CENTER",
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      "parent_system": "MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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      "id": "250104",
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      "id": "250117",
      "ccn": "250117",
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      "city": "PICAYUNE",
      "state": "MS",
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      "parent_system": "FORREST COUNTY GENERAL HOSPITAL",
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    {
      "id": "250123",
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      "state": "MS",
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      "pe_firm": "",
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      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
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      "ccn": "250124",
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      "city": "MAGEE",
      "state": "MS",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "TRILOGY HEALTHCARE SOLUTIONS LLC",
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      "public_control_badge": "Independent / no big-corp signal",
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      "id": "250134",
      "ccn": "250134",
      "hospital": "WHITFIELD MEDICAL SURGICAL HOSPITAL",
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      "state": "MS",
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      "pe_firm": "",
      "parent_system": "MISSISSIPPI STATE HOSPITAL AT WHITFIELD",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_confidence": "medium",
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      "closure_date": "",
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    },
    {
      "id": "250134-loc-ms-whitfield-whitfield-medical-surgical-hospital",
      "ccn": "250134",
      "hospital": "WHITFIELD MEDICAL/SURGICAL HOSPITAL",
      "city": "WHITFIELD",
      "state": "MS",
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    },
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    },
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    },
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    },
    {
      "id": "261310",
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    },
    {
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      "id": "261313",
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    },
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      "id": "261314",
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    },
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      "id": "261316",
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    },
    {
      "id": "261317",
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      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "261318",
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    },
    {
      "id": "261319",
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    {
      "id": "261320",
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    },
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      "id": "261321",
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    {
      "id": "261322",
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    {
      "id": "261323",
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    },
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      "id": "271308",
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      "source_count": 0,
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    },
    {
      "id": "281301",
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    },
    {
      "id": "281302",
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      "dossier_url": ""
    },
    {
      "id": "281303",
      "ccn": "281303",
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      "relationship_type": "",
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      "parent_system": "FAITH REGIONAL HEALTH SERVICES",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "281304",
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "281306",
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      "public_control_badge": "Independent / no big-corp signal",
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      "dossier_url": ""
    },
    {
      "id": "281307",
      "ccn": "281307",
      "hospital": "SAUNDERS MEDICAL CENTER",
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      "affiliated_system": "",
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      "public_control_badge": "Independent / no big-corp signal",
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      "dossier_url": ""
    },
    {
      "id": "281311",
      "ccn": "281311",
      "hospital": "FRANKLIN COUNTY",
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      "pe_firm": "",
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      "former_operator": "",
      "affiliated_system": "",
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "281316",
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      "former_operator": "",
      "affiliated_system": "",
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "281318",
      "ccn": "281318",
      "hospital": "MORRILL COUNTY COMMUNITY HOSPITAL",
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      "relationship_type": "",
      "pe_firm": "",
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      "former_operator": "",
      "affiliated_system": "",
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      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "281324",
      "ccn": "281324",
      "hospital": "NEMAHA COUNTY HOSPITAL",
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      "relationship_type": "",
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      "affiliated_system": "",
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      "source_count": 0,
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    },
    {
      "id": "281325",
      "ccn": "281325",
      "hospital": "BROWN COUNTY",
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      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
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      "dossier_url": ""
    },
    {
      "id": "281326",
      "ccn": "281326",
      "hospital": "ANTELOPE MEMORIAL HOSPITAL",
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      "pe_firm": "",
      "parent_system": "ANTELOPE MEMORIAL HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "281328",
      "ccn": "281328",
      "hospital": "MERRICK MEDICAL CENTER",
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      "pe_firm": "",
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      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "dossier_url": ""
    },
    {
      "id": "281329",
      "ccn": "281329",
      "hospital": "AVERA ST. ANTHONY'S HOSPITAL",
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      "status": "corporate_chain",
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      "pe_firm": "",
      "parent_system": "AVERA HEALTH",
      "former_operator": "",
      "affiliated_system": "Avera",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Avera",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "281332",
      "ccn": "281332",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "THE COUNTY OF BUTLER, NEBRASKA",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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    },
    {
      "id": "281333",
      "ccn": "281333",
      "hospital": "ROCK COUNTY",
      "city": "BASSETT",
      "state": "NE",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ROCK COUNTY HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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    },
    {
      "id": "281334",
      "ccn": "281334",
      "hospital": "BOONE COUNTY",
      "city": "ALBION",
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      "relationship_type": "",
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      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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    },
    {
      "id": "281336",
      "ccn": "281336",
      "hospital": "YORK GENERAL HEALTH CARE SERVICES",
      "city": "YORK",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "YORK GENERAL HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "281338",
      "ccn": "281338",
      "hospital": "HOWARD COUNTY",
      "city": "ST PAUL",
      "state": "NE",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HOWARD COUNTY MEDICAL CENTER",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Other",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "281339",
      "ccn": "281339",
      "hospital": "MEMORIAL HEALTH CARE SYSTEMS",
      "city": "SEWARD",
      "state": "NE",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MEMORIAL HEALTH CARE SYSTEMS",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "281340",
      "ccn": "281340",
      "hospital": "DUNDY COUNTY",
      "city": "BENKELMAN",
      "state": "NE",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "DUNDY COUNTY HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Local",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "281343",
      "ccn": "281343",
      "hospital": "WEST HOLT MEMORIAL HOSPITAL, INC",
      "city": "ATKINSON",
      "state": "NE",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "WEST HOLT MEMORIAL HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
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    },
    {
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    },
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    },
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    },
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    },
    {
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    },
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    },
    {
      "id": "281353",
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    },
    {
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    },
    {
      "id": "281358",
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    },
    {
      "id": "281359",
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      "hospital": "MEMORIAL COMMUNITY HOSPITAL CORPORATION",
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    },
    {
      "id": "281361",
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    },
    {
      "id": "281362",
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    },
    {
      "id": "281363",
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      "former_operator": "",
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    },
    {
      "id": "281365",
      "ccn": "281365",
      "hospital": "JENNIE M MELHAM MEMORIAL MEDICAL CENTER, INC",
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      "parent_system": "JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC",
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      "reviewed_at": "2026-06-24",
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    },
    {
      "id": "284003",
      "ccn": "284003",
      "hospital": "LINCOLN REGIONAL CENTER",
      "city": "LINCOLN",
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      "parent_system": "STATE OF NEBRASKA DEPT OF ADMIN SERVICES",
      "former_operator": "",
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    },
    {
      "id": "284009",
      "ccn": "284009",
      "hospital": "DOUGLAS COUNTY",
      "city": "OMAHA",
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      "parent_system": "DOUGLAS COUNTY NEBRASKA",
      "former_operator": "",
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    },
    {
      "id": "290001",
      "ccn": "290001",
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      "city": "RENO",
      "state": "NV",
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    },
    {
      "id": "290003",
      "ccn": "290003",
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      "state": "NV",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "AC MED LLC",
      "former_operator": "",
      "affiliated_system": "HCA Healthcare",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "HCA Healthcare",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "290005",
      "ccn": "290005",
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      "city": "NORTH LAS VEGAS",
      "state": "NV",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Prime Healthcare",
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      "affiliated_system": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
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      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "290007",
      "ccn": "290007",
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      "state": "NV",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CLARK COUNTY COMPTROLLERS OFFICE",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "operator_name": "Voluntary non-profit - Other",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "290008",
      "ccn": "290008",
      "hospital": "NORTHEASTERN NEVADA REGIONAL HOSPITAL",
      "city": "ELKO",
      "state": "NV",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "LifePoint Health",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "November 2018",
      "confidence": "high",
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      "id": "291306",
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      "parent_system": "QUINCY HEALTH LLC",
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    },
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      "id": "314016",
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    },
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      "id": "314018",
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      "parent_system": "MDF FAMILY 2015 TRUST",
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      "id": "314020",
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      "id": "314022",
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      "source_count": 0,
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      "id": "314023",
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      "id": "314024",
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      "parent_system": "HUDSON CO BOARD OF CHOSEN FREEHOLD ADMIN",
