{ "schemaVersion": 1, "generatedAt": "2026-06-28T21:38:51.987Z", "asOf": "2026-05", "title": "Estimated CHQPR rural hospital closure-risk crosswalk", "methodology": { "classification": "estimate_not_source_named", "summary": "CHQPR published May 2026 state totals and hospital financial tables, but not a named risk list. This crosswalk ranks loss-making hospitals within each state using the published financial fields, then reconciles the result exactly to each state total.", "immediateEstimate": "Within each state, loss-making hospitals are ranked using negative total margin, nonpositive assets, reserve runway, and patient-service loss severity; the state immediate-risk quota is selected first.", "atRiskEstimate": "Remaining loss-making hospitals are ranked using reserve runway, negative total margin, and patient-service loss severity until the state at-risk quota is filled.", "identityMatching": "CHQPR names and cities are linked to current CMS Hospital General Information records and then to this website by CMS Certification Number. Probable and estimated name matches are labeled; unresolved rows remain visible without a map marker or website status.", "limitation": "These hospital names are an educated estimate, not a CHQPR-published named list and not a prediction that any particular hospital will close. Website ownership/control statuses are separate from closure risk." }, "sources": [ { "id": "chqpr-solutions-2026-05", "title": "Rural Hospitals at Risk of Closing", "publisher": "Center for Healthcare Quality and Payment Reform", "url": "https://ruralhospitals.chqpr.org/Solutions.html", "role": "State quotas and CHQPR risk definitions" }, { "id": "chqpr-data1-2026-05", "title": "Rural hospital operating margins", "publisher": "Center for Healthcare Quality and Payment Reform", "url": "https://ruralhospitals.chqpr.org/Data1.html", "role": "Hospital identity, location, payment type, and margin percentages" }, { "id": "chqpr-data5-2026-05", "title": "Rural hospital reserves and margins", "publisher": "Center for Healthcare Quality and Payment Reform", "url": "https://ruralhospitals.chqpr.org/Data5.html", "role": "Hospital-level financial fields used in the estimate" }, { "id": "chqpr-methodology", "title": "Methodology", "publisher": "Center for Healthcare Quality and Payment Reform", "url": "https://ruralhospitals.chqpr.org/Methodology.html", "role": "CHQPR methodological context" }, { "id": "newsweek-2026-06-03", "title": "Map Shows States With Hospitals at Immediate Risk of Closing", "publisher": "Newsweek", "url": "https://www.newsweek.com/map-shows-states-with-hospitals-at-immediate-risk-of-closing-12028142", "role": "Reporting context only; it does not name hospitals" } ], "stats": { "totalEstimatedAtRisk": 720, "totalEstimatedImmediate": 294, "matchedWebsiteRecords": 653, "unresolvedWebsiteRecords": 67, "identityMatchCounts": { "exact": 622, "probable": 16, "estimated": 15, "unresolved": 67 }, "websiteStatusCounts": { "exposed": 128, "clear": 457, "watch": 61, "unreviewed": 7, "historical": 0 } }, "stateSummaries": [ { "state": "KS", "stateName": "Kansas", "openRuralHospitals": 100, "multiYearLosses": 79, "atRisk": 69, "immediate": 28, "estimatedRecords": 69, "estimatedImmediateRecords": 28, "matchedWebsiteRecords": 65 }, { "state": "TX", "stateName": "Texas", "openRuralHospitals": 154, "multiYearLosses": 105, "atRisk": 84, "immediate": 26, "estimatedRecords": 84, "estimatedImmediateRecords": 26, "matchedWebsiteRecords": 81 }, { "state": "MS", "stateName": "Mississippi", "openRuralHospitals": 67, "multiYearLosses": 39, "atRisk": 34, "immediate": 25, "estimatedRecords": 34, "estimatedImmediateRecords": 25, "matchedWebsiteRecords": 26 }, { "state": "AL", "stateName": "Alabama", "openRuralHospitals": 46, "multiYearLosses": 29, "atRisk": 25, "immediate": 19, "estimatedRecords": 25, "estimatedImmediateRecords": 19, "matchedWebsiteRecords": 25 }, { "state": "OK", "stateName": "Oklahoma", "openRuralHospitals": 73, "multiYearLosses": 43, "atRisk": 45, "immediate": 18, "estimatedRecords": 45, "estimatedImmediateRecords": 18, "matchedWebsiteRecords": 40 }, { "state": "NY", "stateName": "New York", "openRuralHospitals": 51, "multiYearLosses": 25, "atRisk": 24, "immediate": 15, "estimatedRecords": 24, "estimatedImmediateRecords": 15, "matchedWebsiteRecords": 22 }, { "state": "AR", "stateName": "Arkansas", "openRuralHospitals": 47, "multiYearLosses": 37, "atRisk": 31, "immediate": 12, "estimatedRecords": 31, "estimatedImmediateRecords": 12, "matchedWebsiteRecords": 30 }, { "state": "GA", "stateName": "Georgia", "openRuralHospitals": 73, "multiYearLosses": 34, "atRisk": 23, "immediate": 12, "estimatedRecords": 23, "estimatedImmediateRecords": 12, "matchedWebsiteRecords": 22 }, { "state": "TN", "stateName": "Tennessee", "openRuralHospitals": 53, "multiYearLosses": 16, "atRisk": 17, "immediate": 12, "estimatedRecords": 17, "estimatedImmediateRecords": 12, "matchedWebsiteRecords": 15 }, { "state": "LA", "stateName": "Louisiana", "openRuralHospitals": 56, "multiYearLosses": 37, "atRisk": 26, "immediate": 11, "estimatedRecords": 26, "estimatedImmediateRecords": 11, "matchedWebsiteRecords": 25 }, { "state": "MO", "stateName": "Missouri", "openRuralHospitals": 57, "multiYearLosses": 29, "atRisk": 28, "immediate": 11, 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"stateName": "Florida", "openRuralHospitals": 22, "multiYearLosses": 8, "atRisk": 8, "immediate": 3, "estimatedRecords": 8, "estimatedImmediateRecords": 3, "matchedWebsiteRecords": 8 }, { "state": "ME", "stateName": "Maine", "openRuralHospitals": 24, "multiYearLosses": 7, "atRisk": 10, "immediate": 3, "estimatedRecords": 10, "estimatedImmediateRecords": 3, "matchedWebsiteRecords": 8 }, { "state": "MI", "stateName": "Michigan", "openRuralHospitals": 65, "multiYearLosses": 15, "atRisk": 10, "immediate": 3, "estimatedRecords": 10, "estimatedImmediateRecords": 3, "matchedWebsiteRecords": 7 }, { "state": "MT", "stateName": "Montana", "openRuralHospitals": 52, "multiYearLosses": 25, "atRisk": 15, "immediate": 3, "estimatedRecords": 15, "estimatedImmediateRecords": 3, "matchedWebsiteRecords": 13 }, { "state": "ND", "stateName": "North Dakota", "openRuralHospitals": 37, "multiYearLosses": 25, "atRisk": 14, "immediate": 3, "estimatedRecords": 14, "estimatedImmediateRecords": 3, "matchedWebsiteRecords": 14 }, { "state": "OH", "stateName": "Ohio", "openRuralHospitals": 74, "multiYearLosses": 14, "atRisk": 7, "immediate": 3, "estimatedRecords": 7, "estimatedImmediateRecords": 3, "matchedWebsiteRecords": 6 }, { "state": "OR", "stateName": "Oregon", "openRuralHospitals": 34, "multiYearLosses": 13, "atRisk": 7, "immediate": 3, "estimatedRecords": 7, "estimatedImmediateRecords": 3, "matchedWebsiteRecords": 6 }, { "state": "SD", "stateName": "South Dakota", "openRuralHospitals": 48, "multiYearLosses": 10, "atRisk": 6, "immediate": 3, "estimatedRecords": 6, "estimatedImmediateRecords": 3, "matchedWebsiteRecords": 6 }, { "state": "VA", "stateName": "Virginia", "openRuralHospitals": 33, "multiYearLosses": 4, "atRisk": 7, "immediate": 3, "estimatedRecords": 7, "estimatedImmediateRecords": 3, "matchedWebsiteRecords": 6 }, { "state": "WY", "stateName": "Wyoming", "openRuralHospitals": 27, "multiYearLosses": 10, "atRisk": 6, "immediate": 3, "estimatedRecords": 6, "estimatedImmediateRecords": 3, "matchedWebsiteRecords": 4 }, { "state": "CO", "stateName": "Colorado", "openRuralHospitals": 43, "multiYearLosses": 16, "atRisk": 10, "immediate": 2, "estimatedRecords": 10, "estimatedImmediateRecords": 2, "matchedWebsiteRecords": 10 }, { "state": "CT", "stateName": "Connecticut", "openRuralHospitals": 4, "multiYearLosses": 3, "atRisk": 