{
  "schemaVersion": 1,
  "generatedAt": "2026-07-02T17:31:14.077Z",
  "state": "IA",
  "stateName": "Iowa",
  "slug": "iowa",
  "files": {
    "json": "/data/states/iowa-impact-summary.json",
    "csv": "/data/states/iowa-hospital-impact-2026-07-02.csv",
    "workbook": "/data/states/iowa-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": 143,
    "currentPeCount": 3,
    "formerPeCount": 0,
    "peBefore2010Count": 0,
    "closuresAfterPeCount": 0,
    "worseningQualityCount": 0,
    "worseningFinancialCount": 8,
    "unresolvedCount": 12,
    "documentedDebtEventCount": 0,
    "ceoCompensationStructuredCount": 0
  },
  "statusCounts": {
    "verified_independent": 106,
    "signal": 5,
    "corporate_chain": 22,
    "confirmed_pe": 3,
    "unknown": 7
  },
  "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": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 2534.6616738674024,
      "display": "Total liabilities +2534.7%",
      "baselineType": "acquisition_anchor",
      "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."
    },
    {
      "hospitalId": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 575.699212666179,
      "display": "Total liabilities +575.7%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "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."
    },
    {
      "hospitalId": "pe-tracker-163026",
      "hospital": "MERCY IOWA CITY REHABLITATION HOSPITAL",
      "city": "CORALVILLE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -152.58431227148193,
      "display": "Net income -152.6%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "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."
    },
    {
      "hospitalId": "160029",
      "hospital": "UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWNTOWN",
      "city": "IOWA CITY",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -68.09888191538921,
      "display": "Net income -68.1%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "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."
    },
    {
      "hospitalId": "160089",
      "hospital": "OTTUMWA REGIONAL HEALTH CENTER",
      "city": "OTTUMWA",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -50.113836141651305,
      "display": "Net income -50.1%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "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."
    },
    {
      "hospitalId": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "status": "Declining",
      "leadMetric": "Discharges",
      "percentChange": -44.34782608695652,
      "display": "Discharges -44.3%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "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."
    },
    {
      "hospitalId": "160153",
      "hospital": "MERCYONE SIOUXLAND",
      "city": "SIOUX CITY",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 31.779701664313446,
      "display": "Total liabilities +31.8%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "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."
    },
    {
      "hospitalId": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
      "city": "SIOUX CITY",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 5.273571186644988,
      "display": "Total liabilities +5.3%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "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": "161310",
      "ccn": "161310",
      "hospital": "ADAIR COUNTY MEMORIAL HOSPITAL",
      "city": "GREENFIELD",
      "state": "IA",
      "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": "0004450703",
      "ccn": "",
      "hospital": "ALLEN MEMORIAL HOSPITAL",
      "city": "WATERLOO",
      "state": "IA",
      "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": "161330",
      "ccn": "161330",
      "hospital": "AUDUBON COUNTY MEMORIAL HOSPITAL",
      "city": "AUDUBON",
      "state": "IA",
      "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": "161351",
      "ccn": "161351",
      "hospital": "AVERA HOLY FAMILY HOSPITAL",
      "city": "ESTHERVILLE",
      "state": "IA",
      "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": "161321",
      "ccn": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "state": "IA",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Discharges",
      "financialLeadPercentChange": -44.34782608695652,
      "financialLeadDisplay": "Discharges -44.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "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/161321.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "161372",
      "ccn": "161372",
      "hospital": "BOONE COUNTY HOSPITAL",
      "city": "BOONE",
      "state": "IA",
      "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": "160101",
      "ccn": "160101",
      "hospital": "BROADLAWNS MEDICAL CENTER",
      "city": "DES MOINES",
      "state": "IA",
      "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": "161335",
      "ccn": "161335",
      "hospital": "BUCHANAN COUNTY HEALTH CENTER",
      "city": "INDEPENDENCE",
      "state": "IA",
      "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": "161375",
      "ccn": "161375",
      "hospital": "BUENA VISTA REGIONAL MEDICAL CENTER",
      "city": "STORM LAKE",
      "state": "IA",
      "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": "161359",
      "ccn": "161359",
      "hospital": "BURGESS HEALTH CENTER",
      "city": "ONAWA",
      "state": "IA",
      "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": "161376",
      "ccn": "161376",
      "hospital": "CASS COUNTY MEMORIAL HOSPITAL",
      "city": "ATLANTIC",
      "state": "IA",
      "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": "161362",
      "ccn": "161362",
      "hospital": "CHEROKEE REGIONAL MEDICAL CENTER",
      "city": "CHEROKEE",
      "state": "IA",
      "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": "161304",
      "ccn": "161304",
      "hospital": "CHI HEALTH - MERCY CORNING",
      "city": "CORNING",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "CommonSpirit 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": "160028",
      "ccn": "160028",
      "hospital": "CHI HEALTH MERCY COUNCIL BLUFFS",
      "city": "COUNCIL BLUFFS",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "CommonSpirit 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": "161309",
      "ccn": "161309",
      "hospital": "CHI HEALTH MISSOURI VALLEY",
      "city": "MISSOURI VALLEY",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "CommonSpirit 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": "161352",
      "ccn": "161352",
      "hospital": "CLARINDA REGIONAL HEALTH CENTER",
      "city": "CLARINDA",
      "state": "IA",
      "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": "0011950213",
      "ccn": "",
      "hospital": "CLARKE COUNTY PUBLIC HOSPITAL",
      "city": "OSCEOLA",
      "state": "IA",
      "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": "164007",
      "ccn": "164007",
      "hospital": "CLIVE BEHAVIORAL HEALTH",
      "city": "CLIVE",
      "state": "IA",