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      "id": "320001",
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      "id": "320002",
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      "affiliated_system": "Christushealth",
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      "source_count": 0,
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    {
      "id": "320005",
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      "id": "320006",
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      "pe_firm": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    {
      "id": "320009",
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      "parent_system": "AHS Management",
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      "affiliated_system": "",
      "acquired_date": "August 2015",
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      "evidence_grade": "government-corroborated",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
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    },
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      "public_control_badge": "Ownership warning",
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    {
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      "evidence_grade": "completed state-template official-source baseline",
      "source_count": 11,
      "reviewed_at": "2026-07-02",
      "public_control_badge": "PE-backed contract",
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      "operator_name": "TeamHealth",
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    },
    {
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    },
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      "parent_system": "Advocate Health",
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      "parent_system": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
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      "parent_system": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
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      "id": "340032",
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      "city": "GASTONIA",
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      "id": "340039",
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      "parent_system": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
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      "public_control_badge": "Independent / no big-corp signal",
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      "status": "signal",
      "relationship_type": "",
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      "public_control_badge": "Ownership warning",
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      "id": "340049",
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      "state": "NC",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
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      "parent_system": "NATIONAL SURGICAL HOSPITALS, LLC",
      "former_operator": "",
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      "public_control_badge": "PE-acquired / controlled",
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    {
      "id": "340050",
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      "state": "NC",
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      "parent_system": "COUNTY OF CATAWBA OFFICE OF ACCOUNTANT",
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      "public_control_badge": "Major-system controlled",
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      "public_control_badge": "PE-acquired / controlled",
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      "id": "340159",
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      "hospital": "THE WILMINGTON TREATMENT CENTER, LLC",
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      "evidence_grade": "completed state-template official-source baseline",
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      "id": "340173",
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      "id": "340183",
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      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
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      "parent_system": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
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      "id": "340195",
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      "id": "341303",
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      "parent_system": "FIRSTHEALTH OF THE CAROLINAS INC",
      "former_operator": "",
      "affiliated_system": "FirstHealth of the Carolinas",
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    },
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    },
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    },
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    },
    {
      "id": "364041",
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    },
    {
      "id": "364044",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
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    },
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      "id": "364047",
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      "hospital": "RIDGEVIEW HOSPITAL",
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      "pe_firm": "",
      "parent_system": "Oglethorpe, Inc.",
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    },
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      "id": "364048",
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      "parent_system": "HAVEN BEHAVIORAL HEALTHCARE INC",
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      "affiliated_system": "",
      "acquired_date": "May 2006",
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      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
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      "classification_confidence": "high",
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      "dossier_url": "/data/dossiers/364048.json"
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      "id": "364049",
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      "affiliated_system": "LifePoint Health",
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      "public_control_badge": "Independent / no big-corp signal",
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      "id": "364051",
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      "id": "364054",
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      "relationship_type": "ownership",
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      "affiliated_system": "",
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      "public_control_badge": "PE-acquired / controlled",
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      "dossier_url": "/data/dossiers/364054.json"
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      "pe_firm": "",
      "parent_system": "OHTREE SOJOURN OPCO HOLDCO LLC",
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      "confidence": "medium",
      "evidence_grade": "government-corroborated",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
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      "classification_depth": "full_research",
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      "dossier_url": "/data/dossiers/364055.json"
    },
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      "relationship_type": "venture_backing",
      "pe_firm": "Elevate Ventures",
      "parent_system": "ASSURANCE HEALTH SYSTEM LLC",
      "former_operator": "",
      "affiliated_system": "",
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    },
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      "parent_system": "SAINT FRANCIS HEALTH SYSTEM INC",
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    },
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    },
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      "id": "374023",
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      "pe_firm": "",
      "parent_system": "Universal Health Services",
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      "affiliated_system": "",
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    },
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      "id": "374025",
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      "city": "OKLAHOMA CITY",
      "state": "OK",
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      "pe_firm": "Apollo Global Management",
      "parent_system": "LifePoint Health",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
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      "evidence_grade": "government-corroborated",
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      "public_control_badge": "PE-acquired / controlled",
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      "pe_firm": "",
      "parent_system": "STATE OF OKLAHOMA",
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      "id": "380001",
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      "parent_system": "Adventist Health",
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      "affiliated_system": "",
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    },
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      "id": "380002",
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    },
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      "id": "380004",
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      "pe_firm": "",
      "parent_system": "Providence",
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      "affiliated_system": "Providence",
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      "evidence_grade": "",
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      "reviewed_at": "2026-06-24",
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    },
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      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "government-corroborated",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
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      "classification_confidence": "high",
      "research_incomplete": "false",
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      "id": "380007",
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      "parent_system": "LEGACY HEALTH",
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      "affiliated_system": "Legacyhealth",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    },
    {
      "id": "380009",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "OREGON HEALTH & SCIENCE UNIVERSITY",
      "former_operator": "",
      "affiliated_system": "",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "380014",
      "ccn": "380014",
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      "state": "OR",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SAMARITAN HEALTH SERVICES INC.",
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      "affiliated_system": "Samhealth",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Samhealth",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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    },
    {
      "id": "380017",
      "ccn": "380017",
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      "state": "OR",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LEGACY HEALTH",
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      "affiliated_system": "Legacyhealth",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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    {
      "id": "380018",
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      "city": "MEDFORD",
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      "pe_firm": "",
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      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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    },
    {
      "id": "380020",
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      "state": "OR",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "GoldenTree Asset Management, Davidson Kempner",
      "parent_system": "GOLDENTREE DISTRESSED MASTER FUND III LTD",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "May 2020",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
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      "operator_name": "Quorum Health Corporation",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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    },
    {
      "id": "380022",
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      "relationship_type": "",
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      "parent_system": "SAMARITAN HEALTH SERVICES INC.",
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      "affiliated_system": "Samhealth",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Samhealth",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
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      "id": "380025",
      "ccn": "380025",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LEGACY HEALTH",
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      "affiliated_system": "Legacyhealth",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Legacyhealth",
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      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "380027",
      "ccn": "380027",
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      "city": "ROSEBURG",
      "state": "OR",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CommonSpirit Health",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "380029",
      "ccn": "380029",
      "hospital": "LEGACY SILVERTON MEDICAL CENTER",
      "city": "SILVERTON",
      "state": "OR",
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      "relationship_type": "",
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      "parent_system": "LEGACY HEALTH",
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    },
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      "acquired_date": "",
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    },
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    },
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      "parent_system": "SAINT ALPHONSUS HEALTH SYSTEM INC",
      "former_operator": "",
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      "reviewed_at": "2026-06-24",
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    },