3, "immediate": 2, "estimatedRecords": 3, "estimatedImmediateRecords": 2, "matchedWebsiteRecords": 3 }, { "state": "IA", "stateName": "Iowa", "openRuralHospitals": 94, "multiYearLosses": 20, "atRisk": 8, "immediate": 2, "estimatedRecords": 8, "estimatedImmediateRecords": 2, "matchedWebsiteRecords": 8 }, { "state": "KY", "stateName": "Kentucky", "openRuralHospitals": 69, "multiYearLosses": 21, "atRisk": 14, "immediate": 2, "estimatedRecords": 14, "estimatedImmediateRecords": 2, "matchedWebsiteRecords": 14 }, { "state": "NE", "stateName": "Nebraska", "openRuralHospitals": 70, "multiYearLosses": 16, "atRisk": 5, "immediate": 2, "estimatedRecords": 5, "estimatedImmediateRecords": 2, "matchedWebsiteRecords": 3 }, { "state": "NM", "stateName": "New Mexico", "openRuralHospitals": 27, "multiYearLosses": 8, "atRisk": 7, "immediate": 2, "estimatedRecords": 7, "estimatedImmediateRecords": 2, "matchedWebsiteRecords": 7 }, { "state": "SC", "stateName": "South Carolina", "openRuralHospitals": 22, "multiYearLosses": 6, "atRisk": 7, "immediate": 2, "estimatedRecords": 7, "estimatedImmediateRecords": 2, "matchedWebsiteRecords": 7 }, { "state": "AK", "stateName": "Alaska", "openRuralHospitals": 16, "multiYearLosses": 4, "atRisk": 2, "immediate": 1, "estimatedRecords": 2, "estimatedImmediateRecords": 1, "matchedWebsiteRecords": 2 }, { "state": "ID", "stateName": "Idaho", "openRuralHospitals": 27, "multiYearLosses": 13, "atRisk": 8, "immediate": 1, "estimatedRecords": 8, "estimatedImmediateRecords": 1, "matchedWebsiteRecords": 8 }, { "state": "NV", "stateName": "Nevada", "openRuralHospitals": 13, "multiYearLosses": 6, "atRisk": 4, "immediate": 1, "estimatedRecords": 4, "estimatedImmediateRecords": 1, "matchedWebsiteRecords": 4 }, { "state": "NH", "stateName": "New Hampshire", "openRuralHospitals": 18, "multiYearLosses": 7, "atRisk": 5, "immediate": 1, "estimatedRecords": 5, "estimatedImmediateRecords": 1, "matchedWebsiteRecords": 5 }, { "state": "AZ", "stateName": "Arizona", "openRuralHospitals": 27, "multiYearLosses": 7, "atRisk": 4, "immediate": 0, "estimatedRecords": 4, "estimatedImmediateRecords": 0, "matchedWebsiteRecords": 4 }, { "state": "DE", "stateName": "Delaware", "openRuralHospitals": 3, "multiYearLosses": 1, "atRisk": 0, "immediate": 0, "estimatedRecords": 0, "estimatedImmediateRecords": 0, "matchedWebsiteRecords": 0 }, { "state": "HI", "stateName": "Hawaii", "openRuralHospitals": 13, "multiYearLosses": 10, "atRisk": 8, "immediate": 0, "estimatedRecords": 8, "estimatedImmediateRecords": 0, "matchedWebsiteRecords": 8 }, { "state": "MD", "stateName": "Maryland", "openRuralHospitals": 9, "multiYearLosses": 0, "atRisk": 0, "immediate": 0, "estimatedRecords": 0, "estimatedImmediateRecords": 0, "matchedWebsiteRecords": 0 }, { "state": "MA", "stateName": "Massachusetts", "openRuralHospitals": 7, "multiYearLosses": 3, "atRisk": 1, "immediate": 0, "estimatedRecords": 1, "estimatedImmediateRecords": 0, "matchedWebsiteRecords": 1 }, { "state": "NJ", "stateName": "New Jersey", "openRuralHospitals": 2, "multiYearLosses": 0, "atRisk": 0, "immediate": 0, "estimatedRecords": 0, "estimatedImmediateRecords": 0, "matchedWebsiteRecords": 0 }, { "state": "RI", "stateName": "Rhode Island", "openRuralHospitals": 1, "multiYearLosses": 0, "atRisk": 1, "immediate": 0, "estimatedRecords": 1, "estimatedImmediateRecords": 0, "matchedWebsiteRecords": 1 }, { "state": "UT", "stateName": "Utah", "openRuralHospitals": 22, "multiYearLosses": 5, "atRisk": 0, "immediate": 0, "estimatedRecords": 0, "estimatedImmediateRecords": 0, "matchedWebsiteRecords": 0 }, { "state": "VT", "stateName": "Vermont", "openRuralHospitals": 13, "multiYearLosses": 10, "atRisk": 8, "immediate": 0, "estimatedRecords": 8, "estimatedImmediateRecords": 0, "matchedWebsiteRecords": 8 } ], "records": [ { "sourceRecordId": "chqpr-393bbca622c9fa27", "chqprName": "SEARHC Wrangell Medical Center-CAH", "city": "Wrangell", "state": "AK", "paymentType": "CAH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "probable", "score": 0.843, "matched": true }, "financials": { "patientServiceMargin2yr": -4476397, "totalMargin2yr": 5415083.5, "currentNetAssets": -1328953, "totalNetAssets": -1328953, "totalExpense": 15751601, "reserveRunwayYears": 0 }, "website": { "id": "0001999929", "ccn": "0001999929", "name": "WRANGELL MEDICAL CENTER - SEARHC", "city": "WRANGELL", "state": "AK", "latitude": 56.4717823898921, "longitude": -132.375803900016, "recordKey": "0001999929|WRANGELL MEDICAL CENTER - SEARHC|310 BENNETT ST|WRANGELL|AK|99929", "href": "/?record=0001999929%7CWRANGELL%20MEDICAL%20CENTER%20-%20SEARHC%7C310%20BENNETT%20ST%7CWRANGELL%7CAK%7C99929", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-056afeabefc97f30", "chqprName": "Ketchikan Medical Center", "city": "Ketchikan", "state": "AK", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "estimated", "score": 0.755, "matched": true }, "financials": { "patientServiceMargin2yr": -7586431.5, "totalMargin2yr": -8147769, "currentNetAssets": 11621000, "totalNetAssets": 14876000, "totalExpense": 109231782, "reserveRunwayYears": 3.92 }, "website": { "id": "021311", "ccn": "021311", "name": "KETCHIKAN MEDICAL CENTER", "city": "KETCHIKAN", "state": "AK", "latitude": 55.3537186897489, "longitude": -131.685788419774, "recordKey": "021311|KETCHIKAN MEDICAL CENTER|3100 TONGASS AVE|KETCHIKAN|AK|99901", "href": "/?record=021311%7CKETCHIKAN%20MEDICAL%20CENTER%7C3100%20TONGASS%20AVE%7CKETCHIKAN%7CAK%7C99901", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-6dc532240961e8bd", "chqprName": "Athens Limestone Hospital", "city": "Athens", "state": "AL", "paymentType": "IPPS", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -4250582.5, "totalMargin2yr": -2956004.5, "currentNetAssets": -29552082, "totalNetAssets": -34024586, "totalExpense": 118799711, "reserveRunwayYears": 0 }, "website": { "id": "010079", "ccn": "010079", "name": "ATHENS LIMESTONE HOSPITAL", "city": "ATHENS", "state": "AL", "latitude": 34.8041639296724, "longitude": -86.9784072097557, "recordKey": "010079|ATHENS LIMESTONE HOSPITAL|700 WEST MARKET STREET|ATHENS|AL|35611", "href": "/?record=010079%7CATHENS%20LIMESTONE%20HOSPITAL%7C700%20WEST%20MARKET%20STREET%7CATHENS%7CAL%7C35611", "evidenceStatus": "signal", "publicStatus": "watch", "publicStatusLabel": "Orange caution · signal or inconclusive", "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-bb244dafa14244ac", "chqprName": "Atmore Community Hospital", "city": "Atmore", "state": "AL", "paymentType": "IPPS", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -6282011.5, "totalMargin2yr": -2802988.5, "currentNetAssets": -5360902, "totalNetAssets": -8626799, "totalExpense": 21693173, "reserveRunwayYears": 0 }, "website": { "id": "010169", "ccn": "010169", "name": "ATMORE COMMUNITY HOSPITAL", "city": "ATMORE", "state": "AL", "latitude": 31.0170238701971, "longitude": -87.4787985096355, "recordKey": "010169|ATMORE COMMUNITY HOSPITAL|401 MEDICAL PARK DR|ATMORE|AL|36502", "href": "/?record=010169%7CATMORE%20COMMUNITY%20HOSPITAL%7C401%20MEDICAL%20PARK%20DR%7CATMORE%7CAL%7C36502", "evidenceStatus": "corporate_chain", "publicStatus": "exposed", "publicStatusLabel": "Corporate, system, or private-equity warning", "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-b76a9a992c13cb91", "chqprName": "Community Hospital Inc", "city": "Tallassee", "state": "AL", "paymentType": "IPPS", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -1741800.5, "totalMargin2yr": -1824907.5, "currentNetAssets": -7970204, "totalNetAssets": -9135815, "totalExpense": 22346528, "reserveRunwayYears": 0 }, "website": { "id": "010034", "ccn": "010034", "name": "COMMUNITY HOSPITAL, INC", "city": "TALLASSEE", "state": "AL", "latitude": 