      "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": "161320",
      "ccn": "161320",
      "hospital": "COMMUNITY MEMORIAL HOSPITAL",
      "city": "SUMNER",
      "state": "IA",
      "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": "161317",
      "ccn": "161317",
      "hospital": "COMPASS MEMORIAL HEALTHCARE",
      "city": "MARENGO",
      "state": "IA",
      "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": "161369",
      "ccn": "161369",
      "hospital": "CRAWFORD COUNTY MEMORIAL HOSPITAL",
      "city": "DENISON",
      "state": "IA",
      "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": "161322",
      "ccn": "161322",
      "hospital": "DALLAS COUNTY HOSPITAL",
      "city": "PERRY",
      "state": "IA",
      "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": "161327",
      "ccn": "161327",
      "hospital": "DAVIS COUNTY HOSPITAL",
      "city": "BLOOMFIELD",
      "state": "IA",
      "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": "161340",
      "ccn": "161340",
      "hospital": "DECATUR COUNTY HOSPITAL",
      "city": "LEON",
      "state": "IA",
      "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": "164006",
      "ccn": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "state": "IA",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Patient Square Capital",
      "parentSystem": "Summit Behavioral Healthcare",
      "formerOperator": "",
      "acquisitionDate": "January 2022",
      "acquisitionYear": 2022,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 2534.6616738674024,
      "financialLeadDisplay": "Total liabilities +2534.7%",
      "financialBaselineType": "acquisition_anchor",
      "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/164006.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "160117",
      "ccn": "160117",
      "hospital": "FINLEY HOSPITAL",
      "city": "DUBUQUE",
      "state": "IA",
      "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": "161347",
      "ccn": "161347",
      "hospital": "FLOYD COUNTY MEDICAL CENTER",
      "city": "CHARLES CITY",
      "state": "IA",
      "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": "161368",
      "ccn": "161368",
      "hospital": "FLOYD VALLEY HEALTHCARE",
      "city": "LEMARS",
      "state": "IA",
      "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": "0013652627",
      "ccn": "",
      "hospital": "FORT MADISON COMMUNITY HOSPITAL",
      "city": "FORT MADISON",
      "state": "IA",
      "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": "161308",
      "ccn": "161308",
      "hospital": "FRANKLIN GENERAL HOSPITAL",
      "city": "HAMPTON",
      "state": "IA",
      "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": "160033",
      "ccn": "160033",
      "hospital": "GENESIS MEDICAL CENTER",
      "city": "DAVENPORT",
      "state": "IA",
      "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": "161313",
      "ccn": "161313",
      "hospital": "GENESIS MEDICAL CENTER - DEWITT",
      "city": "DEWITT",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Genesishealth",
      "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": "161324",
      "ccn": "161324",
      "hospital": "GEORGE C GRAPE COMMUNITY HOSPITAL",
      "city": "HAMBURG",
      "state": "IA",
      "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": "0013852655",
      "ccn": "",
      "hospital": "GREAT RIVER MEDICAL CENTER",
      "city": "WEST BURLINGTON",
      "state": "IA",
      "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": "161365",
      "ccn": "161365",
      "hospital": "GREATER REGIONAL MEDICAL CENTER",
      "city": "CRESTON",
      "state": "IA",
      "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": "161325",
      "ccn": "161325",
      "hospital": "GREENE COUNTY MEDICAL CENTER",
      "city": "JEFFERSON",
      "state": "IA",
      "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": "160147",
      "ccn": "160147",
      "hospital": "GRINNELL REGIONAL MEDICAL CENTER",
      "city": "GRINNELL",
      "state": "IA",
      "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": "161303",
      "ccn": "161303",
      "hospital": "GRUNDY COUNTY MEMORIAL HOSPITAL",
      "city": "GRUNDY CENTER",
      "state": "IA",
      "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": "161316",
      "ccn": "161316",
      "hospital": "GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS",
      "city": "WEST UNION",
      "state": "IA",
      "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": "161314",
      "ccn": "161314",
      "hospital": "GUTHRIE COUNTY HOSPITAL",
      "city": "GUTHRIE CENTER",
      "state": "IA",
      "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": "161312",
      "ccn": "161312",
      "hospital": "GUTTENBERG MUNICIPAL HOSPITAL",
      "city": "GUTTENBERG",
      "state": "IA",
      "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": "161307",
      "ccn": "161307",
      "hospital": "HANCOCK COUNTY HEALTH SYSTEM",
      "city": "BRITT",
      "state": "IA",
      "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": "161380",
      "ccn": "161380",
      "hospital": "HANSEN FAMILY HOSPITAL",
      "city": "IOWA FALLS",
      "state": "IA",
      "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": "161311",
      "ccn": "161311",
      "hospital": "HAWARDEN REGIONAL HEALTHCARE",
      "city": "HAWARDEN",
      "state": "IA",
      "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": "0001051247",
      "ccn": "",
      "hospital": "HEGG MEMORIAL HOSPITAL",
      "city": "ROCK VALLEY",
      "state": "IA",
      "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": "161356",
      "ccn": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "state": "IA",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 575.699212666179,
      "financialLeadDisplay": "Total liabilities +575.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "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/161356.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "161354",
      "ccn": "161354",
      "hospital": "HORN MEMORIAL HOSPITAL",
      "city": "IDA GROVE",
      "state": "IA",
      "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": "161334",
      "ccn": "161334",
      "hospital": "HUMBOLDT COUNTY MEMORIAL HOSPITAL",
      "city": "HUMBOLDT",
      "state": "IA",
      "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": "0017152241",
      "ccn": "",
      "hospital": "IOWA MEDICAL AND CLASSIFICATION CENTER",
      "city": "CORALVILLE",
      "state": "IA",
      "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": "161301",
      "ccn": "161301",
      "hospital": "IOWA SPECIALTY HOSPITAL - BELMOND",
      "city": "BELMOND",
      "state": "IA",
      "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": "161302",
      "ccn": "161302",
      "hospital": "IOWA SPECIALTY HOSPITAL - CLARION",
      "city": "CLARION",
      "state": "IA",
      "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": "161329",
      "ccn": "161329",
      "hospital": "JACKSON COUNTY REGIONAL HEALTH CENTER",