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      "id": "380056",
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      "parent_system": "SANTIAM MEMORIAL HOSPITAL",
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    },
    {
      "id": "380060",
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      "former_operator": "",
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      "classification_depth": "baseline",
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    },
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      "id": "380061",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "closure_date": "",
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    },
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      "id": "380071",
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      "pe_firm": "Apollo Global Management",
      "parent_system": "LifePoint Health",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
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      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
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      "operator_name": "LifePoint Health",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
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      "dossier_url": "/data/dossiers/380071.json"
    },
    {
      "id": "380075",
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      "affiliated_system": "Providence",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "closure_date": "",
      "closure_year": "",
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    },
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      "id": "380082",
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      "affiliated_system": "Providence",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "closure_date": "",
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      "dossier_url": ""
    },
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      "id": "380089",
      "ccn": "380089",
      "hospital": "LEGACY MERIDIAN PARK MEDICAL CENTER",
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      "state": "OR",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LEGACY HEALTH",
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      "affiliated_system": "Legacyhealth",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_depth": "baseline",
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      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "380090",
      "ccn": "380090",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BAY AREA HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "classification_confidence": "medium",
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      "dossier_url": ""
    },
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      "id": "380091",
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      "hospital": "KAISER SUNNYSIDE MEDICAL CENTER",
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      "state": "OR",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "KAISER FOUNDATION HOSPITALS",
      "former_operator": "",
      "affiliated_system": "Kaiser Permanente",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Kaiser Permanente",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "380102",
      "ccn": "380102",
      "hospital": "SACRED HEART MEDICAL CENTER - RIVERBEND",
      "city": "SPRINGFIELD",
      "state": "OR",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "PeaceHealth",
      "former_operator": "",
      "affiliated_system": "Peacehealth",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Transaction warning",
      "operator_name": "Peacehealth",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/380102.json"
    },
    {
      "id": "380103",
      "ccn": "380103",
      "hospital": "KAISER FOUNDATION HOSPITAL - WESTSIDE",
      "city": "HILLSBORO",
      "state": "OR",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "KAISER FOUNDATION HOSPITALS",
      "former_operator": "",
      "affiliated_system": "Kaiser Permanente",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Kaiser Permanente",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
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      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "381301",
      "ccn": "381301",
      "hospital": "PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER",
      "city": "COTTAGE GROVE",
      "state": "OR",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
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      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Church",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "closure_year": "",
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      "dossier_url": ""
    },
    {
      "id": "381302",
      "ccn": "381302",
      "hospital": "SAMARITAN NORTH LINCOLN HOSPITAL",
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      "state": "OR",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SAMARITAN HEALTH SERVICES INC.",
      "former_operator": "",
      "affiliated_system": "Samhealth",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "dossier_url": ""
    },
    {
      "id": "381303",
      "ccn": "381303",
      "hospital": "PROVIDENCE SEASIDE HOSPITAL",
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      "state": "OR",
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      "affiliated_system": "Providence",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "closure_date": "",
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      "id": "381305",
      "ccn": "381305",
      "hospital": "BLUE MOUNTAIN HOSPITAL",
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      "state": "OR",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BLUE MOUNTAIN HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "",
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      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "381306",
      "ccn": "381306",
      "hospital": "WALLOWA MEMORIAL HOSPITAL",
      "city": "ENTERPRISE",
      "state": "OR",
      "status": "verified_independent",
      "relationship_type": "",
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      "id": "381314",
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    },
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      "id": "381318",
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    },
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    },
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      "id": "381320",
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      "id": "381323",
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      "id": "381324",
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      "id": "381325",
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      "id": "383300",
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      "id": "384008",
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      "parent_system": "DHS OFFICE OF FINANCIAL SERVICES IRS EOPC BMRC EOTC OSH OSH-P",
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    {
      "id": "384012",
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    },
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      "id": "390001",
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      "id": "390002",
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      "id": "390153",
      "ccn": "390153",
      "hospital": "PAOLI HOSPITAL",
      "city": "PAOLI",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MAIN LINE HEALTH, INC.",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390162",
      "ccn": "390162",
      "hospital": "ST. LUKE'S HOSPITAL - EASTON CAMPUS",
      "city": "EASTON",
      "state": "PA",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ST LUKE'S HEALTH NETWORK INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Transaction warning",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/390162.json"
    },
    {
      "id": "390163",
      "ccn": "390163",
      "hospital": "ACMH HOSPITAL",
      "city": "KITTANNING",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Pennsylvania Mountains Care Network",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390164",
      "ccn": "390164",
      "hospital": "UPMC PRESBYTERIAN SHADYSIDE",
      "city": "PITTSBURGH",
      "state": "PA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UPMC",
      "former_operator": "",
      "affiliated_system": "UPMC",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "UPMC",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390164-loc-pa-pittsburgh-upmc-presbyterian-shadyside-transplant-c",
      "ccn": "390164",
      "hospital": "UPMC PRESBYTERIAN SHADYSIDE - TRANSPLANT CENTER",
      "city": "PITTSBURGH",
      "state": "PA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UPMC",
      "former_operator": "",
      "affiliated_system": "UPMC",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "UPMC",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390168",
      "ccn": "390168",
      "hospital": "INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITAL",
      "city": "BUTLER",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BUTLER HEALTHCARE PROVIDERS",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390173",
      "ccn": "390173",
      "hospital": "INDIANA REGIONAL MEDICAL CENTER",
      "city": "INDIANA",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Pennsylvania Mountains Care Network",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390174",
      "ccn": "390174",
      "hospital": "THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC",
      "city": "PHILADELPHIA",
      "state": "PA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "JEFFERSON HEALTH CORPORATION",
      "former_operator": "",
      "affiliated_system": "Jefferson Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Jefferson Health",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390174-loc-pa-philadelphia-thomas-jefferson-university-hospital-t",
      "ccn": "390174",
      "hospital": "THOMAS JEFFERSON UNIVERSITY HOSPITAL - TRANSPLANT CENTER",
      "city": "PHILADELPHIA",
      "state": "PA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "JEFFERSON HEALTH CORPORATION",
      "former_operator": "",
      "affiliated_system": "Jefferson Health",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Jefferson Health",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390178",
      "ccn": "390178",
      "hospital": "UPMC HORIZON",
      "city": "GREENVILLE",
      "state": "PA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "UPMC",
      "former_operator": "",
      "affiliated_system": "UPMC",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "UPMC",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390179",
      "ccn": "390179",
      "hospital": "THE CHESTER COUNTY HOSPITAL",
      "city": "WEST CHESTER",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390180",
      "ccn": "390180",
      "hospital": "CROZER - CHESTER MEDICAL CENTER",
      "city": "UPLAND",
      "state": "PA",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Leonard Green & Partners",
      "parent_system": "CROZER CHESTER MEDICAL CENTER",
      "former_operator": "Prospect Medical Holdings (Crozer Health)",
      "affiliated_system": "Crozer Health",
      "acquired_date": "2016",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 13,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2025-04/05",
      "closure_year": 2025,
      "closure_status_label": "Full closure",
      "closure_summary": "Crozer-Chester Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Prospect Medical Holdings (Crozer Health). Historical PE sponsor/context: Leonard Green & Partners. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Delaware County Health Department — Prospect Medical bankruptcy update",
      "closure_source_url": "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
      "dossier_url": "/data/dossiers/390180.json"
    },
    {
      "id": "390185",
      "ccn": "390185",
      "hospital": "LEHIGH VALLEY HOSPITAL - HAZLETON",
      "city": "HAZLETON",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "JEFFERSON HEALTH CORPORATION",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Other",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390195",
      "ccn": "390195",
      "hospital": "MAIN LINE HOSPITAL LANKENAU - TRANSPLANT CENTER",
      "city": "WYNNEWOOD",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MAIN LINE HEALTH, INC.",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390199",
      "ccn": "390199",
      "hospital": "PUNXSUTAWNEY AREA HOSPITAL, INC",
      "city": "PUNXSUTAWNEY",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "PUNXSUTAWNEY AREA HOSPITAL INC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390201",
      "ccn": "390201",
      "hospital": "LEHIGH VALLEY HOSPITAL - POCONO",
      "city": "EAST STROUDSBURG",
      "state": "PA",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "JEFFERSON HEALTH CORPORATION",
      "former_operator": "",
      "affiliated_system": "Lvhn",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Corporate chain",
      "operator_name": "Lvhn",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390203",
      "ccn": "390203",
      "hospital": "DOYLESTOWN HOSPITAL",
      "city": "DOYLESTOWN",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "DOYLESTOWN HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390204",
      "ccn": "390204",
      "hospital": "NAZARETH HOSPITAL",
      "city": "PHILADELPHIA",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "NAZARETH HOSPITAL",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390217",
      "ccn": "390217",
      "hospital": "EXCELA HEALTH FRICK HOSPITAL",
      "city": "MOUNT PLEASANT",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "EB HEALTH PARTNERS",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Other",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390219",
      "ccn": "390219",
      "hospital": "EXCELA HEALTH LATROBE HOSPITAL",
      "city": "LATROBE",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "EB HEALTH PARTNERS",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390222",
      "ccn": "390222",
      "hospital": "RIDDLE MEMORIAL HOSPITAL",
      "city": "MEDIA",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MAIN LINE HEALTH, INC.",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "390223",
      "ccn": "390223",
