{ "schemaVersion": 1, "generatedAt": "2026-07-02T17:31:14.077Z", "state": "DE", "stateName": "Delaware", "slug": "delaware", "files": { "json": "/data/states/delaware-impact-summary.json", "csv": "/data/states/delaware-hospital-impact-2026-07-02.csv", "workbook": "/data/states/delaware-state-impact-2026-07-02.xlsx" }, "methodology": { "baseline": "Acquisition-anchored before/after where a documented acquisition date and compatible pre/post HCRIS periods exist; otherwise earliest-to-latest context is labeled as non-causal.", "quality": "Quality trend fields are reserved for CMS HAI, mortality, readmission, and related measure series. Missing fields are shown as not_available rather than inferred.", "debt": "Documented debt events are separated from HCRIS financial-stress signals. Financial stress is not labeled asset stripping unless filings document a debt, dividend, leaseback, asset-sale, bankruptcy, or bond event.", "causation": "These are descriptive before/after signals, not proof that ownership caused the change." }, "counts": { "hospitals": 23, "currentPeCount": 1, "formerPeCount": 0, "peBefore2010Count": 0, "closuresAfterPeCount": 0, "worseningQualityCount": 0, "worseningFinancialCount": 1, "unresolvedCount": 2, "documentedDebtEventCount": 0, "ceoCompensationStructuredCount": 0 }, "statusCounts": { "verified_independent": 11, "corporate_chain": 9, "unknown": 2, "confirmed_pe": 1 }, "tierDefinitions": [ { "tier": "Tier 1", "definition": "Confirmed PE ownership/control or closed after documented PE acquisition." }, { "tier": "Tier 2", "definition": "PE-backed contract, former PE ownership, documented debt/bankruptcy/asset-sale concern, or transaction warning." }, { "tier": "Tier 3", "definition": "Corporate-chain or major-system exposure without PE proof." }, { "tier": "Independent/Unresolved", "definition": "No documented PE exposure, verified independent, unknown, or evidence incomplete." } ], "topFinancialDeclines": [ { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "status": "Declining", "leadMetric": "Operating expense", "percentChange": 13.43783396770746, "display": "Operating expense +13.4%", "baselineType": "earliest_latest_no_pre_acquisition_period", "sourceIds": [ "source-cms-hcris" ], "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence." } ], "hospitalRows": [ { "hospitalId": "0000219901", "ccn": "", "hospital": "BAYHEALTH HOSPITAL KENT CAMPUS", "city": "DOVER", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Mixed", "publicStatus": "verified_independent", "publicStatusLabel": "Verified independent", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "080009", "ccn": "080009", "hospital": "BAYHEALTH HOSPITAL SUSSEX CAMPUS", "city": "MILFORD", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Mixed", "publicStatus": "verified_independent", "publicStatusLabel": "Verified independent", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "080007", "ccn": "080007", "hospital": "BEEBE MEDICAL CENTER", "city": "LEWES", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Mixed", "publicStatus": "verified_independent", "publicStatusLabel": "Verified independent", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "080001", "ccn": "080001", "hospital": "CHRISTIANA CARE HEALTH SERVICES - CHRISTIANA HOSPITAL", "city": "NEWARK", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Mixed", "publicStatus": "verified_independent", "publicStatusLabel": "Verified independent", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "0000519801", "ccn": "", "hospital": "CHRISTIANA CARE HEALTH SERVICES - WILMINGTON HOSPITAL", "city": "WILMINGTON", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Mixed", "publicStatus": "verified_independent", "publicStatusLabel": "Verified independent", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "084001", "ccn": "084001", "hospital": "DELAWARE PSYCHIATRIC CENTER", "city": "NEW CASTLE", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Mixed", "publicStatus": "verified_independent", "publicStatusLabel": "Verified independent", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "084004", "ccn": "084004", "hospital": "DOVER BEHAVIORAL HEALTH SYSTEM", "city": "DOVER", "state": "DE", "tier": "Tier 3", "overallStatus": "Mixed", "publicStatus": "corporate_chain", "publicStatusLabel": "Corporate chain", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "0001619709", "ccn": "", "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MIDDLETOWN", "city": "MIDDLETOWN", "state": "DE", "tier": "Tier 3", "overallStatus": "Mixed", "publicStatus": "corporate_chain", "publicStatusLabel": "Corporate chain", "relationshipType": "", "peFirm": "", "parentSystem": "Encompass Health", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "084003", "ccn": "084003", "hospital": "MEADOWWOOD BEHAVIORAL HEALTH SYSTEM", "city": "NEW