      "city": "MAQUOKETA",
      "state": "IA",
      "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": "0094952556",
      "ccn": "",
      "hospital": "JEFFERSON COUNTY HOSPITAL CAH",
      "city": "FAIRFIELD",
      "state": "IA",
      "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": "161306",
      "ccn": "161306",
      "hospital": "JONES REGIONAL MEDICAL CENTER",
      "city": "ANAMOSA",
      "state": "IA",
      "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": "0013752632",
      "ccn": "",
      "hospital": "KEOKUK AREA HOSPITAL",
      "city": "KEOKUK",
      "state": "IA",
      "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": "161315",
      "ccn": "161315",
      "hospital": "KEOKUK COUNTY HEALTH CENTER",
      "city": "SIGOURNEY",
      "state": "IA",
      "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": "0010950138",
      "ccn": "",
      "hospital": "KNOXVILLE HOSPITAL AND CLINICS",
      "city": "KNOXVILLE",
      "state": "IA",
      "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": "161353",
      "ccn": "161353",
      "hospital": "KOSSUTH REGIONAL HEALTH CENTER",
      "city": "ALGONA",
      "state": "IA",
      "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": "160124",
      "ccn": "160124",
      "hospital": "LAKES REGIONAL HEALTHCARE",
      "city": "SPIRIT LAKE",
      "state": "IA",
      "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": "161370",
      "ccn": "161370",
      "hospital": "LORING HOSPITAL",
      "city": "SAC CITY",
      "state": "IA",
      "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": "161341",
      "ccn": "161341",
      "hospital": "LUCAS COUNTY HEALTH CENTER",
      "city": "CHARITON",
      "state": "IA",
      "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": "161326",
      "ccn": "161326",
      "hospital": "MADISON COUNTY HEALTH CARE SYSTEM",
      "city": "WINTERSET",
      "state": "IA",
      "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": "161379",
      "ccn": "161379",
      "hospital": "MAHASKA HEALTH PARTNERSHIP",
      "city": "OSKALOOSA",
      "state": "IA",
      "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": "161332",
      "ccn": "161332",
      "hospital": "MANNING REGIONAL HEALTHCARE CENTER CAH",
      "city": "MANNING",
      "state": "IA",
      "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": "160030",
      "ccn": "160030",
      "hospital": "MARY GREELEY MEDICAL CENTER",
      "city": "AMES",
      "state": "IA",
      "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": "164002",
      "ccn": "164002",
      "hospital": "MENTAL HEALTH INSTITUTE CHEROKEE",
      "city": "CHEROKEE",
      "state": "IA",
      "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": "164003",
      "ccn": "164003",
      "hospital": "MENTAL HEALTH INSTITUTE HOSPITAL IND",
      "city": "INDEPENDENCE",
      "state": "IA",
      "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": "0008752245",
      "ccn": "",
      "hospital": "MERCY HOSPITAL IC",
      "city": "IOWA CITY",
      "state": "IA",
      "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": "0196784600",
      "ccn": "",
      "hospital": "MERCY IOWA CITY REHABILITATION HOSPITAL",
      "city": "CORALVILLE",
      "state": "IA",
      "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": "0007452403",
      "ccn": "",
      "hospital": "MERCY MEDICAL CENTER CR",
      "city": "CEDAR RAPIDS",
      "state": "IA",
      "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": "0196784601",
      "ccn": "",
      "hospital": "MERCY REHABILITATION HOSPITAL, LLC",
      "city": "CLIVE",
      "state": "IA",
      "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": "0004350613",
      "ccn": "",
      "hospital": "MERCYONE CEDAR FALLS MEDICAL CENTER",
      "city": "CEDAR FALLS",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "161377",
      "ccn": "161377",
      "hospital": "MERCYONE CENTERVILLE MEDICAL CENTER",
      "city": "CENTERVILLE",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "160080",
      "ccn": "160080",
      "hospital": "MERCYONE CLINTON MEDICAL CENTER",
      "city": "CLINTON",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "160083",
      "ccn": "160083",
      "hospital": "MERCYONE DES MOINES MEDICAL CENTER",
      "city": "DES MOINES",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "160069",
      "ccn": "160069",
      "hospital": "MERCYONE DUBUQUE MEDICAL CENTER",
      "city": "DUBUQUE",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "161378",
      "ccn": "161378",
      "hospital": "MERCYONE DYERSVILLE MEDICAL CENTER",
      "city": "DYERSVILLE",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "161319",
      "ccn": "161319",
      "hospital": "MERCYONE ELKADER MEDICAL CENTER",
      "city": "ELKADER",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "0002150659",
      "ccn": "",
      "hospital": "MERCYONE NEW HAMPTON MEDICAL CENTER",
      "city": "NEW HAMPTON",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "160032",
      "ccn": "160032",
      "hospital": "MERCYONE NEWTON MEDICAL CENTER",
      "city": "NEWTON",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "160064",
      "ccn": "160064",
      "hospital": "MERCYONE NORTH IOWA MEDICAL CENTER",
      "city": "MASON CITY",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "161338",
      "ccn": "161338",
      "hospital": "MERCYONE OELWEIN MEDICAL CENTER",
      "city": "OELWEIN",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "0001751245",
      "ccn": "",
      "hospital": "MERCYONE PRIMGHAR MEDICAL CENTER",
      "city": "PRIMGHAR",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "160153",
      "ccn": "160153",
      "hospital": "MERCYONE SIOUXLAND",
      "city": "SIOUX CITY",
      "state": "IA",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 31.779701664313446,
      "financialLeadDisplay": "Total liabilities +31.8%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "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-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/160153.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "160067",
      "ccn": "160067",
      "hospital": "MERCYONE WATERLOO MEDICAL CENTER",
      "city": "WATERLOO",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Trinity 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": "160047",
      "ccn": "160047",
      "hospital": "METHODIST JENNIE EDMUNDSON",
      "city": "COUNCIL BLUFFS",
      "state": "IA",
      "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": "0000000065",
      "ccn": "",
      "hospital": "METHODIST WEST HOSPITAL",
      "city": "WEST DES MOINES",
      "state": "IA",
      "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": "161323",
      "ccn": "161323",
      "hospital": "MITCHELL COUNTY REGIONAL HEALTH CENTER",
      "city": "OSAGE",
      "state": "IA",
      "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": "161342",
      "ccn": "161342",
      "hospital": "MONROE COUNTY HOSPITAL",
      "city": "ALBIA",
      "state": "IA",