      "hospital": "PENN PRESBYTERIAN MEDICAL CENTER",
      "city": "PHILADELPHIA",
      "state": "PA",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S",
      "former_operator": "",
      "affiliated_system": "",
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    },
    {
      "id": "440048-loc-tn-memphis-baptist-memorial-hospital-for-women",
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      "reviewed_at": "2026-06-24",
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      "affiliated_system": "",
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      "reviewed_at": "2026-06-24",
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      "id": "440060",
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      "id": "440063",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "id": "440065",
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      "id": "440238",
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      "id": "440779",
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      "id": "450023",
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    {
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      "id": "450034",
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      "evidence_grade": "primary-source contract documentation",
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    },
    {
      "id": "450039",
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    {
      "id": "450155",
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      "id": "450162",
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      "hospital": "GRACE SURGICAL HOSPITAL",
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      "id": "450163",
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      "state": "TX",
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      "id": "450176",
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      "id": "450193",
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      "parent_system": "CommonSpirit Health",
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    {
      "id": "450194",
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      "state": "TX",
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      "relationship_type": "ownership",
      "pe_firm": "Equity Group Investments",
      "parent_system": "AHS Management",
      "former_operator": "",
      "affiliated_system": "Ardent Health",
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      "public_control_badge": "PE-acquired / controlled",
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      "id": "450196",
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      "hospital": "PARIS REGIONAL MEDICAL CENTER NORTH CAMPUS",
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      "relationship_type": "ownership",
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      "parent_system": "EHC PRMC GP, LLC",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
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    {
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    {
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      "id": "450330-loc-tx-richmond-oakbend-medical-center",
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    },
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    },
    {
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    },
    {
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    },
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      "relationship_type": "",
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      "parent_system": "SOMERVELL COUNTY HOSPITAL DISTRICT",
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    },
    {
      "id": "450460",
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      "city": "WOODVILLE",
      "state": "TX",
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      "relationship_type": "",
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      "former_operator": "",
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    },
    {
      "id": "450462",
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      "hospital": "TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS",
      "city": "DALLAS",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
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      "parent_system": "TEXAS HEALTH RESOURCES",
      "former_operator": "",
      "affiliated_system": "Texas Health Resources",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "id": "450465",
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      "city": "BAY CITY",
      "state": "TX",
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      "parent_system": "MATAGORDA COUNTY HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "MATAGORDA COUNTY HOSPITAL DISTRICT",
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    },
    {
      "id": "450469",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "American Healthcare Systems",
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      "affiliated_system": "AMERICAN HEALTHCARE SYSTEMS CORP INC",
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      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
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      "classification_depth": "full_research",
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      "research_incomplete": "false",
      "closure_date": "",
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      "dossier_url": "/data/dossiers/450469.json"
    },
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      "id": "450475",
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      "city": "HENDERSON",
      "state": "TX",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Equity Group Investments",
      "parent_system": "AHS Management",
      "former_operator": "",
      "affiliated_system": "Ardent Health",
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      "evidence_grade": "government-corroborated",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "closure_year": "",
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    },
    {
      "id": "450484",
      "ccn": "450484",
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      "city": "LUFKIN",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
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    },
    {
      "id": "450489",
      "ccn": "450489",
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      "city": "LAMESA",
      "state": "TX",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "DAWSON COUNTY HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "DAWSON COUNTY HOSPITAL DISTRICT",
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      "evidence_grade": "",
      "source_count": 0,
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    },
    {
      "id": "450508",
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      "parent_system": "NACOGDOCHES COUNTY HOSPITAL DISTRICT",
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      "classification_confidence": "high",
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    },
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      "id": "450518",
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      "city": "PORT ARTHUR",
      "state": "TX",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Healthcare Systems of America",
      "former_operator": "",
      "affiliated_system": "HEALTHCARE SYSTEMS OF AMERICA -TEXAS LLC",
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      "public_control_badge": "Ownership warning",
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      "operator_name": "Physician",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
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      "closure_year": "",
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      "dossier_url": "/data/dossiers/450518.json"
    },
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      "id": "450537",
      "ccn": "450537",
      "hospital": "METHODIST RICHARDSON MEDICAL CENTER",
      "city": "RICHARDSON",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Methodist Health System",
      "former_operator": "",
      "affiliated_system": "METHODIST HOSPITALS OF DALLAS",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
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      "operator_name": "Government - Hospital District or Authority",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "450537-loc-tx-richardson-methodist-richardson-medical-center-camp",
      "ccn": "450537",
      "hospital": "METHODIST RICHARDSON MEDICAL CENTER CAMPUS FOR CONTINUING CARE",
      "city": "RICHARDSON",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Methodist Health System",
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    {
      "id": "450539",
      "ccn": "450539",
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      "state": "TX",
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      "parent_system": "Providence",
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      "affiliated_system": "Providence",
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      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "id": "450565",
      "ccn": "450565",
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      "state": "TX",
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      "pe_firm": "",
      "parent_system": "PALO PINTO COUNTY HOSPITAL DISTRICT",
      "former_operator": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "450571",
      "ccn": "450571",
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      "state": "TX",
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      "relationship_type": "",
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      "parent_system": "SHANNON HEALTH SYSTEM",
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      "affiliated_system": "SHANNON HEALTH SYSTEM",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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      "dossier_url": ""
    },
    {
      "id": "450571-loc-tx-san-angelo-shannon-medical-center-south",
      "ccn": "450571",
      "hospital": "SHANNON MEDICAL CENTER SOUTH",
      "city": "SAN ANGELO",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
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      "parent_system": "SHANNON HEALTH SYSTEM",
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      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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      "dossier_url": ""
    },
    {
      "id": "450571-loc-tx-san-angelo-shannon-medical-center-st-johns-campus",
      "ccn": "450571",
      "hospital": "SHANNON MEDICAL CENTER ST JOHNS CAMPUS",
      "city": "SAN ANGELO",
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      "id": "450711",
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      "id": "450713",
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      "parent_system": "COL-NAMC HOLDINGS INC",
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      "affiliated_system": "COL-NAMC HOLDINGS INC",
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      "id": "450718",
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      "state": "TX",
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      "pe_firm": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    {
      "id": "450730",
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      "parent_system": "SANA HEALTHCARE CARROLLTON",
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      "evidence_grade": "government-corroborated",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
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      "id": "450742",
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      "pe_firm": "",
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      "affiliated_system": "Baylor Scott & White Health",
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      "source_count": 0,
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      "id": "450743",
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      "parent_system": "TEXAS HEALTH RESOURCES",
      "former_operator": "",
      "affiliated_system": "Texas Health Resources",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    {
      "id": "450747",
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      "state": "TX",
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      "former_operator": "",
      "affiliated_system": "ScionHealth",
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      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "ScionHealth",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
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      "dossier_url": "/data/dossiers/450747.json"
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    {
      "id": "450747-loc-tx-palestine-palestine-regional-medical-center-rehab-a",
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      "city": "PALESTINE",
      "state": "TX",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
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      "former_operator": "",
      "affiliated_system": "ScionHealth",
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      "id": "451310",
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      "id": "451311",
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      "id": "451314",
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      "id": "451317",
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      "state": "TX",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "state": "TX",
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      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "state": "TX",
      "status": "verified_independent",
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      "reviewed_at": "2026-06-24",
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    },
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
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      "state": "TX",
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      "parent_system": "Preferred Management Corporation",
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      "reviewed_at": "2026-06-24",
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    },
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      "id": "451356",
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      "state": "TX",