CASTLE", "state": "DE", "tier": "Tier 3", "overallStatus": "Mixed", "publicStatus": "corporate_chain", "publicStatusLabel": "Corporate chain", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "083300", "ccn": "083300", "hospital": "NEMOURS CHILDREN'S HOSPITAL DELAWARE", "city": "WILMINGTON", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Mixed", "publicStatus": "verified_independent", "publicStatusLabel": "Verified independent", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "0196784303", "ccn": "", "hospital": "PAM REHAB HOSPITAL OF DOVER", "city": "DOVER", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Unknown", "publicStatus": "unknown", "publicStatusLabel": "Unknown", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "084002", "ccn": "084002", "hospital": "ROCKFORD CENTER", "city": "NEWARK", "state": "DE", "tier": "Tier 3", "overallStatus": "Mixed", "publicStatus": "corporate_chain", "publicStatusLabel": "Corporate chain", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "0001419805", "ccn": "", "hospital": "SELECT SPECIALTY HOSPITAL OF WILMINGTON", "city": "WILMINGTON", "state": "DE", "tier": "Tier 3", "overallStatus": "Mixed", "publicStatus": "corporate_chain", "publicStatusLabel": "Corporate chain", "relationshipType": "", "peFirm": "", "parentSystem": "Select Medical", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "0000819805", "ccn": "", "hospital": "ST FRANCIS HEALTHCARE", "city": "WILMINGTON", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Mixed", "publicStatus": "verified_independent", "publicStatusLabel": "Verified independent", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "084005", "ccn": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "state": "DE", "tier": "Tier 1", "overallStatus": "Declining", "publicStatus": "confirmed_pe", "publicStatusLabel": "Confirmed PE", "relationshipType": "ownership", "peFirm": "LLR Partners, HealthInvest Equity Partners, NewSpring Capital, Petra Capital Partners, SV Health Investors", "parentSystem": "SUN Behavioral Health", "formerOperator": "", "acquisitionDate": "October 2018", "acquisitionYear": 2018, "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Declining", "financialLeadMetric": "Operating expense", "financialLeadPercentChange": 13.43783396770746, "financialLeadDisplay": "Operating expense +13.4%", "financialBaselineType": "earliest_latest_no_pre_acquisition_period", "financialSourceIds": [ "source-cms-hcris" ], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 6, "evidenceState": "source_backed", "sourceIds": [ "source-hifld-hospitals", "source-pesp-hospital-tracker", "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-cms-hcris", "source-cms-care-compare" ], "sourceUrls": [ "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "https://pestakeholder.org/private-equity-hospital-tracker/", "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "https://data.cms.gov/provider-data/dataset/xubh-q36u" ], "dossierUrl": "/data/dossiers/084005.json", "note": "State row is derived from the existing source-backed public hospital dossier." }, { "hospitalId": "0196784447", "ccn": "", "hospital": "436TH MEDICAL GROUP", "city": "DOVER AIR FORCE BASE", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Mixed", "publicStatus": "verified_independent", "publicStatusLabel": "Verified independent", "relationshipType": "", "peFirm": "", "parentSystem": "U.S. Department of Defense", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "08002F", "ccn": "08002F", "hospital": "WILMINGTON VA MEDICAL CENTER", "city": "WILMINGTON", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Mixed", "publicStatus": "verified_independent", "publicStatusLabel": "Verified independent", "relationshipType": "", "peFirm": "", "parentSystem": "U.S. Department of Veterans Affairs", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "0196785384", "ccn": "", "hospital": "CHRISTIANACARE (WILMINGTON)", "city": "WILMINGTON", "state": "DE", "tier": "Tier 3", "overallStatus": "Mixed", "publicStatus": "corporate_chain", "publicStatusLabel": "Corporate chain", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "0196785222", "ccn": "", "hospital": "PAM HEALTH REHAB HOSPITAL OF GEORGETOWN", "city": "GEORGETOWN", "state": "DE", "tier": "Tier 3", "overallStatus": "Mixed", "publicStatus": "corporate_chain", "publicStatusLabel": "Corporate chain", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "0196785221", "ccn": "", "hospital": "BEEBE HEALTHCARE SPECIALTY SURGICAL HOSPITAL", "city": "REHOBOTH BEACH", "state": "DE", "tier": "Tier 3", "overallStatus": "Mixed", "publicStatus": "corporate_chain", "publicStatusLabel": "Corporate chain", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "080006", "ccn": "080006", "hospital": "TIDALHEALTH