      "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": "161363",
      "ccn": "161363",
      "hospital": "MONTGOMERY COUNTY MEMORIAL HOSPITAL",
      "city": "RED OAK",
      "state": "IA",
      "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": "161374",
      "ccn": "161374",
      "hospital": "MYRTUE MEDICAL CENTER",
      "city": "HARLAN",
      "state": "IA",
      "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": "161360",
      "ccn": "161360",
      "hospital": "ORANGE CITY AREA HEALTH SYSTEM",
      "city": "ORANGE CITY",
      "state": "IA",
      "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": "161345",
      "ccn": "161345",
      "hospital": "OSCEOLA COMMUNITY HOSPITAL",
      "city": "SIBLEY",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Avera",
      "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": "160089",
      "ccn": "160089",
      "hospital": "OTTUMWA REGIONAL HEALTH CENTER",
      "city": "OTTUMWA",
      "state": "IA",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -50.113836141651305,
      "financialLeadDisplay": "Net income -50.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "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/160089.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "161357",
      "ccn": "161357",
      "hospital": "PALO ALTO COUNTY HOSPITAL",
      "city": "EMMETSBURG",
      "state": "IA",
      "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": "161367",
      "ccn": "161367",
      "hospital": "PELLA REGIONAL HEALTH CENTER CAH",
      "city": "PELLA",
      "state": "IA",
      "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": "161305",
      "ccn": "161305",
      "hospital": "POCAHONTAS COMMUNITY HOSPITAL",
      "city": "POCAHONTAS",
      "state": "IA",
      "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": "161328",
      "ccn": "161328",
      "hospital": "REGIONAL HEALTH SERVICES OF HOWARD COUNTY",
      "city": "CRESCO",
      "state": "IA",
      "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": "161343",
      "ccn": "161343",
      "hospital": "REGIONAL MEDICAL CENTER",
      "city": "MANCHESTER",
      "state": "IA",
      "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": "161373",
      "ccn": "161373",
      "hospital": "RINGGOLD COUNTY HOSPITAL",
      "city": "MOUNT AYR",
      "state": "IA",
      "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": "161381",
      "ccn": "161381",
      "hospital": "SANFORD SHELDON MEDICAL CENTER",
      "city": "SHELDON",
      "state": "IA",
      "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": "0017550314",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - DES MOINES",
      "city": "DES MOINES",
      "state": "IA",
      "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": "0009952806",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - QUAD CITIES",
      "city": "DAVENPORT",
      "state": "IA",
      "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": "161366",
      "ccn": "161366",
      "hospital": "SHENANDOAH MEDICAL CENTER",
      "city": "SHENANDOAH",
      "state": "IA",
      "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": "161346",
      "ccn": "161346",
      "hospital": "SIOUX CENTER HEALTH",
      "city": "SIOUX CENTER",
      "state": "IA",
      "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": "160112",
      "ccn": "160112",
      "hospital": "SPENCER MUNICIPAL HOSPITAL",
      "city": "SPENCER",
      "state": "IA",
      "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": "161382",
      "ccn": "161382",
      "hospital": "ST ANTHONY REGIONAL HOSPITAL",
      "city": "CARROLL",
      "state": "IA",
      "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": "160045",
      "ccn": "160045",
      "hospital": "ST LUKE'S HOSPITAL CR",
      "city": "CEDAR RAPIDS",
      "state": "IA",
      "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": "160146",
      "ccn": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
      "city": "SIOUX CITY",
      "state": "IA",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 5.273571186644988,
      "financialLeadDisplay": "Total liabilities +5.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "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/160146.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "161350",
      "ccn": "161350",
      "hospital": "STEWART MEMORIAL COMMUNITY HOSPITAL",
      "city": "LAKE CITY",
      "state": "IA",
      "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": "161333",
      "ccn": "161333",
      "hospital": "STORY COUNTY HOSPITAL",
      "city": "NEVADA",
      "state": "IA",
      "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": "160013",
      "ccn": "160013",
      "hospital": "TRINITY MUSCATINE",
      "city": "MUSCATINE",
      "state": "IA",
      "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": "160016",
      "ccn": "160016",
      "hospital": "TRINITY REGIONAL MEDICAL CENTER",
      "city": "FORT DODGE",
      "state": "IA",
      "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": "0013952722",
      "ccn": "",
      "hospital": "UNITY POINT HEALTH TRINITY",
      "city": "BETTENDORF",
      "state": "IA",
      "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": "160082",
      "ccn": "160082",
      "hospital": "UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDICAL CENTER",
      "city": "DES MOINES",
      "state": "IA",
      "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": "160001",
      "ccn": "160001",
      "hospital": "UNITYPOINT HEALTH MARSHALLTOWN",
      "city": "MARSHALLTOWN",
      "state": "IA",
      "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": "0196784604",
      "ccn": "",
      "hospital": "UNIV OF IOWA HEALTH NETWORK REHAB HOSPITAL",
      "city": "CORALVILLE",
      "state": "IA",
      "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": "0009052242",
      "ccn": "",
      "hospital": "UNIVERSITY OF IOWA HOSPITALS AND CLINICS",
      "city": "IOWA CITY",
      "state": "IA",
      "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": "161337",
      "ccn": "161337",
      "hospital": "VAN BUREN COUNTY HOSPITAL",
      "city": "KEOSAUQUA",
      "state": "IA",
      "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": "161361",
      "ccn": "161361",
      "hospital": "VAN DIEST MEDICAL CENTER",
      "city": "WEBSTER CITY",
      "state": "IA",
      "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": "161318",
      "ccn": "161318",
      "hospital": "VETERANS MEMORIAL HOSPITAL",
      "city": "WAUKON",
      "state": "IA",
      "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": "161349",
      "ccn": "161349",
      "hospital": "VIRGINIA GAY HOSPITAL",
      "city": "VINTON",
      "state": "IA",
      "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": "161344",
      "ccn": "161344",
      "hospital": "WASHINGTON COUNTY HOSPITAL AND CLINICS",
      "city": "WASHINGTON",
      "state": "IA",
      "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": "161339",