32.533909829636, "longitude": -85.9122466097184, "recordKey": "010034|COMMUNITY HOSPITAL, INC|805 FRIENDSHIP ROAD|TALLASSEE|AL|36078", "href": "/?record=010034%7CCOMMUNITY%20HOSPITAL%2C%20INC%7C805%20FRIENDSHIP%20ROAD%7CTALLASSEE%7CAL%7C36078", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-bd99e113fbce69f2", "chqprName": "Crenshaw Community Hospital", "city": "Luverne", "state": "AL", "paymentType": "CAH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -4475090, "totalMargin2yr": -1407638, "currentNetAssets": 485075, "totalNetAssets": -3093843, "totalExpense": 13840690, "reserveRunwayYears": 0.22 }, "website": { "id": "011308", "ccn": "011308", "name": "CRENSHAW COMMUNITY HOSPITAL", "city": "LUVERNE", "state": "AL", "latitude": 31.6935440698576, "longitude": -86.2650457001574, "recordKey": "011308|CRENSHAW COMMUNITY HOSPITAL|101 HOSPITAL CIRCLE|LUVERNE|AL|36049", "href": "/?record=011308%7CCRENSHAW%20COMMUNITY%20HOSPITAL%7C101%20HOSPITAL%20CIRCLE%7CLUVERNE%7CAL%7C36049", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk 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W. MCMILLAN MEMORIAL HOSPITAL", "city": "BREWTON", "state": "AL", "latitude": 31.1270339100898, "longitude": -87.0734993003192, "recordKey": "010099|D. W. MCMILLAN MEMORIAL HOSPITAL|1301 BELLEVILLE AVENUE, PO DRAWER 908|BREWTON|AL|36427", "href": "/?record=010099%7CD.%20W.%20MCMILLAN%20MEMORIAL%20HOSPITAL%7C1301%20BELLEVILLE%20AVENUE%2C%20PO%20DRAWER%20908%7CBREWTON%7CAL%7C36427", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-6e957d0074b47665", "chqprName": "DeKalb Regional Medical Center", "city": "Fort Payne", "state": "AL", "paymentType": "SCH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -9701170, "totalMargin2yr": -10035258, "currentNetAssets": -24816547, "totalNetAssets": -24839195, "totalExpense": 67083139, "reserveRunwayYears": 0 }, "website": { "id": "010012", "ccn": "010012", "name": "DEKALB REGIONAL MEDICAL CENTER", "city": "FORT PAYNE", "state": "AL", "latitude": 34.4412798398413, "longitude": -85.7562183699535, "recordKey": "010012|DEKALB REGIONAL MEDICAL CENTER|200 MEDICAL CENTER DRIVE, PO BOX 680778|FORT PAYNE|AL|35968", "href": "/?record=010012%7CDEKALB%20REGIONAL%20MEDICAL%20CENTER%7C200%20MEDICAL%20CENTER%20DRIVE%2C%20PO%20BOX%20680778%7CFORT%20PAYNE%7CAL%7C35968", "evidenceStatus": "confirmed_pe", "publicStatus": "exposed", "publicStatusLabel": "Corporate, system, or private-equity warning", "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-0fa7bd70fb8c7a22", "chqprName": "Fayette Medical Center", "city": "Fayette", "state": "AL", "paymentType": "IPPS", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -5538368.5, "totalMargin2yr": -4114684, "currentNetAssets": -12765450, "totalNetAssets": -19135069, "totalExpense": 33423397, "reserveRunwayYears": 0 }, "website": { "id": "010045", "ccn": "010045", "name": "FAYETTE MEDICAL CENTER", "city": "FAYETTE", "state": "AL", "latitude": 33.7081781396303, "longitude": -87.8246889797195, "recordKey": "010045|FAYETTE MEDICAL CENTER|1653 TEMPLE AVENUE NORTH, PO DRAWER 710|FAYETTE|AL|35555", "href": "/?record=010045%7CFAYETTE%20MEDICAL%20CENTER%7C1653%20TEMPLE%20AVENUE%20NORTH%2C%20PO%20DRAWER%20710%7CFAYETTE%7CAL%7C35555", "evidenceStatus": "corporate_chain", "publicStatus": "exposed", "publicStatusLabel": "Corporate, system, or private-equity warning", "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-a31ef7fc3c340d47", "chqprName": "Highlands Medical Center", "city": "Scottsboro", "state": "AL", "paymentType": "SCH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -21175957.5, "totalMargin2yr": -16845511.5, "currentNetAssets": -31946746, "totalNetAssets": -29227349, "totalExpense": 66517512, "reserveRunwayYears": 0 }, "website": { "id": "010061", "ccn": "010061", "name": "HIGHLANDS MEDICAL CENTER", "city": "SCOTTSBORO", "state": "AL", "latitude": 34.6620379299333, "longitude": -86.0474908000459, "recordKey": "010061|HIGHLANDS MEDICAL CENTER|380 WOODS COVE ROAD, PO BOX 1050|SCOTTSBORO|AL|35768", "href": "/?record=010061%7CHIGHLANDS%20MEDICAL%20CENTER%7C380%20WOODS%20COVE%20ROAD%2C%20PO%20BOX%201050%7CSCOTTSBORO%7CAL%7C35768", "evidenceStatus": "signal", "publicStatus": "watch", "publicStatusLabel": "Orange caution · signal or inconclusive", "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-6abe77ed8bee0f48", "chqprName": "Lake Martin Community Hospital", "city": "Dadeville", "state": "AL", "paymentType": "IPPS", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -4571355, "totalMargin2yr": -3775676, "currentNetAssets": -3676765, "totalNetAssets": -3676765, "totalExpense": 14062442, "reserveRunwayYears": 0 }, "website": { "id": "010052", "ccn": "010052", "name": "LAKE MARTIN COMMUNITY HOSPITAL", "city": "DADEVILLE", "state": "AL", "latitude": 32.8185985702565, "longitude": -85.741139909856, "recordKey": "010052|LAKE MARTIN COMMUNITY HOSPITAL|201 MARIARDEN ROAD, PO BOX 629|DADEVILLE|AL|36853", "href": "/?record=010052%7CLAKE%20MARTIN%20COMMUNITY%20HOSPITAL%7C201%20MARIARDEN%20ROAD%2C%20PO%20BOX%20629%7CDADEVILLE%7CAL%7C36853", "evidenceStatus": "corporate_chain", "publicStatus": "exposed", "publicStatusLabel": "Corporate, system, or private-equity warning", "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-9476505f16b3dea0", "chqprName": "Lakeland Community Hospital", "city": "Haleyville", "state": "AL", "paymentType": "CAH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -3954572.5, "totalMargin2yr": -1971304.5, "currentNetAssets": 216934, "totalNetAssets": -2909198, "totalExpense": 19723277, "reserveRunwayYears": 0.11 }, "website": { "id": "010125", "ccn": "010125", "name": "LAKELAND COMMUNITY HOSPITAL", "city": "HALEYVILLE", "state": "AL", "latitude": 34.2419118702558, "longitude": -87.5913657996105, "recordKey": "010125|LAKELAND COMMUNITY HOSPITAL|42024 HIGHWAY 195, PO BOX 780|HALEYVILLE|AL|35565", "href": "/?record=010125%7CLAKELAND%20COMMUNITY%20HOSPITAL%7C42024%20HIGHWAY%20195%2C%20PO%20BOX%20780%7CHALEYVILLE%7CAL%7C35565", "evidenceStatus": "corporate_chain", "publicStatus": "exposed", "publicStatusLabel": "Corporate, system, or private-equity warning", "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-cc83effc1726401b", "chqprName": "Medical Center Barbour", "city": "Eufaula", "state": "AL", "paymentType": "CAH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -3866467.5, "totalMargin2yr": -2511001, "currentNetAssets": -2383008, "totalNetAssets": -4566484, "totalExpense": 18819431, "reserveRunwayYears": 0 }, "website": { "id": "011307", "ccn": "011307", "name": "MEDICAL CENTER BARBOUR", "city": "EUFAULA", "state": "AL", "latitude": 31.8886450799336, "longitude": -85.156405419641, "recordKey": "011307|MEDICAL CENTER BARBOUR|820 WEST WASHINGTON STREET|EUFAULA|AL|36027", "href": "/?record=011307%7CMEDICAL%20CENTER%20BARBOUR%7C820%20WEST%20WASHINGTON%20STREET%7CEUFAULA%7CAL%7C36027", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-d97336bac2b4b8db", "chqprName": "Mizell Memorial Hospital", "city": "Opp", "state": "AL", "paymentType": "IPPS", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -5570946, "totalMargin2yr": -1404589, "currentNetAssets": 1760867, "totalNetAssets": -2030969, "totalExpense": 25323351, "reserveRunwayYears": 0.63 }, "website": { "id": "010007", "ccn": "010007", "name": "MIZELL MEMORIAL HOSPITAL", "city": "OPP", "state": "AL", "latitude": 31.2919582399428, 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this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-71ab71a84bb4d3b8", "chqprName": "Monroe County Hospital", "city": "Monroeville", "state": "AL", "paymentType": "CAH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -11666246.5, "totalMargin2yr": -10421593, "currentNetAssets": -84288, "totalNetAssets": -1645765, "totalExpense": 45502656, "reserveRunwayYears": 0 }, "website": { "id": 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This is broad red system control, not a PE ownership claim." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-e6f220d0e1cd4cd1", "chqprName": "Baxter Health Fulton County Hospital", "city": "Salem", "state": "AR", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -3078039, "totalMargin2yr": 403699, "currentNetAssets": 3237158, "totalNetAssets": 3943819, "totalExpense": 11588740, "reserveRunwayYears": 2.56 }, "website": { "id": "041322", "ccn": "041322", "name": "FULTON COUNTY HOSPITAL", "city": "SALEM", "state": "AR", "latitude": 36.3829008802599, "longitude": -91.8103079502907, "recordKey": "041322|FULTON COUNTY HOSPITAL|679 NORTH MAIN STREET|SALEM|AR|72576", "href": "/?record=041322%7CFULTON%20COUNTY%20HOSPITAL%7C679%20NORTH%20MAIN%20STREET%7CSALEM%7CAR%7C72576", "evidenceStatus": "signal", "publicStatus": "watch", "publicStatusLabel": "Orange caution · signal or inconclusive", "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-42c61185a090c781", "chqprName": "Chambers Memorial Hospital", "city": "Danville", "state": "AR", "paymentType": "SCH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -871293, "totalMargin2yr": -374053.5, "currentNetAssets": 10441361, "totalNetAssets": 8026489, "totalExpense": 24661652, "reserveRunwayYears": 23.97 }, "website": { "id": "040011", "ccn": "040011", "name": "CHAMBERS MEMORIAL HOSPITAL", "city": "DANVILLE", "state": "AR", "latitude": 35.0544297802671, "longitude": -93.3880591396684, "recordKey": "040011|CHAMBERS MEMORIAL HOSPITAL|719 DETROIT STREET|DANVILLE|AR|72833", "href": "/?record=040011%7CCHAMBERS%20MEMORIAL%20HOSPITAL%7C719%20DETROIT%20STREET%7CDANVILLE%7CAR%7C72833", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-5ea38ca3bef98730", "chqprName": "CHI St Vincent Morrilton", "city": "Morrilton", "state": "AR", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -3646506, "totalMargin2yr": -2597881.5, "currentNetAssets": 12411038, "totalNetAssets": 14032724, "totalExpense": 23234662, "reserveRunwayYears": 7.7 }, "website": { "id": "041324", "ccn": "041324", "name": "CHI ST. 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This is broad red system control, not a PE ownership claim." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-853dac9f519a6d71", "chqprName": "Dallas County Medical Center", "city": "Fordyce", "state": "AR", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -2201947.5, "totalMargin2yr": 1053638.5, "currentNetAssets": 7309431, "totalNetAssets": 7309431, "totalExpense": 13568339, "reserveRunwayYears": 6.64 }, "website": { "id": "041317", "ccn": "041317", "name": "DALLAS COUNTY MEDICAL CENTER", "city": "FORDYCE", "state": "AR", "latitude": 33.8108553897259, "longitude": -92.4255876404143, "recordKey": "041317|DALLAS COUNTY MEDICAL CENTER|201 CLIFTON STREET|FORDYCE|AR|71742", "href": "/?record=041317%7CDALLAS%20COUNTY%20MEDICAL%20CENTER%7C201%20CLIFTON%20STREET%7CFORDYCE%7CAR%7C71742", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-e39ea8bbeebb6ab1", "chqprName": "Dardanelle Regional Medical Center", "city": "Dardanelle", "state": "AR", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -374313, "totalMargin2yr": -5590.5, "currentNetAssets": 2831393, "totalNetAssets": -6380961, "totalExpense": 19478331, "reserveRunwayYears": 15.13 }, "website": { "id": "0196784201", "ccn": "0196784201", "name": "DARDANELLE HOSPITAL", "city": "DARDANELLE", "state": "AR", "latitude": 35.2204871202875, "longitude": -93.1572646398291, "recordKey": "0196784201|DARDANELLE HOSPITAL|200 NORTH THIRD STREET|DARDANELLE|AR|72834", "href": "/?record=0196784201%7CDARDANELLE%20HOSPITAL%7C200%20NORTH%20THIRD%20STREET%7CDARDANELLE%7CAR%7C72834", "evidenceStatus": "unknown", "publicStatus": "unreviewed", "publicStatusLabel": "Not yet classified", "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-cc14449c47cb5e72", 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the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-ec604e1c951854b3", "chqprName": "Great River Medical Center", "city": "Blytheville", "state": "AR", "paymentType": "SCH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -10991934.5, "totalMargin2yr": -4229032, "currentNetAssets": 29270918, "totalNetAssets": 28762662, "totalExpense": 27024824, "reserveRunwayYears": 5.33 }, "website": { "id": "040069", "ccn": "040069", "name": "GREAT RIVER MEDICAL CENTER", "city": "BLYTHEVILLE", "state": "AR", "latitude": 35.9430199298777, "longitude": -89.9173112504465, "recordKey": "040069|GREAT RIVER MEDICAL CENTER|1520 NORTH DIVISION STREET|BLYTHEVILLE|AR|72315", "href": "/?record=040069%7CGREAT%20RIVER%20MEDICAL%20CENTER%7C1520%20NORTH%20DIVISION%20STREET%7CBLYTHEVILLE%7CAR%7C72315", "evidenceStatus": "verified_independent", 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"sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-147073250866cbb3", "chqprName": "Johnson Regional Medical Center", "city": "Clarksville", "state": "AR", "paymentType": "IPPS", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -2578346, "totalMargin2yr": -3878575, "currentNetAssets": 19462864, "totalNetAssets": 3250101, "totalExpense": 45017897, "reserveRunwayYears": 15.1 }, "website": { "id": "040002", "ccn": "040002", "name": "JOHNSON REGIONAL MEDICAL CENTER", "city": "CLARKSVILLE", "state": "AR", "latitude": 35.4615757903062, "longitude": -93.4440806302048, "recordKey": "040002|JOHNSON REGIONAL MEDICAL CENTER|1100 EAST POPLAR 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"chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-cbf0f5c3c61d2dc9", "chqprName": "Lawrence Memorial Hospital", "city": "Walnut Ridge", "state": "AR", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -5891919.5, "totalMargin2yr": -575344.5, "currentNetAssets": 7493395, "totalNetAssets": 7587762, "totalExpense": 20831007, "reserveRunwayYears": 2.58 }, "website": { "id": "041309", "ccn": "041309", "name": "LAWRENCE MEMORIAL HOSPITAL", "city": 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{ "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-7cf75de5a2e7275e", "chqprName": "Benewah Community Hospital", "city": "St Maries", "state": "ID", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -1176236, "totalMargin2yr": -159220, "currentNetAssets": 2862810, "totalNetAssets": -19354005, "totalExpense": 21000889, "reserveRunwayYears": 4.87 }, "website": { "id": "0001283861", "ccn": "0001283861", "name": "BENEWAH COMMUNITY HOSPITAL", "city": "ST MARIES", "state": "ID", "latitude": 47.3146595200375, "longitude": -116.567579220225, "recordKey": "0001283861|BENEWAH COMMUNITY HOSPITAL|229 S 7TH ST|ST MARIES|ID|83861", "href": 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"verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-54ce03e6dfbc5805", "chqprName": "Hardin County General Hospital", "city": "Rosiclare", "state": "IL", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "probable", "score": 0.841, "matched": true }, "financials": { "patientServiceMargin2yr": -1281591, "totalMargin2yr": -132036, "currentNetAssets": 3414438, "totalNetAssets": 3264259, "totalExpense": 17223714, "reserveRunwayYears": 5.33 }, "website": { "id": "141328", "ccn": "141328", "name": "HARDIN COUNTY GENERAL HOSPITAL", "city": "ROSICLARE", "state": "IL", "latitude": 37.4222804196767, "longitude": -88.3517249397469, "recordKey": "141328|HARDIN COUNTY GENERAL HOSPITAL|6 FERRELL RD, PO BOX 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"chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-525766c05c8f22a7", "chqprName": "Hoopeston Community Memorial Hospital", "city": "Hoopeston", "state": "IL", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -2631646.5, "totalMargin2yr": 184628.5, "currentNetAssets": 8814509, "totalNetAssets": 4569044, "totalExpense": 78938072, "reserveRunwayYears": 6.7 }, "website": { "id": "0196785436", "ccn": "0196785436", "name": "HOOPESTON COMMUNITY 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Full research is still required." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-1c0c2770139e18e7", "chqprName": "Iroquois Memorial Hospital", "city": "Watseka", "state": "IL", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -3612482.5, "totalMargin2yr": -6540689, "currentNetAssets": -1441427, "totalNetAssets": 3111633, "totalExpense": 42667484, "reserveRunwayYears": 1.72 }, "website": { "id": "141353", "ccn": "141353", "name": "IROQUOIS MEMORIAL HOSPITAL", "city": "WATSEKA", "state": "IL", "latitude": 40.765601890167, "longitude": -87.7325174801296, "recordKey": "141353|IROQUOIS MEMORIAL HOSPITAL|200 FAIRMAN AVE|WATSEKA|IL|60970", "href": "/?record=141353%7CIROQUOIS%20MEMORIAL%20HOSPITAL%7C200%20FAIRMAN%20AVE%7CWATSEKA%7CIL%7C60970", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields 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website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-ce5214ddaee2a930", "chqprName": "Lawrence County Memorial Hospital", "city": "Lawrenceville", "state": "IL", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -4857867, "totalMargin2yr": 583455.5, "currentNetAssets": 6262164, "totalNetAssets": 6152469, "totalExpense": 35518199, "reserveRunwayYears": 2.58 }, "website": { "id": "141344", "ccn": "141344", "name": "LAWRENCE COUNTY MEMORIAL HOSPITAL", "city": "LAWRENCEVILLE", "state": "IL", "latitude": 38.7286151797878, "longitude": -87.6938732501808, "recordKey": "141344|LAWRENCE COUNTY MEMORIAL HOSPITAL|2200 STATE ST|LAWRENCEVILLE|IL|62439", "href": "/?record=141344%7CLAWRENCE%20COUNTY%20MEMORIAL%20HOSPITAL%7C2200%20STATE%20ST%7CLAWRENCEVILLE%7CIL%7C62439", "evidenceStatus": 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{ "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-61c154e42ea59bf4", "chqprName": "Sarah Bush Lincoln Fayette County Hospital", "city": "Vandalia", "state": "IL", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "unresolved", "score": 0.613, "matched": false }, "financials": { "patientServiceMargin2yr": -6837845.5, "totalMargin2yr": -656265.5, "currentNetAssets": 1647994, "totalNetAssets": -23044723, "totalExpense": 44087166, "reserveRunwayYears": 0.48 }, "website": null, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", 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98999232, "reserveRunwayYears": 440.21 }, "website": { "id": "150086", "ccn": "150086", "name": "ST ELIZABETH DEARBORN HOSPITAL", "city": "LAWRENCEBURG", "state": "IN", "latitude": 39.1115913502198, "longitude": -84.8833990495666, "recordKey": "150086|ST ELIZABETH DEARBORN HOSPITAL|600 WILSON CREEK RD|LAWRENCEBURG|IN|47025", "href": "/?record=150086%7CST%20ELIZABETH%20DEARBORN%20HOSPITAL%7C600%20WILSON%20CREEK%20RD%7CLAWRENCEBURG%7CIN%7C47025", "evidenceStatus": "signal", "publicStatus": "watch", "publicStatusLabel": "Orange caution · signal or inconclusive", "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. 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} ] }, { "sourceRecordId": "chqpr-7efb57a4dcdb234c", "chqprName": "Neosho Memorial Regional Medical Center", "city": "Chanute", "state": "KS", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "unresolved", "score": 1, "matched": false }, "financials": { "patientServiceMargin2yr": -4307593.5, "totalMargin2yr": -994097.5, "currentNetAssets": 17774391, "totalNetAssets": 1361782, "totalExpense": 63638336, "reserveRunwayYears": 8.25 }, "website": null, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this 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"0009467560", "ccn": "0009467560", "name": "NESS COUNTY HOSPITAL DISTRICT NUMBER 2", "city": "NESS CITY", "state": "KS", "latitude": 38.4582533899073, "longitude": -99.90164076974, "recordKey": "0009467560|NESS COUNTY HOSPITAL DISTRICT NUMBER 2|312 E CUSTER ST|NESS CITY|KS|67560", "href": "/?record=0009467560%7CNESS%20COUNTY%20HOSPITAL%20DISTRICT%20NUMBER%202%7C312%20E%20CUSTER%20ST%7CNESS%20CITY%7CKS%7C67560", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], 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"/?record=171328%7COTTAWA%20COUNTY%20HEALTH%20CENTER%7C215%20E%208TH%20ST%2C%20PO%20BOX%20290%7CMINNEAPOLIS%7CKS%7C67467", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-56859f0ecae6d070", "chqprName": "Patterson Health Center", "city": "Anthony", "state": "KS", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -4618035, "totalMargin2yr": -2678037, "currentNetAssets": 10406692, "totalNetAssets": 161194, "totalExpense": 25623209, "reserveRunwayYears": 4.51 }, "website": { "id": "171346", "ccn": "171346", "name": "PATTERSON HEALTH CENTER", "city": "ANTHONY", "state": "KS", "latitude": 37.2227509600237, 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"chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-11e29ddeba0a56df", "chqprName": "Lallie Kemp Medical Center", "city": "Independence", "state": "LA", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -20184769.5, "totalMargin2yr": -20301381, "currentNetAssets": 2246320, "totalNetAssets": 1990581, "totalExpense": 52803828, "reserveRunwayYears": 0.22 }, "website": { "id": "191321", "ccn": "191321", "name": "LALLIE KEMP MEDICAL CENTER", "city": "INDEPENDENCE", "state": "LA", "latitude": 30.6222688003606, "longitude": -90.4978020300891, "recordKey": "191321|LALLIE KEMP MEDICAL CENTER|52579 HIGHWAY 51 SOUTH|INDEPENDENCE|LA|70443", "href": 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"id": "190116", "ccn": "190116", "name": "MOREHOUSE GENERAL HOSPITAL", "city": "BASTROP", "state": "LA", "latitude": 32.7749942696286, "longitude": -91.9173583402546, "recordKey": "190116|MOREHOUSE GENERAL HOSPITAL|323 WEST WALNUT|BASTROP|LA|71220", "href": "/?record=190116%7CMOREHOUSE%20GENERAL%20HOSPITAL%7C323%20WEST%20WALNUT%7CBASTROP%7CLA%7C71220", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", 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"verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-17019eff8d6af909", "chqprName": "Trinity Medical", "city": "Ferriday", "state": "LA", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -4621987.5, "totalMargin2yr": 69238.5, "currentNetAssets": 20240056, "totalNetAssets": -11155877, "totalExpense": 39009152, "reserveRunwayYears": 8.76 }, "website": { "id": "0196784625", "ccn": "0196784625", "name": "TRINITY MEDICAL", "city": "FERRIDAY", "state": "LA", "latitude": 31.6098301999101, "longitude": -91.5266306995688, "recordKey": "0196784625|TRINITY MEDICAL|6569 HWY 84|FERRIDAY|LA|71334", "href": 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This baseline red tag flags corporate/operator review need; it is not a direct PE claim." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-467d173b26d22b7e", "chqprName": "Lakewood Health Center", "city": "Baudette", "state": "MN", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -1519061.5, "totalMargin2yr": -552218.5, "currentNetAssets": 2308380, "totalNetAssets": 12981313, "totalExpense": 23699394, "reserveRunwayYears": 17.09 }, "website": { "id": "241301", "ccn": "241301", "name": "LAKEWOOD HEALTH CENTER", "city": "BAUDETTE", "state": "MN", "latitude": 48.7065832599128, "longitude": -94.6004167002202, "recordKey": "241301|LAKEWOOD HEALTH CENTER|600 MAIN AVENUE SOUTH|BAUDETTE|MN|56623", "href": "/?record=241301%7CLAKEWOOD%20HEALTH%20CENTER%7C600%20MAIN%20AVENUE%20SOUTH%7CBAUDETTE%7CMN%7C56623", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-b92dce5ce1170251", "chqprName": "Madelia Health", "city": "Madelia", "state": "MN", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "unresolved", "score": 1, "matched": false }, "financials": { "patientServiceMargin2yr": -480874, "totalMargin2yr": -657614, "currentNetAssets": 2536274, "totalNetAssets": 3200606, "totalExpense": 25672093, "reserveRunwayYears": 13.31 }, "website": null, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-02d5a547349831ea", "chqprName": "Mayo Clinic Health System - 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This is broad red system control, not a PE ownership claim." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-80d964ccadd2462e", "chqprName": "Mayo Clinic Health System Albert Lea and Austin", "city": "Albert Lea", "state": "MN", "paymentType": "SCH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -4138982.5, "totalMargin2yr": -1888808.5, "currentNetAssets": 18686927, "totalNetAssets": 38169383, "totalExpense": 323669273, "reserveRunwayYears": 18.44 }, "website": { "id": "0004256007", "ccn": "0004256007", "name": "MAYO CLINIC ALBERT LEA AUSTIN", "city": "ALBERT LEA", "state": "MN", "latitude": 43.6523607000882, "longitude": -93.3727522999779, "recordKey": "0004256007|MAYO CLINIC ALBERT LEA AUSTIN|404 WEST FOUNTAIN STREET|ALBERT LEA|MN|56007", "href": "/?record=0004256007%7CMAYO%20CLINIC%20ALBERT%20LEA%20AUSTIN%7C404%20WEST%20FOUNTAIN%20STREET%7CALBERT%20LEA%7CMN%7C56007", "evidenceStatus": "corporate_chain", "publicStatus": "exposed", "publicStatusLabel": "Corporate, system, or private-equity warning", "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-bf6b6552fdb84558", "chqprName": "North Valley Health Center", "city": "Warren", "state": "MN", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -767232, "totalMargin2yr": -332598.5, "currentNetAssets": 3292152, "totalNetAssets": -5224886, "totalExpense": 17774172, "reserveRunwayYears": 8.58 }, "website": { "id": "241337", "ccn": "241337", "name": "NORTH VALLEY HEALTH CENTER", "city": "WARREN", "state": "MN", "latitude": 48.1912760402086, "longitude": -96.7729239096639, "recordKey": "241337|NORTH VALLEY HEALTH CENTER|300 WEST GOOD SAMARITAN DRIVE|WARREN|MN|56762", "href": "/?record=241337%7CNORTH%20VALLEY%20HEALTH%20CENTER%7C300%20WEST%20GOOD%20SAMARITAN%20DRIVE%7CWARREN%7CMN%7C56762", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-028f31a697da44f7", "chqprName": "River's Edge Hospital & Clinic", "city": "St Peter", "state": "MN", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "probable", "score": 0.883, "matched": true }, "financials": { "patientServiceMargin2yr": -2075801.5, "totalMargin2yr": -3028291.5, "currentNetAssets": 12590206, "totalNetAssets": -27324773, "totalExpense": 65953571, "reserveRunwayYears": 12.13 }, "website": { "id": "0012456082", "ccn": "0012456082", "name": "RIVERS EDGE HOSPITAL AND CLINIC", "city": "ST. PETER", "state": "MN", "latitude": 44.3497525499551, "longitude": -93.9724491897523, "recordKey": "0012456082|RIVERS EDGE HOSPITAL AND CLINIC|1900 NORTH SUNRISE DRIVE|ST. 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"chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-b15593b69a4265dc", "chqprName": "Riverwood Healthcare Center", "city": "Aitkin", "state": "MN", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -2534488.5, "totalMargin2yr": -11631870, "currentNetAssets": 24225919, "totalNetAssets": -27865766, "totalExpense": 123302077, "reserveRunwayYears": 19.12 }, "website": { "id": "241305", "ccn": "241305", "name": "RIVERWOOD HEALTHCARE CENTER", "city": "AITKIN", "state": "MN", "latitude": 46.529711670177, "longitude": -93.698445519931, "recordKey": "241305|RIVERWOOD HEALTHCARE CENTER|200 BUNKER HILL DRIVE|AITKIN|MN|56431", "href": "/?record=241305%7CRIVERWOOD%20HEALTHCARE%20CENTER%7C200%20BUNKER%20HILL%20DRIVE%7CAITKIN%7CMN%7C56431", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-26fa21d8a74325d9", "chqprName": "Sanford Bemidji Medical Center", "city": "Bemidji", "state": "MN", "paymentType": "SCH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -9034057.5, "totalMargin2yr": -4048723.5, "currentNetAssets": 56760482, "totalNetAssets": 43383267, "totalExpense": 446144040, "reserveRunwayYears": 12.57 }, "website": { "id": "240100", "ccn": "240100", "name": "SANFORD BEMIDJI MEDICAL CENTER", "city": "BEMIDJI", "state": "MN", "latitude": 47.5033918999722, "longitude": -94.8999171198, "recordKey": "240100|SANFORD BEMIDJI MEDICAL CENTER|1300 ANNE STREET NW|BEMIDJI|MN|56601", "href": "/?record=240100%7CSANFORD%20BEMIDJI%20MEDICAL%20CENTER%7C1300%20ANNE%20STREET%20NW%7CBEMIDJI%7CMN%7C56601", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-6ecac997aa40ee7b", "chqprName": "St Gabriels Hospital", "city": "Little Falls", "state": "MN", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -11604188.5, "totalMargin2yr": -7997424.5, "currentNetAssets": 4963634, "totalNetAssets": 9657162, "totalExpense": 95474877, "reserveRunwayYears": 1.66 }, "website": { "id": "241370", "ccn": "241370", "name": "ST. GABRIEL'S HOSPITAL", "city": "LITTLE FALLS", "state": "MN", "latitude": 45.9668817600175, "longitude": -94.3625669004113, "recordKey": "241370|ST. 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"sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-003fbdb185dfbb60", "chqprName": "Winona Health Services", "city": "Winona", "state": "MN", "paymentType": "SCH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -5320222, "totalMargin2yr": -7821276.5, "currentNetAssets": 34725241, "totalNetAssets": 23055625, "totalExpense": 135945705, "reserveRunwayYears": 13.05 }, "website": { "id": "240044", "ccn": "240044", "name": "WINONA HEALTH SERVICES", 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"Richmond", "state": "MO", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -3395634.5, "totalMargin2yr": -2583153, "currentNetAssets": 2003536, "totalNetAssets": 11916211, "totalExpense": 29852616, "reserveRunwayYears": 7.02 }, "website": { "id": "261327", "ccn": "261327", "name": "RAY COUNTY MEMORIAL HOSPITAL", "city": "RICHMOND", "state": "MO", "latitude": 39.2643778497193, "longitude": -93.9574211404136, "recordKey": "261327|RAY COUNTY MEMORIAL HOSPITAL|904 WOLLARD BOULEVARD|RICHMOND|MO|64085", "href": "/?record=261327%7CRAY%20COUNTY%20MEMORIAL%20HOSPITAL%7C904%20WOLLARD%20BOULEVARD%7CRICHMOND%7CMO%7C64085", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a 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"sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-63d168cac2015a5c", "chqprName": "Wright Memorial Hospital", "city": "Trenton", "state": "MO", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -1683245.5, "totalMargin2yr": 822926.5, "currentNetAssets": 14592938, "totalNetAssets": 16602729, "totalExpense": 39542236, "reserveRunwayYears": 19.73 }, "website": { "id": "261309", "ccn": "261309", "name": "WRIGHT MEMORIAL HOSPITAL", "city": "TRENTON", "state": "MO", "latitude": 40.0678669899125, "longitude": -93.5816396703233, "recordKey": "261309|WRIGHT MEMORIAL HOSPITAL|191 IOWA BOULEVARD|TRENTON|MO|64683", "href": 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"CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. 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This is a transaction warning until full research resolves buyer, seller, and current control." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains 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this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-663db124d768060f", "chqprName": "Hillcrest Hospital Henryetta", "city": "Henryetta", "state": "OK", "paymentType": "IPPS", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -1473519.5, "totalMargin2yr": -2013679.5, "currentNetAssets": 1521522, "totalNetAssets": -19989233, "totalExpense": 21193375, "reserveRunwayYears": 2.07 }, "website": { 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"reserveRunwayYears": 26.32 }, "website": { "id": "370015", "ccn": "370015", "name": "HILLCREST HOSPITAL PRYOR", "city": "PRYOR", "state": "OK", "latitude": 36.3082887496849, "longitude": -95.3047966703515, "recordKey": "370015|HILLCREST HOSPITAL PRYOR|111 NORTH BAILEY STREET|PRYOR|OK|74361", "href": "/?record=370015%7CHILLCREST%20HOSPITAL%20PRYOR%7C111%20NORTH%20BAILEY%20STREET%7CPRYOR%7COK%7C74361", "evidenceStatus": "confirmed_pe", "publicStatus": "exposed", "publicStatusLabel": "Corporate, system, or private-equity warning", "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state 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"sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-33dedca02d41017e", "chqprName": "Jefferson County Hospital", "city": "Waurika", "state": "OK", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -3265008, "totalMargin2yr": 6369064, "currentNetAssets": 25931369, "totalNetAssets": 25934369, "totalExpense": 39230857, "reserveRunwayYears": 15.89 }, "website": { "id": "371311", "ccn": "371311", "name": "JEFFERSON COUNTY HOSPITAL", "city": "WAURIKA", "state": "OK", "latitude": 34.1573124598369, "longitude": -97.9795152904082, "recordKey": "371311|JEFFERSON COUNTY HOSPITAL|INTERSECTION US HIGHWAYS 81 AND 70|WAURIKA|OK|73573", "href": 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"doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-1a5b6e7f715d6b81", "chqprName": "Mercy Hospital Tishomingo", "city": "Tishomingo", "state": "OK", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "probable", "score": 0.848, "matched": true }, "financials": { "patientServiceMargin2yr": -1649598.5, "totalMargin2yr": 1497130.5, "currentNetAssets": 741156, "totalNetAssets": 741156, "totalExpense": 10305351, "reserveRunwayYears": 0.9 }, "website": { "id": "371304", "ccn": "371304", "name": "MERCY HOSPITAL TISHOMINGO", "city": "TISHOMINGO", "state": "OK", "latitude": 34.2225646601525, "longitude": -96.6747809104268, "recordKey": "371304|MERCY HOSPITAL TISHOMINGO|1000 SOUTH BYRD ST|TISHOMINGO|OK|73460", "href": "/?record=371304%7CMERCY%20HOSPITAL%20TISHOMINGO%7C1000%20SOUTH%20BYRD%20ST%7CTISHOMINGO%7COK%7C73460", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-855177f339758f0e", "chqprName": "Mercy Hospital Watonga, Inc", "city": "Watonga", "state": "OK", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": 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"https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-f71413f2c3654c3c", "chqprName": "Geisinger Medical Center Muncy", "city": "Muncy", "state": "PA", "paymentType": "IPPS", "tier": "estimated_immediate", "estimated": true, "methodConfidence": 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"chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-72dbf2048e367463", "chqprName": "Westerly Hospital", "city": "Westerly", "state": "RI", "paymentType": "IPPS", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -679712.5, "totalMargin2yr": -13085933, "currentNetAssets": -70920659, "totalNetAssets": -71458498, "totalExpense": 137220872, "reserveRunwayYears": 0 }, "website": { "id": "410013", "ccn": "410013", "name": "WESTERLY HOSPITAL", "city": "WESTERLY", "state": "RI", "latitude": 41.3621890802614, "longitude": -71.8253032395575, "recordKey": "410013|WESTERLY HOSPITAL|25 WELLS ST|WESTERLY|RI|02891", "href": 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"reserveRunwayYears": 13.41 }, "website": { "id": "431301", "ccn": "431301", "name": "FAULKTON AREA MEDICAL CENTER", "city": "FAULKTON", "state": "SD", "latitude": 45.0306557201499, "longitude": -99.1326383696215, "recordKey": "431301|FAULKTON AREA MEDICAL CENTER|1300 OAK STREET|FAULKTON|SD|57438", "href": "/?record=431301%7CFAULKTON%20AREA%20MEDICAL%20CENTER%7C1300%20OAK%20STREET%7CFAULKTON%7CSD%7C57438", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { 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"sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-e48dc717f3f7ae1a", "chqprName": "Ascension Saint Thomas DeKalb", "city": "Smithville", "state": "TN", "paymentType": "IPPS", "tier": 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This baseline red tag flags corporate/operator review need; it is not a direct PE claim." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-0135cf28c5b1e6c9", "chqprName": "Haskell Memorial Hospital", "city": "Haskell", "state": "TX", "paymentType": "CAH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -4285729.5, "totalMargin2yr": -760695, "currentNetAssets": -4739634, "totalNetAssets": -6722617, "totalExpense": 16443712, "reserveRunwayYears": 0 }, "website": { "id": "451341", "ccn": "451341", "name": "HASKELL MEMORIAL HOSPITAL", "city": "HASKELL", "state": "TX", "latitude": 33.1573615103735, "longitude": -99.7446810201446, "recordKey": "451341|HASKELL MEMORIAL HOSPITAL|1 NORTH AVENUE N|HASKELL|TX|79521", "href": "/?record=451341%7CHASKELL%20MEMORIAL%20HOSPITAL%7C1%20NORTH%20AVENUE%20N%7CHASKELL%7CTX%7C79521", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no 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"/?record=450352%7CHUNT%20REGIONAL%20MEDICAL%20CENTER%20GREENVILLE%7C4215%20JOE%20RAMSEY%20BOULEVARD%7CGREENVILLE%7CTX%7C75401", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-d1aedb3f663c8c4d", "chqprName": "Lamb Healthcare Center", "city": "Littlefield", "state": "TX", "paymentType": "SCH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -4468941.5, "totalMargin2yr": -2183765, "currentNetAssets": 179800, "totalNetAssets": -3472298, "totalExpense": 17436867, "reserveRunwayYears": 0.08 }, "website": { "id": "450698", "ccn": "450698", "name": "LAMB HEALTHCARE CENTER", "city": "LITTLEFIELD", "state": "TX", "latitude": 33.9117068699582, "longitude": -102.344294910199, "recordKey": "450698|LAMB HEALTHCARE CENTER|1500 SOUTH SUNSET|LITTLEFIELD|TX|79339", "href": "/?record=450698%7CLAMB%20HEALTHCARE%20CENTER%7C1500%20SOUTH%20SUNSET%7CLITTLEFIELD%7CTX%7C79339", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-97d1ddb929afa7e7", "chqprName": "Lynn County Hospital District", "city": "Tahoka", "state": "TX", "paymentType": "CAH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -1078375.5, "totalMargin2yr": -299040, "currentNetAssets": -1915844, "totalNetAssets": 520933, "totalExpense": 23857044, "reserveRunwayYears": 0.97 }, "website": { "id": "451351", "ccn": "451351", "name": "LYNN COUNTY HOSPITAL DISTRICT", "city": "TAHOKA", "state": "TX", "latitude": 33.1672815596708, "longitude": -101.816151230408, "recordKey": "451351|LYNN COUNTY HOSPITAL DISTRICT|2600 LOCKWOOD|TAHOKA|TX|79373", "href": "/?record=451351%7CLYNN%20COUNTY%20HOSPITAL%20DISTRICT%7C2600%20LOCKWOOD%7CTAHOKA%7CTX%7C79373", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-afdd3118fed0faa7", "chqprName": "McCamey Hospital", "city": "Mccamey", "state": "TX", "paymentType": "CAH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "estimated", "score": 0.714, "matched": true }, "financials": { "patientServiceMargin2yr": -8821714.5, 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"doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-928e101535d0a16b", "chqprName": "Bellville Medical