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      "public_control_badge": "Independent / no big-corp signal",
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      "closure_date": "",
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    },
    {
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      "relationship_type": "",
      "pe_firm": "",
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      "acquired_date": "",
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      "reviewed_at": "2026-06-24",
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    },
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    },
    {
      "id": "451361",
      "ccn": "451361",
      "hospital": "SABINE COUNTY HOSPITAL",
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      "state": "TX",
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      "reviewed_at": "2026-06-24",
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    },
    {
      "id": "451362",
      "ccn": "451362",
      "hospital": "CLAY COUNTY MEMORIAL HOSPITAL",
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      "state": "TX",
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      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "closure_year": "",
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    },
    {
      "id": "451364",
      "ccn": "451364",
      "hospital": "OTTO KAISER MEMORIAL HOSPITAL",
      "city": "KENEDY",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "KARNES COUNTY HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "KARNES COUNTY HOSPITAL DISTRICT",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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      "closure_source_url": "",
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    },
    {
      "id": "451365",
      "ccn": "451365",
      "hospital": "ASCENSION SETON HIGHLAND LAKES",
      "city": "BURNET",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ASCENSION HEALTH",
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      "affiliated_system": "Ascension",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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    },
    {
      "id": "451366",
      "ccn": "451366",
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      "city": "MORTON",
      "state": "TX",
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      "relationship_type": "",
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      "former_operator": "",
      "affiliated_system": "COCHRAN MEMORIAL HOSPITAL",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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    },
    {
      "id": "451367",
      "ccn": "451367",
      "hospital": "UT HEALTH EAST TEXAS PITTSBURG HOSPITAL",
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      "state": "TX",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Equity Group Investments",
      "parent_system": "AHS Management",
      "former_operator": "",
      "affiliated_system": "Ardent Health",
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      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
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      "operator_name": "Ardent Health Services",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/451367.json"
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    {
      "id": "451369",
      "ccn": "451369",
      "hospital": "GOLDEN PLAINS COMMUNITY HOSPITAL",
      "city": "BORGER",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HUTCHINSON COUNTY EMS INC",
      "former_operator": "",
      "affiliated_system": "HUTCHINSON COUNTY EMS INC",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Government / public",
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      "closure_date": "",
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    },
    {
      "id": "451370",
      "ccn": "451370",
      "hospital": "TMC BONHAM HOSPITAL",
      "city": "BONHAM",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "FANNIN COUNTY HOSPITAL AUTHORITY",
      "former_operator": "",
      "affiliated_system": "FANNIN COUNTY HOSPITAL AUTHORITY",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "operator_name": "Government - Hospital District or Authority",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "451371",
      "ccn": "451371",
      "hospital": "ASCENSION SETON EDGAR B DAVIS",
      "city": "LULING",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "ASCENSION HEALTH",
      "former_operator": "",
      "affiliated_system": "Ascension",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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    },
    {
      "id": "451372",
      "ccn": "451372",
      "hospital": "MULESHOE AREA MEDICAL CENTER",
      "city": "MULESHOE",
      "state": "TX",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MULESHOE AREA HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "MULESHOE AREA HOSPITAL DISTRICT",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "Government / public",
      "operator_type": "Transaction warning",
      "operator_name": "Proprietary",
      "control_category": "transaction_warning",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
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      "dossier_url": "/data/dossiers/451372.json"
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    {
      "id": "451373",
      "ccn": "451373",
      "hospital": "WARD MEMORIAL HOSPITAL",
      "city": "MONAHANS",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "COUNTY OF WARD",
      "former_operator": "",
      "affiliated_system": "COUNTY OF WARD",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Local",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "451375",
      "ccn": "451375",
      "hospital": "LIBERTY DAYTON REGIONAL MEDICAL CENTER",
      "city": "LIBERTY",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "LIBERTY COUNTY HOSPITAL DISTRICT NO. 1",
      "former_operator": "",
      "affiliated_system": "LIBERTY COUNTY HOSPITAL DISTRICT NO. 1",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "451376",
      "ccn": "451376",
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      "city": "HALLETTSVILLE",
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      "relationship_type": "",
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      "evidence_grade": "",
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    },
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    },
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      "state": "TX",
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      "pe_firm": "GoldenTree Asset Management, Davidson Kempner",
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      "affiliated_system": "QUINCY HEALTH LLC",
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      "public_control_badge": "PE-acquired / controlled",
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      "classification_confidence": "high",
      "research_incomplete": "false",
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      "state": "TX",
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    },
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      "city": "QUITMAN",
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      "relationship_type": "ownership",
      "pe_firm": "Equity Group Investments",
      "parent_system": "AHS Management",
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      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
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      "parent_system": "Christus Health",
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      "affiliated_system": "CHRISTUS Health",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "dossier_url": ""
    },
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      "id": "451382",
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      "city": "COMANCHE",
      "state": "TX",
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      "relationship_type": "",
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      "parent_system": "COMANCHE COUNTY MEDICAL CENTER COMPANY",
      "former_operator": "",
      "affiliated_system": "COMANCHE COUNTY MEDICAL CENTER COMPANY",
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      "public_control_badge": "Independent / no big-corp signal",
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      "dossier_url": ""
    },
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      "former_operator": "",
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    },
    {
      "id": "451385",
      "ccn": "451385",
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      "relationship_type": "",
      "pe_firm": "",
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      "former_operator": "",
      "affiliated_system": "BOSQUE COUNTY HOSPITAL DISTRICT",
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      "public_control_badge": "Ownership warning",
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      "classification_confidence": "high",
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      "closure_source_url": "",
      "dossier_url": "/data/dossiers/451385.json"
    },
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      "id": "451386",
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      "hospital": "MEMORIAL HOSPITAL",
      "city": "DUMAS",
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      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MOORE COUNTY HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "MOORE COUNTY HOSPITAL DISTRICT",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
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      "dossier_url": ""
    },
    {
      "id": "451387",
      "ccn": "451387",
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      "city": "UVALDE",
      "state": "TX",
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      "relationship_type": "",
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      "parent_system": "UVALDE COUNTY HOSPITAL AUTHORITY",
      "former_operator": "",
      "affiliated_system": "UVALDE COUNTY HOSPITAL AUTHORITY",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "dossier_url": ""
    },
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      "id": "451389",
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      "state": "TX",
      "status": "signal",
      "relationship_type": "",
      "pe_firm": "",
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      "former_operator": "",
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      "public_control_badge": "Ownership warning",
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      "operator_name": "Government - Local",
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      "research_incomplete": "false",
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      "closure_year": "",
      "closure_status_label": "",
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      "id": "451390",
      "ccn": "451390",
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      "city": "CARRIZO SPRINGS",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "DIMMIT REGIONAL HOSPITAL",
      "former_operator": "",
      "affiliated_system": "DIMMIT REGIONAL HOSPITAL",
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      "evidence_grade": "",
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      "reviewed_at": "2026-06-24",
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      "closure_year": "",
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      "closure_source_url": "",
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    },
    {
      "id": "451391",
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      "hospital": "FRIO REGIONAL HOSPITAL",
      "city": "PEARSALL",
      "state": "TX",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "FRIO HOSPITAL ASSOCIATION",
      "former_operator": "",
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      "evidence_grade": "",
      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
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      "closure_year": "",
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    },
    {
      "id": "451392",
      "ccn": "451392",
      "hospital": "HAMILTON GENERAL HOSPITAL",
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      "state": "TX",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HAMILTON COUNTY HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "HAMILTON COUNTY HOSPITAL DISTRICT",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "closure_year": "",
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    },
    {
      "id": "451394",
      "ccn": "451394",
      "hospital": "KNOX COUNTY HOSPITAL",
      "city": "KNOX CITY",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "KNOX COUNTY HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "KNOX COUNTY HOSPITAL DISTRICT",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
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      "closure_year": "",
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    },
    {
      "id": "451395",
      "ccn": "451395",
      "hospital": "HILL REGIONAL HOSPITAL",
      "city": "HILLSBORO",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "NHCI OF HILLSBORO INC",
      "former_operator": "",
      "affiliated_system": "NHCI OF HILLSBORO INC",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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    },
    {
      "id": "451398",
      "ccn": "451398",
      "hospital": "PAMPA REGIONAL MEDICAL CENTER",
      "city": "PAMPA",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Prime Healthcare",
      "former_operator": "",
      "affiliated_system": "Prime Healthcare",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Corporate chain",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "corporate_chain",
      "classification_depth": "baseline",
      "classification_confidence": "low",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "451399",
      "ccn": "451399",
      "hospital": "SEYMOUR HOSPITAL",
      "city": "SEYMOUR",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BAYLOR COUNTY HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "BAYLOR COUNTY HOSPITAL DISTRICT",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
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      "closure_source_url": "",
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    },