      "ccn": "161339",
      "hospital": "WAVERLY HEALTH CENTER",
      "city": "WAVERLY",
      "state": "IA",
      "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": "161358",
      "ccn": "161358",
      "hospital": "WAYNE COUNTY HOSPITAL",
      "city": "CORYDON",
      "state": "IA",
      "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": "0000652101",
      "ccn": "",
      "hospital": "WINNESHIEK MEDICAL CENTER",
      "city": "DECORAH",
      "state": "IA",
      "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": "0093650310",
      "ccn": "",
      "hospital": "DES MOINES VA MEDICAL CENTER",
      "city": "DES MOINES",
      "state": "IA",
      "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": "16004F",
      "ccn": "16004F",
      "hospital": "IOWA CITY VA MEDICAL CENTER",
      "city": "IOWA CITY",
      "state": "IA",
      "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": "0091951555",
      "ccn": "",
      "hospital": "ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL",
      "city": "MISSOURI VALLEY",
      "state": "IA",
      "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": "0093251246",
      "ccn": "",
      "hospital": "SANFORD ROCK RAPIDS MEDICAL CENTER",
      "city": "ROCK RAPIDS",
      "state": "IA",
      "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": "0001450401",
      "ccn": "",
      "hospital": "NORTH IOWA MEDICAL CENTER WEST CAMPUS",
      "city": "MASON CITY",
      "state": "IA",
      "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": "0012452641",
      "ccn": "",
      "hospital": "MENTAL HEALTH INSTITUTE",
      "city": "MOUNT PLEASANT",
      "state": "IA",
      "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": "161333",
      "ccn": "161333",
      "hospital": "STORY COUNTY HOSPITAL NORTH",
      "city": "NEVADA",
      "state": "IA",
      "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": "0009350310",
      "ccn": "",
      "hospital": "MERCY FRANKLIN CENTER",
      "city": "DES MOINES",
      "state": "IA",
      "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": "0011551534",
      "ccn": "",
      "hospital": "GLENWOOD STATE HOSPITAL SCHOOL",
      "city": "GLENWOOD",
      "state": "IA",
      "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": "0017452402",
      "ccn": "",
      "hospital": "CONTINUING CARE HOSPITAL",
      "city": "CEDAR RAPIDS",
      "state": "IA",
      "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": "0000000066",
      "ccn": "",
      "hospital": "GENESIS MEDICAL CENTER WEST-DAVENPORT",
      "city": "DAVENPORT",
      "state": "IA",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Genesishealth",
      "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": "0009450316",
      "ccn": "",
      "hospital": "IOWA LUTHERAN HOSPITAL",
      "city": "DES MOINES",
      "state": "IA",
      "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": "0000000064",
      "ccn": "",
      "hospital": "MERCY MEDICAL CENTER WEST LAKES",
      "city": "WEST DES MOINES",
      "state": "IA",
      "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": "0010750138",
      "ccn": "",
      "hospital": "DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "city": "KNOXVILLE",
      "state": "IA",
      "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": "0007852732",
      "ccn": "",
      "hospital": "MERCY REHABILITATION SERVICES",
      "city": "CLINTON",
      "state": "IA",
      "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": "160029",
      "ccn": "160029",
      "hospital": "UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWNTOWN",
      "city": "IOWA CITY",
      "state": "IA",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -68.09888191538921,
      "financialLeadDisplay": "Net income -68.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "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/160029.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-163026",
      "ccn": "163026",
      "hospital": "MERCY IOWA CITY REHABLITATION HOSPITAL",
      "city": "CORALVILLE",
      "state": "IA",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -152.58431227148193,
      "financialLeadDisplay": "Net income -152.6%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris"
      ],
      "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"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-163026.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    }
  ],
  "metricTrendRows": [
    {
      "hospitalId": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": -142961,
      "afterValue": 242900,
      "percentChange": 269.9064779905009,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 22559014,
      "afterValue": 22079159,
      "percentChange": -2.1271098107390687,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 43.79,
      "afterValue": 41.91,
      "percentChange": -4.293217629595804,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 11,
      "afterValue": 11,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 653,
      "afterValue": 636,
      "percentChange": -2.6033690658499236,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 115,
      "afterValue": 64,
      "percentChange": -44.34782608695652,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 9724405,
      "afterValue": 11586044,
      "percentChange": 19.14398875818109,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 9137059,
      "afterValue": 10859728,
      "percentChange": 18.853648641209386,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 19713545,
      "afterValue": 19279945,
      "percentChange": -2.1995029305992406,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "metric": "net_income",
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      "baselineType": "acquisition_anchor",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "acquisition_anchor",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "acquisition_anchor",
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      "afterPeriod": "2023-12-31",
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      "afterValue": 93,
      "percentChange": 0.032268473701195156,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 72,
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      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 10374,
      "afterValue": 15805,
      "percentChange": 52.3520339309813,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 1430,
      "afterValue": 2350,
      "percentChange": 64.33566433566433,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "acquisition_anchor",
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      "beforeValue": 11013006,
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      "percentChange": 41.892404308142574,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 7961938,
      "afterValue": 12663520,
      "percentChange": 59.050723580113285,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "acquisition_anchor",
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      "percentChange": -1.9238629777467913,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