NANTICOKE, INC.", "city": "SEAFORD", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Mixed", "publicStatus": "verified_independent", "publicStatusLabel": "Verified independent", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "0196785226", "ccn": "", "hospital": "CHRISTIANACARE (NEWARK)", "city": "NEWARK", "state": "DE", "tier": "Tier 3", "overallStatus": "Mixed", "publicStatus": "corporate_chain", "publicStatusLabel": "Corporate chain", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." }, { "hospitalId": "0196785414", "ccn": "", "hospital": "PAM REHAB HOSPITAL SUSSEX", "city": "MILFORD", "state": "DE", "tier": "Independent/Unresolved", "overallStatus": "Unknown", "publicStatus": "unknown", "publicStatusLabel": "Unknown", "relationshipType": "", "peFirm": "", "parentSystem": "", "formerOperator": "", "acquisitionDate": "", "acquisitionYear": "", "closureDate": "", "closureStatus": "", "qualityTrendStatus": "Unknown", "qualityLeadMetric": "CMS quality trend not loaded", "qualityLeadDisplay": "not available", "financialTrendStatus": "Unknown", "financialLeadMetric": "Financial trend not available", "financialLeadPercentChange": null, "financialLeadDisplay": "not available", "financialBaselineType": "not_available", "financialSourceIds": [], "debtAssetFlag": "none_structured", "ceoCompensationStatus": "unknown_not_public", "sourceCount": 0, "evidenceState": "not_available", "sourceIds": [], "sourceUrls": [], "dossierUrl": "", "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields." } ], "metricTrendRows": [ { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "metric": "net_income", "label": "Net income", "baselineType": "earliest_latest_no_pre_acquisition_period", "beforePeriod": "12/31/2021", "afterPeriod": "12/31/2023", "beforeValue": -170756, "afterValue": 2740637, "percentChange": 1705.001874019068, "direction": "better", "sourceIds": [ "source-cms-hcris" ], "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only." }, { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "metric": "total_liabilities", "label": "Total liabilities", "baselineType": "earliest_latest_no_pre_acquisition_period", "beforePeriod": "12/31/2021", "afterPeriod": "12/31/2023", "beforeValue": 43350202, "afterValue": 38955329, "percentChange": -10.138068099428924, "direction": "better", "sourceIds": [ "source-cms-hcris" ], "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only." }, { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "metric": "fte_employees", "label": "Payroll employees", "baselineType": "earliest_latest_no_pre_acquisition_period", "beforePeriod": "12/31/2021", "afterPeriod": "12/31/2023", "beforeValue": 183.98, "afterValue": 182.74, "percentChange": -0.673986302858996, "direction": "flat", "sourceIds": [ "source-cms-hcris" ], "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only." }, { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "metric": "beds", "label": "Beds", "baselineType": "earliest_latest_no_pre_acquisition_period", "beforePeriod": "12/31/2021", "afterPeriod": "12/31/2023", "beforeValue": 90, "afterValue": 90, "percentChange": 0, "direction": "flat", "sourceIds": [ "source-cms-hcris" ], "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only." }, { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "metric": "patient_days", "label": "Patient days", "baselineType": "earliest_latest_no_pre_acquisition_period", "beforePeriod": "12/31/2021", "afterPeriod": "12/31/2023", "beforeValue": 24118, "afterValue": 27091, "percentChange": 12.32689277717887, "direction": "better", "sourceIds": [ "source-cms-hcris" ], "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only." }, { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "metric": "discharges", "label": "Discharges", "baselineType": "earliest_latest_no_pre_acquisition_period", "beforePeriod": "12/31/2021", "afterPeriod": "12/31/2023", "beforeValue": 3884, "afterValue": 3896, "percentChange": 0.30895983522142123, "direction": "flat", "sourceIds": [ "source-cms-hcris" ], "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only." }, { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "metric": "operating_expense", "label": "Operating expense", "baselineType": "earliest_latest_no_pre_acquisition_period", "beforePeriod": "12/31/2021", "afterPeriod": "12/31/2023", "beforeValue": 20894610, "afterValue": 23702393, "percentChange": 13.43783396770746, "direction": "worse", "sourceIds": [ "source-cms-hcris" ], "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only." }, { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "metric": "net_patient_revenue", "label": "Net patient revenue", "baselineType": "earliest_latest_no_pre_acquisition_period", "beforePeriod": "12/31/2021", "afterPeriod": "12/31/2023", "beforeValue": 18751496, "afterValue": 24447688, "percentChange": 30.37726696579302, "direction": "up", "sourceIds": [ "source-cms-hcris" ], "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only." }, { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "metric": "total_assets", "label": "Total assets", "baselineType": "earliest_latest_no_pre_acquisition_period", "beforePeriod": "12/31/2021", "afterPeriod": "12/31/2023", "beforeValue": 32954015, "afterValue": 29974431, "percentChange": -9.041641815117217, "direction": "down", "sourceIds": [ "source-cms-hcris" ], "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only." } ], "documentedDebtEvents": [], "financialStressSignals": [ { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "status": "Declining", "leadMetric": "Operating expense", "percentChange": 13.43783396770746, "display": "Operating expense +13.4%", "baselineType": "earliest_latest_no_pre_acquisition_period", "sourceIds": [ "source-cms-hcris" ], "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence." } ], "compensationRows": [ { "hospitalId": "0000219901", "hospital": "BAYHEALTH HOSPITAL KENT CAMPUS", "city": "DOVER", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "080009", "hospital": "BAYHEALTH HOSPITAL SUSSEX CAMPUS", "city": "MILFORD", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "080007", "hospital": "BEEBE MEDICAL CENTER", "city": "LEWES", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "080001", "hospital": "CHRISTIANA CARE HEALTH SERVICES - CHRISTIANA HOSPITAL", "city": "NEWARK", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "0000519801", "hospital": "CHRISTIANA CARE HEALTH SERVICES - WILMINGTON HOSPITAL", "city": "WILMINGTON", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "084001", "hospital": "DELAWARE PSYCHIATRIC CENTER", "city": "NEW CASTLE", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "084004", "hospital": "DOVER BEHAVIORAL HEALTH SYSTEM", "city": "DOVER", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "0001619709", "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MIDDLETOWN", "city": "MIDDLETOWN", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "084003", "hospital": "MEADOWWOOD BEHAVIORAL HEALTH SYSTEM", "city": "NEW CASTLE", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "083300", "hospital": "NEMOURS CHILDREN'S HOSPITAL DELAWARE", "city": "WILMINGTON", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "0196784303", "hospital": "PAM REHAB HOSPITAL OF DOVER", "city": "DOVER", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "084002", "hospital": "ROCKFORD CENTER", "city": "NEWARK", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "0001419805", "hospital": "SELECT SPECIALTY HOSPITAL OF WILMINGTON", "city": "WILMINGTON", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "0000819805", "hospital": "ST FRANCIS HEALTHCARE", "city": "WILMINGTON", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "city": "GEORGETOWN", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "0196784447", "hospital": "436TH MEDICAL GROUP", "city": "DOVER AIR FORCE BASE", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "08002F", "hospital": "WILMINGTON VA MEDICAL CENTER", "city": "WILMINGTON", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "0196785384", "hospital": "CHRISTIANACARE (WILMINGTON)", "city": "WILMINGTON", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "0196785222", "hospital": "PAM HEALTH REHAB HOSPITAL OF GEORGETOWN", "city": "GEORGETOWN", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "0196785221", "hospital": "BEEBE HEALTHCARE SPECIALTY SURGICAL HOSPITAL", "city": "REHOBOTH BEACH", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "080006", "hospital": "TIDALHEALTH NANTICOKE, INC.", "city": "SEAFORD", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "0196785226", "hospital": "CHRISTIANACARE (NEWARK)", "city": "NEWARK", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." }, { "hospitalId": "0196785414", "hospital": "PAM REHAB HOSPITAL SUSSEX", "city": "MILFORD", "leaderName": "unknown_not_public", "title": "unknown_not_public", "compensationLatestYear": "", "compensationLatestAmount": "", "status": "unknown_not_public", "sourceId": "", "sourceUrl": "", "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package." } ], "closureRows": [], "timelineRows": [ { "date": "October 2018", "hospitalId": "084005", "hospital": "SUN BEHAVIORAL DELAWARE LLC", "eventType": "acquisition_or_control_event", "title": "SUN BEHAVIORAL DELAWARE LLC acquisition/control event", "summary": "LLR Partners, HealthInvest Equity Partners, NewSpring Capital, Petra Capital Partners, SV Health Investors / SUN Behavioral Health", "sourceIds": [ "source-hifld-hospitals", "source-pesp-hospital-tracker", "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-cms-hcris", "source-cms-care-compare" ] } ], "sourceCoverage": { "sourceBackedRows": 1, "notAvailableRows": 22, "totalSourceIds": 6 } }