    {
      "id": "453300",
      "ccn": "453300",
      "hospital": "COOK CHILDRENS MEDICAL CENTER",
      "city": "FORT WORTH",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "COOK CHILDRENS HEALTHCARE SYSTEM",
      "former_operator": "",
      "affiliated_system": "COOK CHILDRENS HEALTHCARE SYSTEM",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "453301",
      "ccn": "453301",
      "hospital": "DRISCOLL CHILDRENS HOSPITAL",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "DRISCOLL CHILDRENS HOSPITAL",
      "former_operator": "",
      "affiliated_system": "DRISCOLL CHILDRENS HOSPITAL",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Independent / local",
      "operator_name": "Voluntary non-profit - Private",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "453301-loc-tx-corpus-christi-driscoll-childrens-hospital-neonatal",
      "ccn": "453301",
      "hospital": "DRISCOLL CHILDRENS HOSPITAL NEONATAL CARE CENTER",
      "city": "CORPUS CHRISTI",
      "state": "TX",
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      "id": "454119",
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    {
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    {
      "id": "490002",
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      "id": "490020",
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      "parent_system": "HCA Healthcare",
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      "id": "490021",
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      "status": "confirmed_pe",
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      "source_count": 6,
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      "relationship_type": "",
      "pe_firm": "",
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      "affiliated_system": "Carilionclinic",
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      "state": "VA",
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      "affiliated_system": "Valleyhealthlink",
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      "public_control_badge": "PE-backed contract",
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      "pe_firm": "",
      "parent_system": "RIVERSIDE HEALTHCARE ASSOCIATION, INC.",
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      "affiliated_system": "Riversideonline",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "id": "490038",
      "ccn": "490038",
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      "city": "MARION",
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      "parent_system": "Ballad Health",
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      "source_count": 0,
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      "id": "490040",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "id": "490041",
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      "parent_system": "BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC",
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      "id": "490042",
      "ccn": "490042",
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      "state": "VA",
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      "pe_firm": "",
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      "affiliated_system": "Carilionclinic",
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      "source_count": 0,
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      "closure_date": "",
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      "id": "490043",
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      "evidence_grade": "government-corroborated",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
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      "operator_name": "Inova",
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      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
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      "dossier_url": "/data/dossiers/490043.json"
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      "id": "490044",
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      "hospital": "SENTARA OBICI HOSPITAL",
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      "state": "VA",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "SENTARA HEALTH",
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      "affiliated_system": "Sentara Health",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "id": "490046",
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      "state": "VA",
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      "pe_firm": "",
      "parent_system": "SENTARA HEALTH",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "tax_ownership_type": "Nonprofit",
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      "research_incomplete": "true",
      "closure_date": "",
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    },
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      "affiliated_system": "",
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      "id": "490089",
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      "id": "490090",
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      "public_control_badge": "Independent / no big-corp signal",
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      "evidence_grade": "government-corroborated",
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      "id": "490093",
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      "state": "VA",
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      "tax_ownership_type": "Nonprofit",
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      "id": "490094",
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      "ccn": "490097",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BON SECOURS MERCY HEALTH INC",
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    },
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      "id": "494023",
      "ccn": "494023",
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      "id": "494025",
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      "hospital": "VIRGINIA BEACH PSYCHIATRIC CENTER",
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      "id": "494029",
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      "id": "494032",
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      "relationship_type": "ownership",
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      "former_operator": "",
      "affiliated_system": "",
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      "evidence_grade": "government-corroborated",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
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      "research_incomplete": "false",
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      "id": "500002",
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      "state": "WA",
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      "id": "500003",
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      "parent_system": "CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
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      "id": "501334",
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      "id": "501335",
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      "id": "501336",
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      "classification_confidence": "high",
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      "id": "501338",
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      "parent_system": "PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON",
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      "source_count": 0,
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      "public_control_badge": "Independent / no big-corp signal",
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    {
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      "id": "501340",
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      "state": "WV",
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    },
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    },
    {
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      "former_operator": "",
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    },
    {
      "id": "530006",
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      "pe_firm": "Apollo Global Management",
      "parent_system": "ScionHealth",
      "former_operator": "",
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    },
    {
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      "pe_firm": "",
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      "reviewed_at": "2026-07-02",
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      "dossier_url": "/data/dossiers/530012.json"
    },
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      "id": "530014",
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      "relationship_type": "",
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      "dossier_url": "/data/dossiers/530014.json"
    },
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      "id": "530015",
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      "hospital": "TETON COUNTY HOSPITAL DISTRICT - ST JOHN'S HEALTH - ST JOHN'S MEDICAL CENTER",
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      "relationship_type": "",
      "pe_firm": "",
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      "public_control_badge": "Ownership warning",
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    },
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      "id": "530034",
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      "evidence_grade": "completed state-template official-source baseline",
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      "operator_name": "Physician",
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      "closure_date": "",
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      "dossier_url": "/data/dossiers/530034.json"
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      "id": "53004F",
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      "evidence_grade": "completed state-template official-source baseline",
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      "id": "531302",
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      "affiliated_system": "",
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      "public_control_badge": "Independent / no big-corp signal",
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      "id": "531307",
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      "id": "531308",
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    {
      "id": "670054",
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    {
      "id": "670055",
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    {
      "id": "670056",
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    },
    {
      "id": "670059",
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      "state": "TX",
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    {
      "id": "670060",
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      "pe_firm": "",
      "parent_system": "TRMC HOLDINGS INC",
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    {
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      "id": "670121",
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      "id": "670122",
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      "id": "670125",
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      "city": "SAN ANTONIO",
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      "status": "corporate_chain",
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    {
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      "state": "TX",
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      "reviewed_at": "2026-06-22",
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      "state": "TX",
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      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
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      "state": "TX",
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      "id": "670300",
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      "state": "TX",
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      "parent_system": "Methodist Health System",
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    {
      "id": "670309",
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      "state": "TX",
      "status": "corporate_chain",
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    },
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      "id": "670320",
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      "city": "HOUSTON",
      "state": "TX",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "670321",
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      "state": "TX",
      "status": "corporate_chain",
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      "pe_firm": "",
      "parent_system": "ADVANCED DALLAS HOSPITAL & CLINICS LLC",
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      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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      "dossier_url": ""
    },
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      "id": "670326",
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      "city": "ROUND ROCK",
      "state": "TX",
      "status": "corporate_chain",
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      "parent_system": "BRUSHY CREEK FAMILY HOSPITAL LLC",
      "former_operator": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "670327",
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      "state": "TX",
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      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "MAHBOUBI INVESTMENTS",
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      "evidence_grade": "",
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      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "670333",
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      "state": "TX",
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      "pe_firm": "",
      "parent_system": "Tenet Healthcare",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
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      "closure_date": "",
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    },
    {