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      "percentChange": 313.52485655632296,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
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      "percentChange": 575.699212666179,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
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      "afterValue": 186.75,
      "percentChange": 8.544027898866602,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
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      "beforeValue": 25,
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      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "afterPeriod": "06/30/2024",
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      "afterValue": 1598,
      "percentChange": 42.170818505338076,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
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      "afterValue": 212,
      "percentChange": -1.8518518518518516,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
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      "percentChange": 33.61971367009126,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160153",
      "hospital": "MERCYONE SIOUXLAND",
      "city": "SIOUX CITY",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160153",
      "hospital": "MERCYONE SIOUXLAND",
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      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160153",
      "hospital": "MERCYONE SIOUXLAND",
      "city": "SIOUX CITY",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160153",
      "hospital": "MERCYONE SIOUXLAND",
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      "metric": "fte_employees",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160153",
      "hospital": "MERCYONE SIOUXLAND",
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      "metric": "beds",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
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    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
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      "metric": "contract_labor_direct_patient_care",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
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      "metric": "fte_employees",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
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      "metric": "beds",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160146",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160029",
      "hospital": "UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWNTOWN",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "baselineType": "earliest_latest_no_acquisition_date",
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        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160029",
      "hospital": "UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWNTOWN",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "160029",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
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    {
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    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
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    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
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  ],
  "documentedDebtEvents": [],
  "financialStressSignals": [
    {
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
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    {
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    {
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
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    {
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "display": "Discharges -44.3%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "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."
    },
    {
      "hospitalId": "160153",
      "hospital": "MERCYONE SIOUXLAND",
      "city": "SIOUX CITY",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 31.779701664313446,
      "display": "Total liabilities +31.8%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "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."
    },
    {
      "hospitalId": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
      "city": "SIOUX CITY",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 5.273571186644988,
      "display": "Total liabilities +5.3%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "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": "161310",
      "hospital": "ADAIR COUNTY MEMORIAL HOSPITAL",
      "city": "GREENFIELD",
      "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": "0004450703",
      "hospital": "ALLEN MEMORIAL HOSPITAL",
      "city": "WATERLOO",
      "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": "161330",
      "hospital": "AUDUBON COUNTY MEMORIAL HOSPITAL",
      "city": "AUDUBON",
      "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": "161351",
      "hospital": "AVERA HOLY FAMILY HOSPITAL",
      "city": "ESTHERVILLE",
      "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": "161321",
      "hospital": "AVERA MERRILL PIONEER HOSPITAL",
      "city": "ROCK RAPIDS",
      "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": "161372",
      "hospital": "BOONE COUNTY HOSPITAL",
      "city": "BOONE",
      "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": "160101",
      "hospital": "BROADLAWNS MEDICAL CENTER",
      "city": "DES MOINES",
      "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": "161335",
      "hospital": "BUCHANAN COUNTY HEALTH CENTER",
      "city": "INDEPENDENCE",
      "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": "161375",
      "hospital": "BUENA VISTA REGIONAL MEDICAL CENTER",
      "city": "STORM LAKE",
      "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": "161359",
      "hospital": "BURGESS HEALTH CENTER",
      "city": "ONAWA",
      "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": "161376",
      "hospital": "CASS COUNTY MEMORIAL HOSPITAL",
      "city": "ATLANTIC",
      "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": "161362",
      "hospital": "CHEROKEE REGIONAL MEDICAL CENTER",
      "city": "CHEROKEE",
      "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": "161304",
      "hospital": "CHI HEALTH - MERCY CORNING",
      "city": "CORNING",
      "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": "160028",
      "hospital": "CHI HEALTH MERCY COUNCIL BLUFFS",
      "city": "COUNCIL BLUFFS",
      "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": "161309",
      "hospital": "CHI HEALTH MISSOURI VALLEY",
      "city": "MISSOURI VALLEY",
      "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": "161352",
      "hospital": "CLARINDA REGIONAL HEALTH CENTER",
      "city": "CLARINDA",
      "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": "0011950213",
      "hospital": "CLARKE COUNTY PUBLIC HOSPITAL",