Center", "city": "Bellville", "state": "TX", "paymentType": "IPPS", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -4159212.5, "totalMargin2yr": 987231, "currentNetAssets": 761060, "totalNetAssets": 761060, "totalExpense": 12909132, "reserveRunwayYears": 0.37 }, "website": { "id": "450253", "ccn": "450253", "name": "BELLVILLE MEDICAL CENTER", "city": "BELLVILLE", "state": "TX", "latitude": 29.9531581303115, "longitude": -96.2600977702953, "recordKey": "450253|BELLVILLE MEDICAL CENTER|44 NORTH CUMMINGS STREET|BELLVILLE|TX|77418", "href": "/?record=450253%7CBELLVILLE%20MEDICAL%20CENTER%7C44%20NORTH%20CUMMINGS%20STREET%7CBELLVILLE%7CTX%7C77418", 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}, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-988c83575e7e0d6d", "chqprName": "Christus Spohn Hospital Beeville", "city": "Beeville", "state": "TX", "paymentType": "SCH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -59292, "totalMargin2yr": 4934329.5, "currentNetAssets": -10064791, "totalNetAssets": -8932949, "totalExpense": 40850478, "reserveRunwayYears": 0 }, "website": { "id": "450082", "ccn": "450082", "name": "CHRISTUS SPOHN 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"chqpr-fc569cd34a78b616", "chqprName": "Clay County Memorial Hospital", "city": "Henrietta", "state": "TX", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -2750478.5, "totalMargin2yr": -2039376, "currentNetAssets": 4288956, "totalNetAssets": 3980893, "totalExpense": 14768660, "reserveRunwayYears": 3.12 }, "website": { "id": "451362", "ccn": "451362", "name": "CLAY COUNTY MEMORIAL HOSPITAL", "city": "HENRIETTA", "state": "TX", "latitude": 33.8143726896714, "longitude": -98.1984841495567, "recordKey": "451362|CLAY COUNTY MEMORIAL HOSPITAL|310 WEST SOUTH STREET|HENRIETTA|TX|76365", "href": "/?record=451362%7CCLAY%20COUNTY%20MEMORIAL%20HOSPITAL%7C310%20WEST%20SOUTH%20STREET%7CHENRIETTA%7CTX%7C76365", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented 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"evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk 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unresolved." } ] }, { "sourceRecordId": "chqpr-2790d5c4b5e6aacc", "chqprName": "Comanche County Medical Center", "city": "Comanche", "state": "TX", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -13356863.5, "totalMargin2yr": 1363048, "currentNetAssets": 8396299, "totalNetAssets": 11674877, "totalExpense": 57762196, "reserveRunwayYears": 1.75 }, "website": { "id": "451382", "ccn": "451382", "name": "COMANCHE COUNTY MEDICAL CENTER", "city": "COMANCHE", "state": "TX", "latitude": 31.9842906801502, "longitude": -98.5615678297997, "recordKey": "451382|COMANCHE COUNTY MEDICAL CENTER|10201 HIGHWAY 16 NORTH|COMANCHE|TX|76442", "href": "/?record=451382%7CCOMANCHE%20COUNTY%20MEDICAL%20CENTER%7C10201%20HIGHWAY%2016%20NORTH%7CCOMANCHE%7CTX%7C76442", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-87273f12ef953a0a", "chqprName": "Concho County Hospital", "city": "Eden", "state": "TX", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -2170510.5, "totalMargin2yr": -451158, "currentNetAssets": 3902856, "totalNetAssets": 3837419, "totalExpense": 9061639, "reserveRunwayYears": 3.6 }, "website": { "id": "451325", "ccn": "451325", "name": "CONCHO COUNTY HOSPITAL", "city": "EDEN", "state": "TX", "latitude": 31.2212926600153, "longitude": -99.8481141199365, "recordKey": "451325|CONCHO COUNTY HOSPITAL|614 EAKER STREET|EDEN|TX|76837", "href": 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"https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-49d1e1ff5dad2109", "chqprName": "Hardeman County Memorial Hospital", "city": "Quanah", "state": "TX", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", 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"chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-9bdb6dee6417e202", "chqprName": "Heart of Texas Memorial Hospital", "city": "Brady", "state": "TX", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "state_quota_reconciled", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -3963048.5, "totalMargin2yr": -2593809, "currentNetAssets": 13635439, "totalNetAssets": 14988312, "totalExpense": 18165894, "reserveRunwayYears": 7.56 }, "website": { "id": "0008476825", "ccn": "0008476825", "name": "HEART OF TEXAS HEALTHCARE SYSTEM", "city": "BRADY", "state": "TX", "latitude": 31.1176884997612, "longitude": -99.3468536101878, "recordKey": "0008476825|HEART OF TEXAS HEALTHCARE SYSTEM|2008 NINE ROAD|BRADY|TX|76825", "href": "/?record=0008476825%7CHEART%20OF%20TEXAS%20HEALTHCARE%20SYSTEM%7C2008%20NINE%20ROAD%7CBRADY%7CTX%7C76825", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic 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identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-70ee6046cf3c956a", "chqprName": "Jackson Healthcare Center", "city": "Edna", "state": "TX", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, "financials": { "patientServiceMargin2yr": -10697401.5, "totalMargin2yr": 1321138, "currentNetAssets": 16625104, "totalNetAssets": 15888417, "totalExpense": 32328273, "reserveRunwayYears": 3.11 }, "website": { "id": 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"sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-2b54dacb17568fa4", "chqprName": "South Big Horn County Critical Access Hospital", "city": "Basin", "state": "WY", "paymentType": "CAH", "tier": "estimated_immediate", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "exact", "score": 1, "matched": true }, 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"chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-9a58d43fb1d7efa5", "chqprName": "Crook County Hospital", "city": 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"state": "WY", "latitude": 44.3508046897923, "longitude": -106.706491569918, "recordKey": "531308|JOHNSON COUNTY MEMORIAL HOSPITAL DBA JOHNSON COUNTY HEALTHCARE CENTER|497 WEST LOTT|BUFFALO|WY|82834", "href": "/?record=531308%7CJOHNSON%20COUNTY%20MEMORIAL%20HOSPITAL%20DBA%20JOHNSON%20COUNTY%20HEALTHCARE%20CENTER%7C497%20WEST%20LOTT%7CBUFFALO%7CWY%7C82834", "evidenceStatus": "verified_independent", "publicStatus": "clear", "publicStatusLabel": "Reviewed · no documented PE link", "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass." }, "sourceIds": [ "chqpr-solutions-2026-05", "chqpr-data1-2026-05", "chqpr-data5-2026-05" ], "sourceUrls": [ "https://ruralhospitals.chqpr.org/Solutions.html", "https://ruralhospitals.chqpr.org/Data1.html", "https://ruralhospitals.chqpr.org/Data5.html" ], "sourceNotes": [ { "sourceId": "chqpr-solutions-2026-05", "proves": "CHQPR May 2026 state totals for rural hospitals at risk and at immediate risk.", "doesNotProve": "CHQPR does not identify this hospital by name as being in either risk group." }, { "sourceId": "chqpr-data5-2026-05", "proves": "The hospital financial values used for the within-state estimate.", "doesNotProve": "The exact unpublished CHQPR risk classification or future closure." }, { "sourceId": "chqpr-data1-2026-05", "proves": "The CHQPR hospital name, city, state, and payment-type context.", "doesNotProve": "Identity linkage to the website where the name match remains unresolved." } ] }, { "sourceRecordId": "chqpr-c12a29150bb62ae9", "chqprName": "South Lincoln Medical Center - CAH", "city": "Kemmerer", "state": "WY", "paymentType": "CAH", "tier": "estimated_at_risk", "estimated": true, "methodConfidence": "higher_financial_fit", "identityMatch": { "method": "unresolved", "score": 1, "matched": false }, "financials": { "patientServiceMargin2yr": -1416307.5, "totalMargin2yr": 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website where the name match remains unresolved." } ] } ] }