      "id": "670336",
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      "state": "TX",
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      "pe_firm": "",
      "parent_system": "FAMILY EMERGENCY ROOMS LLC",
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      "affiliated_system": "FAMILY EMERGENCY ROOMS LLC",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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    },
    {
      "id": "670342",
      "ccn": "670342",
      "hospital": "HOUSTON METHODIST CYPRESS HOSPITAL",
      "city": "CYPRESS",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "THE METHODIST HOSPITAL",
      "former_operator": "",
      "affiliated_system": "Houston Methodist",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "closure_date": "",
      "closure_year": "",
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      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "670346",
      "ccn": "670346",
      "hospital": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - FRISCO",
      "city": "FRISCO",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "BAYLOR HEALTH CARE SYSTEM",
      "former_operator": "",
      "affiliated_system": "Baylor Scott & White Health",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
      "tax_ownership_type": "Nonprofit",
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      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "670779",
      "ccn": "670779",
      "hospital": "CROSBYTON CLINIC HOSPITAL",
      "city": "CROSBYTON",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CROSBYTON CLINIC HOSPITAL",
      "former_operator": "",
      "affiliated_system": "CROSBYTON CLINIC HOSPITAL",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
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    },
    {
      "id": "670780",
      "ccn": "670780",
      "hospital": "FALLS COMMUNITY HOSPITAL AND CLINIC",
      "city": "MARLIN",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "FALLS COMMUNITY HOSPITAL AND CLINIC",
      "former_operator": "",
      "affiliated_system": "FALLS COMMUNITY HOSPITAL AND CLINIC",
      "acquired_date": "",
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      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
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      "research_incomplete": "true",
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      "dossier_url": ""
    },
    {
      "id": "670781",
      "ccn": "670781",
      "hospital": "ANSON GENERAL HOSPITAL",
      "city": "ANSON",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
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      "former_operator": "",
      "affiliated_system": "ANSON HOSPITAL DISTRICT",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
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      "classification_depth": "baseline",
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      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "670783",
      "ccn": "670783",
      "hospital": "CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE",
      "city": "SAN AUGUSTINE",
      "state": "TX",
      "status": "corporate_chain",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "CommonSpirit Health",
      "former_operator": "",
      "affiliated_system": "CommonSpirit Health",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Corporate-chain controlled",
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      "closure_date": "",
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    },
    {
      "id": "671301",
      "ccn": "671301",
      "hospital": "HEMPHILL COUNTY HOSPITAL",
      "city": "CANADIAN",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "HEMPHILL COUNTY HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "HEMPHILL COUNTY HOSPITAL DISTRICT",
      "acquired_date": "",
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      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
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      "classification_confidence": "medium",
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    },
    {
      "id": "671302",
      "ccn": "671302",
      "hospital": "STEPHENS MEMORIAL HOSPITAL",
      "city": "BRECKENRIDGE",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "STEPHENS MEMORIAL HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "STEPHENS MEMORIAL HOSPITAL DISTRICT",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
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      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
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      "dossier_url": ""
    },
    {
      "id": "671303",
      "ccn": "671303",
      "hospital": "EASTLAND MEMORIAL HOSPITAL",
      "city": "EASTLAND",
      "state": "TX",
      "status": "verified_independent",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "EASTLAND MEMORIAL HOSPITAL DISTRICT",
      "former_operator": "",
      "affiliated_system": "EASTLAND MEMORIAL HOSPITAL DISTRICT",
      "acquired_date": "",
      "confidence": "",
      "evidence_grade": "",
      "source_count": 0,
      "reviewed_at": "2026-06-24",
      "public_control_badge": "Independent / no big-corp signal",
      "tax_ownership_type": "Government / public",
      "operator_type": "Independent / local",
      "operator_name": "Government - Hospital District or Authority",
      "control_category": "local_independent",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": ""
    },
    {
      "id": "pe-closure-050502",
      "ccn": "050502",
      "hospital": "ST. VINCENT MEDICAL CENTER",
      "city": "LOS ANGELES",
      "state": "CA",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Verity Health System",
      "former_operator": "Verity Health System",
      "affiliated_system": "",
      "acquired_date": "2015",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 4,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed / historical for-profit facility",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2020-01-27",
      "closure_year": 2020,
      "closure_status_label": "Full closure",
      "closure_summary": "St. Vincent Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Verity Health System. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://en.wikipedia.org/wiki/St._Vincent_Medical_Center_(Los_Angeles)",
      "dossier_url": "/data/dossiers/pe-closure-050502.json"
    },
    {
      "id": "pe-closure-140118",
      "ccn": "140118",
      "hospital": "METROSOUTH MEDICAL CENTER",
      "city": "BLUE ISLAND",
      "state": "IL",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Quorum Health",
      "former_operator": "Quorum Health",
      "affiliated_system": "",
      "acquired_date": "2015 (spinoff)",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 2,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed / historical for-profit facility",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2019-09-30",
      "closure_year": 2019,
      "closure_status_label": "Full closure",
      "closure_summary": "MetroSouth Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Quorum Health. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://abc7chicago.com/post/metrosouth-medical-center-stops-accepting-new-patients/5557542/",
      "dossier_url": "/data/dossiers/pe-closure-140118.json"
    },
    {
      "id": "pe-closure-140240",
      "ccn": "140240",
      "hospital": "WESTLAKE HOSPITAL",
      "city": "MELROSE PARK",
      "state": "IL",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Pipeline Health",
      "parent_system": "Pipeline Health",
      "former_operator": "Pipeline Health",
      "affiliated_system": "",
      "acquired_date": "2019-01",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 3,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2019-08",
      "closure_year": 2019,
      "closure_status_label": "Full closure",
      "closure_summary": "Westlake Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Pipeline Health. Historical PE sponsor/context: Pipeline Health. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://pestakeholder.org/reports/how-private-equity-raided-safety-net-hospitals-pipeline-health/",
      "dossier_url": "/data/dossiers/pe-closure-140240.json"
    },
    {
      "id": "pe-closure-220067",
      "ccn": "220067",
      "hospital": "QUINCY MEDICAL CENTER",
      "city": "QUINCY",
      "state": "MA",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Cerberus Capital Management",
      "parent_system": "Steward Health Care",
      "former_operator": "Steward Health Care",
      "affiliated_system": "",
      "acquired_date": "2011",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 3,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2014-12",
      "closure_year": 2014,
      "closure_status_label": "Full closure (inpatient 2014; satellite ER until 2020)",
      "closure_summary": "Quincy Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://www.wbur.org/news/2014/11/06/quincy-medical-center-closing-at-years-end",
      "dossier_url": "/data/dossiers/pe-closure-220067.json"
    },
    {
      "id": "pe-closure-261334",
      "ccn": "261334",
      "hospital": "I-70 COMMUNITY HOSPITAL",
      "city": "SWEET SPRINGS",
      "state": "MO",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "EmpowerHMS",
      "former_operator": "EmpowerHMS",
      "affiliated_system": "",
      "acquired_date": "needs verification",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 4,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed / historical for-profit facility",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "Feb 2019",
      "closure_year": 2019,
      "closure_status_label": "Full closure",
      "closure_summary": "I-70 Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: EmpowerHMS. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://kffhealthnews.org/health-industry/rural-hospital-empire-collapse-missouri-town-fallout-jorge-a-perez-empowerhms/",
      "dossier_url": "/data/dossiers/pe-closure-261334.json"
    },
    {
      "id": "pe-closure-360141",
      "ccn": "360141",
      "hospital": "NORTHSIDE REGIONAL MEDICAL CENTER",
      "city": "YOUNGSTOWN",
      "state": "OH",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Cerberus Capital Management",
      "parent_system": "Steward Health Care",
      "former_operator": "Steward Health Care (acquired via IASIS Healthcare deal)",
      "affiliated_system": "",
      "acquired_date": "2017",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 3,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2018-09-20",
      "closure_year": 2018,
      "closure_status_label": "Full closure",
      "closure_summary": "Northside Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care (acquired via IASIS Healthcare deal). Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://www.ahd.com/free_profile/360141/Northside_Regional_Medical_Center/Youngstown/Ohio/",
      "dossier_url": "/data/dossiers/pe-closure-360141.json"
    },
    {
      "id": "pe-closure-360151",
      "ccn": "360151",
      "hospital": "AFFINITY MEDICAL CENTER",
      "city": "MASSILLON",
      "state": "OH",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Quorum Health",
      "former_operator": "Quorum Health",
      "affiliated_system": "",
      "acquired_date": "2016 (spun off from CHS)",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 3,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed / historical for-profit facility",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "Feb 4 2018 (fully closed Mar 6 2018)",
      "closure_year": 2018,
      "closure_status_label": "Full closure",
      "closure_summary": "Affinity Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Quorum Health. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://www.sec.gov/Archives/edgar/data/1650445/000156459018000099/qhc-ex991_14.htm",
      "dossier_url": "/data/dossiers/pe-closure-360151.json"
    },
    {
      "id": "pe-closure-440051",
      "ccn": "440051",
      "hospital": "MCNAIRY REGIONAL HOSPITAL (TENNOVA)",
      "city": "SELMER",
      "state": "TN",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "",
      "parent_system": "Tennova Healthcare",
      "former_operator": "Tennova Healthcare",
      "affiliated_system": "",
      "acquired_date": "needs verification",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 3,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed / historical for-profit facility",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "May 18 2016",
      "closure_year": 2016,
      "closure_status_label": "Full closure",
      "closure_summary": "McNairy Regional Hospital (Tennova) is recorded as closed or without inpatient hospital services. Historical operator/parent: Tennova Healthcare. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://www.tennessean.com/story/news/health/2016/07/09/rural-tennessee-struggles-changing-face-health-care/86134910/",
      "dossier_url": "/data/dossiers/pe-closure-440051.json"
    },
    {
      "id": "pe-closure-450697",
      "ccn": "450697",
      "hospital": "TEXAS VISTA MEDICAL CENTER",
      "city": "SAN ANTONIO",
      "state": "TX",
      "status": "closed",
      "relationship_type": "",
      "pe_firm": "Cerberus Capital Management",
      "parent_system": "Steward Health Care",
      "former_operator": "Steward Health Care (acquired via IASIS Healthcare deal)",
      "affiliated_system": "",
      "acquired_date": "2017",
      "confidence": "high",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 3,
      "reviewed_at": "2026-07-17",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "source_backed_closure_import",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "2023-05-01",
      "closure_year": 2023,
      "closure_status_label": "Full closure",
      "closure_summary": "Texas Vista Medical Center (fmr Southwest General) is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care (acquired via IASIS Healthcare deal). Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closure_source": "Expanded hospital closure research import",
      "closure_source_url": "https://www.cbsnews.com/news/texas-vista-medical-center-closure-investors-role-san-antonio-hospital-under-scrutiny/",
      "dossier_url": "/data/dossiers/pe-closure-450697.json"
    },
    {
      "id": "pe-tracker-01T157",
      "ccn": "001157",
      "hospital": "JW SOMMER REHABILITATION UNIT",
      "city": "MUSCLE SHOALS",
      "state": "AL",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 4,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-01T157.json"