      "city": "OSCEOLA",
      "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": "164007",
      "hospital": "CLIVE BEHAVIORAL HEALTH",
      "city": "CLIVE",
      "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": "161320",
      "hospital": "COMMUNITY MEMORIAL HOSPITAL",
      "city": "SUMNER",
      "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": "161317",
      "hospital": "COMPASS MEMORIAL HEALTHCARE",
      "city": "MARENGO",
      "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": "161369",
      "hospital": "CRAWFORD COUNTY MEMORIAL HOSPITAL",
      "city": "DENISON",
      "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": "161322",
      "hospital": "DALLAS COUNTY HOSPITAL",
      "city": "PERRY",
      "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": "161327",
      "hospital": "DAVIS COUNTY HOSPITAL",
      "city": "BLOOMFIELD",
      "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": "161340",
      "hospital": "DECATUR COUNTY HOSPITAL",
      "city": "LEON",
      "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": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "city": "BETTENDORF",
      "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": "160117",
      "hospital": "FINLEY HOSPITAL",
      "city": "DUBUQUE",
      "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": "161347",
      "hospital": "FLOYD COUNTY MEDICAL CENTER",
      "city": "CHARLES CITY",
      "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": "161368",
      "hospital": "FLOYD VALLEY HEALTHCARE",
      "city": "LEMARS",
      "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": "0013652627",
      "hospital": "FORT MADISON COMMUNITY HOSPITAL",
      "city": "FORT MADISON",
      "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": "161308",
      "hospital": "FRANKLIN GENERAL HOSPITAL",
      "city": "HAMPTON",
      "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": "160033",
      "hospital": "GENESIS MEDICAL CENTER",
      "city": "DAVENPORT",
      "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": "161313",
      "hospital": "GENESIS MEDICAL CENTER - DEWITT",
      "city": "DEWITT",
      "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": "161324",
      "hospital": "GEORGE C GRAPE COMMUNITY HOSPITAL",
      "city": "HAMBURG",
      "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": "0013852655",
      "hospital": "GREAT RIVER MEDICAL CENTER",
      "city": "WEST BURLINGTON",
      "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": "161365",
      "hospital": "GREATER REGIONAL MEDICAL CENTER",
      "city": "CRESTON",
      "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": "161325",
      "hospital": "GREENE COUNTY MEDICAL CENTER",
      "city": "JEFFERSON",
      "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": "160147",
      "hospital": "GRINNELL REGIONAL MEDICAL CENTER",
      "city": "GRINNELL",
      "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": "161303",
      "hospital": "GRUNDY COUNTY MEMORIAL HOSPITAL",
      "city": "GRUNDY CENTER",
      "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": "161316",
      "hospital": "GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS",
      "city": "WEST UNION",
      "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": "161314",
      "hospital": "GUTHRIE COUNTY HOSPITAL",
      "city": "GUTHRIE CENTER",
      "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": "161312",
      "hospital": "GUTTENBERG MUNICIPAL HOSPITAL",
      "city": "GUTTENBERG",
      "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": "161307",
      "hospital": "HANCOCK COUNTY HEALTH SYSTEM",
      "city": "BRITT",
      "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": "161380",
      "hospital": "HANSEN FAMILY HOSPITAL",
      "city": "IOWA FALLS",
      "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": "161311",
      "hospital": "HAWARDEN REGIONAL HEALTHCARE",
      "city": "HAWARDEN",
      "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": "0001051247",
      "hospital": "HEGG MEMORIAL HOSPITAL",
      "city": "ROCK VALLEY",
      "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": "161356",
      "hospital": "HENRY COUNTY HEALTH CENTER CAH",
      "city": "MOUNT PLEASANT",
      "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": "161354",
      "hospital": "HORN MEMORIAL HOSPITAL",
      "city": "IDA GROVE",
      "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": "161334",
      "hospital": "HUMBOLDT COUNTY MEMORIAL HOSPITAL",
      "city": "HUMBOLDT",
      "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": "0017152241",
      "hospital": "IOWA MEDICAL AND CLASSIFICATION CENTER",
      "city": "CORALVILLE",
      "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": "161301",
      "hospital": "IOWA SPECIALTY HOSPITAL - BELMOND",
      "city": "BELMOND",
      "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": "161302",
      "hospital": "IOWA SPECIALTY HOSPITAL - CLARION",
      "city": "CLARION",
      "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": "161329",
      "hospital": "JACKSON COUNTY REGIONAL HEALTH CENTER",
      "city": "MAQUOKETA",
      "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": "0094952556",
      "hospital": "JEFFERSON COUNTY HOSPITAL CAH",
      "city": "FAIRFIELD",
      "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": "161306",
      "hospital": "JONES REGIONAL MEDICAL CENTER",
      "city": "ANAMOSA",
      "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": "0013752632",
      "hospital": "KEOKUK AREA HOSPITAL",
      "city": "KEOKUK",
      "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": "161315",
      "hospital": "KEOKUK COUNTY HEALTH CENTER",
      "city": "SIGOURNEY",
      "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": "0010950138",
      "hospital": "KNOXVILLE HOSPITAL AND CLINICS",
      "city": "KNOXVILLE",
      "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": "161353",
      "hospital": "KOSSUTH REGIONAL HEALTH CENTER",
      "city": "ALGONA",
      "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": "160124",
      "hospital": "LAKES REGIONAL HEALTHCARE",
      "city": "SPIRIT LAKE",
      "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": "161370",
      "hospital": "LORING HOSPITAL",
      "city": "SAC CITY",
      "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": "161341",
      "hospital": "LUCAS COUNTY HEALTH CENTER",
      "city": "CHARITON",
      "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": "161326",
      "hospital": "MADISON COUNTY HEALTH CARE SYSTEM",
      "city": "WINTERSET",
      "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": "161379",
      "hospital": "MAHASKA HEALTH PARTNERSHIP",
      "city": "OSKALOOSA",
      "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": "161332",
      "hospital": "MANNING REGIONAL HEALTHCARE CENTER CAH",
      "city": "MANNING",
      "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": "160030",
      "hospital": "MARY GREELEY MEDICAL CENTER",