    },
    {
      "id": "pe-tracker-032004",
      "ccn": "032004",
      "hospital": "CORNERSTONE SPECIALTY HOSPITALS TUCSON",
      "city": "TUCSON",
      "state": "AZ",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "CHG HOSPITAL OPERATIONS COMPANY LLC",
      "former_operator": "",
      "affiliated_system": "ScionHealth",
      "acquired_date": "January 2023",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "ScionHealth",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-032004.json"
    },
    {
      "id": "pe-tracker-033044",
      "ccn": "033044",
      "hospital": "DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL",
      "city": "GILBERT",
      "state": "AZ",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "Lifepoint Health",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-033044.json"
    },
    {
      "id": "pe-tracker-034020",
      "ccn": "034020",
      "hospital": "HAVEN BEHAVIORAL HOSPITAL OF PHOENIX",
      "city": "PHOENIX",
      "state": "AZ",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Thoma Bravo, Resolute Capital Partners, WP Global Partners, Brown Brothers Harriman Capital Partners",
      "parent_system": "HAVEN BEHAVIORAL HEALTHCARE INC",
      "former_operator": "",
      "affiliated_system": "HAVEN BEHAVIORAL HEALTHCARE INC",
      "acquired_date": "May 2006",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Haven Behavioral Healthcare",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-034020.json"
    },
    {
      "id": "pe-tracker-034036",
      "ccn": "034036",
      "hospital": "MEDICAL BEHAVIORAL HOSPITAL OF NORTHERN ARIZONA, L",
      "city": "PRESCOTT",
      "state": "AZ",
      "status": "disputed",
      "relationship_type": "ownership",
      "pe_firm": "Enhanced Healthcare Partners",
      "parent_system": "NeuroPsychiatric Hospitals",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "low",
      "evidence_grade": "single-source ownership baseline",
      "source_count": 4,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "NeuroPsychiatric Hospitals",
      "control_category": "private_equity",
      "classification_depth": "baseline",
      "classification_confidence": "high",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-034036.json"
    },
    {
      "id": "pe-tracker-03T117",
      "ccn": "003117",
      "hospital": "VALLEY VIEW MEDICAL CENTER",
      "city": "FT MOHAVE",
      "state": "AZ",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 4,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-03T117.json"
    },
    {
      "id": "pe-tracker-043036",
      "ccn": "043036",
      "hospital": "ROGERS REHABILITATION HOSPITAL",
      "city": "ROGERS",
      "state": "AR",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "Lifepoint Health",
      "acquired_date": "March 2023",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-043036.json"
    },
    {
      "id": "pe-tracker-04T041",
      "ccn": "004041",
      "hospital": "S. MARYS REGIONAL MEDICAL CENTER",
      "city": "RUSSELLVILLE",
      "state": "AR",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 4,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-04T041.json"
    },
    {
      "id": "pe-tracker-053043",
      "ccn": "053043",
      "hospital": "PALOMAR REHABILITATION INSTITUTE",
      "city": "ESCONDIDO",
      "state": "CA",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "DSB ACQUISITION LLC",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-053043.json"
    },
    {
      "id": "pe-tracker-092002",
      "ccn": "092002",
      "hospital": "BRIDGEPOINT CONT CARE HOSPITAL - CAPITOL HILL",
      "city": "WASHINGTON",
      "state": "DC",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Silver Point Capital",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "December 2014",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Bridgepoint Healthcare",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-092002.json"
    },
    {
      "id": "pe-tracker-092003",
      "ccn": "092003",
      "hospital": "BRIDGEPOINT CONT CARE HOSPITAL - NAT HARBORSIDE",
      "city": "WASHINGTON",
      "state": "DC",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Silver Point Capital",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "December 2014",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Bridgepoint Healthcare",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-092003.json"
    },
    {
      "id": "pe-tracker-103051",
      "ccn": "103051",
      "hospital": "TAMPA GENERAL REHABILITATION HOSPITAL",
      "city": "TAMPA",
      "state": "FL",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "FLORIDA HEALTH SCIENCES CENTER INC",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-103051.json"
    },
    {
      "id": "pe-tracker-104008",
      "ccn": "104008",
      "hospital": "SUNVIEW MEDICAL CENTER",
      "city": "WEST PALM BEACH",
      "state": "FL",
      "status": "disputed",
      "relationship_type": "ownership",
      "pe_firm": "Cedar Health Group",
      "parent_system": "Cedar Health Group",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "September 2020",
      "confidence": "low",
      "evidence_grade": "single-source ownership baseline",
      "source_count": 3,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Cedar Health Group",
      "control_category": "private_equity",
      "classification_depth": "baseline",
      "classification_confidence": "high",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-104008.json"
    },
    {
      "id": "pe-tracker-142009",
      "ccn": "142009",
      "hospital": "KINDRED - CHICAGO - LAKESHORE",
      "city": "CHICAGO",
      "state": "IL",
      "status": "closed",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "ScionHealth",
      "former_operator": "ScionHealth / Kindred Hospitals",
      "affiliated_system": "ScionHealth",
      "acquired_date": "2021-12",
      "confidence": "medium",
      "evidence_grade": "source-backed closure overlay",
      "source_count": 6,
      "reviewed_at": "2026-07-10",
      "public_control_badge": "Closed after documented PE acquisition",
      "tax_ownership_type": "For-profit",
      "operator_type": "Closed / no active hospital operator",
      "operator_name": "No active hospital operator",
      "control_category": "historical",
      "classification_depth": "baseline",
      "classification_confidence": "high",
      "research_incomplete": "true",
      "closure_date": "2025-04-30",
      "closure_year": 2025,
      "closure_status_label": "Closed / shut down in 2025",
      "closure_summary": "KINDRED - CHICAGO - LAKESHORE closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Apollo Global Management; operating platform: ScionHealth / Kindred Hospitals. This sequence does not by itself prove that PE ownership caused the closure.",
      "closure_source": "Illinois Health Facilities and Services Review Board",
      "closure_source_url": "https://hfsrb.illinois.gov/announcements/24-037-kindred-chicago-lakeshore.html",
      "dossier_url": "/data/dossiers/pe-tracker-142009.json"
    },
    {
      "id": "pe-tracker-144042",
      "ccn": "144042",
      "hospital": "LAKE BEHAVIORAL HOSPITAL",
      "city": "WAUKEGAN",
      "state": "IL",
      "status": "signal",
      "relationship_type": "venture_backing",
      "pe_firm": "F-Prime Capital, Eight Roads, George Conrades, Oak HC/FT",
      "parent_system": "US HEALTHVEST, LLC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "Ownership warning",
      "tax_ownership_type": "For-profit",
      "operator_type": "Transaction warning",
      "operator_name": "US HealthVest",
      "control_category": "transaction_warning",
      "classification_depth": "baseline",
      "classification_confidence": "medium",
      "research_incomplete": "true",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-144042.json"
    },
    {
      "id": "pe-tracker-152007",
      "ccn": "152007",
      "hospital": "KINDRED HOSPITAL INDIANAPOLIS",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "Kentucky Hospital Holdings JV LP",
      "former_operator": "",
      "affiliated_system": "ScionHealth",
      "acquired_date": "December 2021",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "ScionHealth",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-152007.json"
    },
    {
      "id": "pe-tracker-152013",
      "ccn": "152013",
      "hospital": "KINDRED HOSPITAL INDIANAPOLIS NORTH",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "Kentucky Hospital Holdings JV LP",
      "former_operator": "",
      "affiliated_system": "ScionHealth",
      "acquired_date": "December 2021",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "ScionHealth",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-152013.json"
    },
    {
      "id": "pe-tracker-153044",
      "ccn": "153044",
      "hospital": "COMMUNITY HEALTH NETWORK REHABILITATION HOSP SO",
      "city": "GREENWOOD",
      "state": "IN",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "CHC Community Care",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "December 2021",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-153044.json"
    },
    {
      "id": "pe-tracker-154055",
      "ccn": "154055",
      "hospital": "BRENTWOOD MEADOWS LLC",
      "city": "NEWBURGH",
      "state": "IN",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "LifePoint Health",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-154055.json"
    },
    {
      "id": "pe-tracker-163026",
      "ccn": "163026",
      "hospital": "MERCY IOWA CITY REHABLITATION HOSPITAL",
      "city": "CORALVILLE",
      "state": "IA",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "CHC Community Care",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-163026.json"
    },
    {
      "id": "pe-tracker-170196",
      "ccn": "170196",
      "hospital": "KANSAS SPINE & SPECIALTY HOSPITAL, LLC",
      "city": "WICHITA",
      "state": "KS",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Bain Capital",
      "parent_system": "SP Management Services",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "August 2017",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Surgery Partners",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-170196.json"
    },
    {
      "id": "pe-tracker-173035",
      "ccn": "173035",
      "hospital": "CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOS",
      "city": "WATHENA",
      "state": "KS",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Blue Wolf Capital Partners, Leavitt Equity Partners and Peloton Equity",
      "parent_system": "ClearSky Health",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "ClearSky Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-173035.json"
    },
    {
      "id": "pe-tracker-18T040",
      "ccn": "018040",
      "hospital": "FRAZIER REHAB INSTITUTE",
      "city": "LOUISVILLE",
      "state": "KY",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 4,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "Nonprofit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-18T040.json"
    },
    {
      "id": "pe-tracker-193050",
      "ccn": "193050",
      "hospital": "CLEARSKY REHABILITATION HOSPITAL OF ROSEPINE, LLC",
      "city": "LEESVILLE",
      "state": "LA",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Blue Wolf Capital Partners, Leavitt Equity Partners and Peloton Equity",
      "parent_system": "Titan Rehabilitation Institute of America",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "April 2019",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 5,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "ClearSky Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-193050.json"
    },
    {
      "id": "pe-tracker-230013",
      "ccn": "234048",
      "hospital": "PONTIAC GENERAL HOSPITAL",
      "city": "PONTIAC",
      "state": "MI",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Sant Partners",
      "parent_system": "AXIOM MANAGEMENT GROUP LLC",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "March 2016",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 4,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Proprietary",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-230013.json"
    },
    {
      "id": "pe-tracker-230013-loc-mi-pontiac-pontiac-general-hospital",
      "ccn": "230013",
      "hospital": "PONTIAC GENERAL HOSPITAL",
      "city": "PONTIAC",
      "state": "MI",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Sant Partners",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "March 2016",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 4,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "Proprietary",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-230013-loc-mi-pontiac-pontiac-general-hospital.json"
    },
    {
      "id": "pe-tracker-230054",
      "ccn": "230054",
      "hospital": "UPHS MARQUETTE DLP HOSPITAL",
      "city": "MARQUETTE",
      "state": "MI",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Apollo Global Management",
      "parent_system": "LifePoint Health",
      "former_operator": "",
      "affiliated_system": "LifePoint Health",
      "acquired_date": "November 2018",
      "confidence": "high",
      "evidence_grade": "government-corroborated",
      "source_count": 6,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "For-profit",
      "operator_type": "Private equity",
      "operator_name": "LifePoint Health",
      "control_category": "private_equity",
      "classification_depth": "full_research",
      "classification_confidence": "high",
      "research_incomplete": "false",
      "closure_date": "",
      "closure_year": "",
      "closure_status_label": "",
      "closure_summary": "",
      "closure_source": "",
      "closure_source_url": "",
      "dossier_url": "/data/dossiers/pe-tracker-230054.json"
    },
    {
      "id": "pe-tracker-23T097",
      "ccn": "023097",
      "hospital": "MARY FREE BED AT MUNSON",
      "city": "TRAVERSE CITY",
      "state": "MI",
      "status": "confirmed_pe",
      "relationship_type": "ownership",
      "pe_firm": "Graham Healthcare Capital",
      "parent_system": "",
      "former_operator": "",
      "affiliated_system": "",
      "acquired_date": "",
      "confidence": "medium",
      "evidence_grade": "government-corroborated",
      "source_count": 4,
      "reviewed_at": "2026-06-22",
      "public_control_badge": "PE-acquired / controlled",
      "tax_ownership_type": "Nonprofit",
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}