      "city": "AMES",
      "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": "164002",
      "hospital": "MENTAL HEALTH INSTITUTE CHEROKEE",
      "city": "CHEROKEE",
      "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": "164003",
      "hospital": "MENTAL HEALTH INSTITUTE HOSPITAL IND",
      "city": "INDEPENDENCE",
      "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": "0008752245",
      "hospital": "MERCY HOSPITAL IC",
      "city": "IOWA CITY",
      "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": "0196784600",
      "hospital": "MERCY IOWA CITY REHABILITATION HOSPITAL",
      "city": "CORALVILLE",
      "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": "0007452403",
      "hospital": "MERCY MEDICAL CENTER CR",
      "city": "CEDAR RAPIDS",
      "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": "0196784601",
      "hospital": "MERCY REHABILITATION HOSPITAL, LLC",
      "city": "CLIVE",
      "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": "0004350613",
      "hospital": "MERCYONE CEDAR FALLS MEDICAL CENTER",
      "city": "CEDAR FALLS",
      "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": "161377",
      "hospital": "MERCYONE CENTERVILLE MEDICAL CENTER",
      "city": "CENTERVILLE",
      "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": "160080",
      "hospital": "MERCYONE CLINTON MEDICAL CENTER",
      "city": "CLINTON",
      "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": "160083",
      "hospital": "MERCYONE DES MOINES MEDICAL CENTER",
      "city": "DES MOINES",
      "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": "160069",
      "hospital": "MERCYONE DUBUQUE MEDICAL CENTER",
      "city": "DUBUQUE",
      "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": "161378",
      "hospital": "MERCYONE DYERSVILLE MEDICAL CENTER",
      "city": "DYERSVILLE",
      "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": "161319",
      "hospital": "MERCYONE ELKADER MEDICAL CENTER",
      "city": "ELKADER",
      "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": "0002150659",
      "hospital": "MERCYONE NEW HAMPTON MEDICAL CENTER",
      "city": "NEW HAMPTON",
      "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": "160032",
      "hospital": "MERCYONE NEWTON MEDICAL CENTER",
      "city": "NEWTON",
      "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": "160064",
      "hospital": "MERCYONE NORTH IOWA MEDICAL CENTER",
      "city": "MASON CITY",
      "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": "161338",
      "hospital": "MERCYONE OELWEIN MEDICAL CENTER",
      "city": "OELWEIN",
      "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": "0001751245",
      "hospital": "MERCYONE PRIMGHAR MEDICAL CENTER",
      "city": "PRIMGHAR",
      "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": "160153",
      "hospital": "MERCYONE SIOUXLAND",
      "city": "SIOUX CITY",
      "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": "160067",
      "hospital": "MERCYONE WATERLOO MEDICAL CENTER",
      "city": "WATERLOO",
      "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": "160047",
      "hospital": "METHODIST JENNIE EDMUNDSON",
      "city": "COUNCIL BLUFFS",
      "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": "0000000065",
      "hospital": "METHODIST WEST HOSPITAL",
      "city": "WEST DES MOINES",
      "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": "161323",
      "hospital": "MITCHELL COUNTY REGIONAL HEALTH CENTER",
      "city": "OSAGE",
      "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": "161342",
      "hospital": "MONROE COUNTY HOSPITAL",
      "city": "ALBIA",
      "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": "161363",
      "hospital": "MONTGOMERY COUNTY MEMORIAL HOSPITAL",
      "city": "RED OAK",
      "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": "161374",
      "hospital": "MYRTUE MEDICAL CENTER",
      "city": "HARLAN",
      "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": "161360",
      "hospital": "ORANGE CITY AREA HEALTH SYSTEM",
      "city": "ORANGE CITY",
      "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": "161345",
      "hospital": "OSCEOLA COMMUNITY HOSPITAL",
      "city": "SIBLEY",
      "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": "160089",
      "hospital": "OTTUMWA REGIONAL HEALTH CENTER",
      "city": "OTTUMWA",
      "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": "161357",
      "hospital": "PALO ALTO COUNTY HOSPITAL",
      "city": "EMMETSBURG",
      "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": "161367",
      "hospital": "PELLA REGIONAL HEALTH CENTER CAH",
      "city": "PELLA",
      "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": "161305",
      "hospital": "POCAHONTAS COMMUNITY HOSPITAL",
      "city": "POCAHONTAS",
      "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": "161328",
      "hospital": "REGIONAL HEALTH SERVICES OF HOWARD COUNTY",
      "city": "CRESCO",
      "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": "161343",
      "hospital": "REGIONAL MEDICAL CENTER",
      "city": "MANCHESTER",
      "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": "161373",
      "hospital": "RINGGOLD COUNTY HOSPITAL",
      "city": "MOUNT AYR",
      "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": "161381",
      "hospital": "SANFORD SHELDON MEDICAL CENTER",
      "city": "SHELDON",
      "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": "0017550314",
      "hospital": "SELECT SPECIALTY HOSPITAL - DES MOINES",
      "city": "DES MOINES",
      "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": "0009952806",
      "hospital": "SELECT SPECIALTY HOSPITAL - QUAD CITIES",
      "city": "DAVENPORT",
      "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": "161366",
      "hospital": "SHENANDOAH MEDICAL CENTER",
      "city": "SHENANDOAH",
      "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": "161346",
      "hospital": "SIOUX CENTER HEALTH",
      "city": "SIOUX CENTER",
      "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": "160112",
      "hospital": "SPENCER MUNICIPAL HOSPITAL",
      "city": "SPENCER",
      "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": "161382",
      "hospital": "ST ANTHONY REGIONAL HOSPITAL",
      "city": "CARROLL",
      "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": "160045",
      "hospital": "ST LUKE'S HOSPITAL CR",
      "city": "CEDAR RAPIDS",
      "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": "160146",
      "hospital": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
      "city": "SIOUX CITY",
      "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": "161350",
      "hospital": "STEWART MEMORIAL COMMUNITY HOSPITAL",
      "city": "LAKE CITY",
      "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": "161333",
      "hospital": "STORY COUNTY HOSPITAL",
      "city": "NEVADA",
      "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": "160013",
      "hospital": "TRINITY MUSCATINE",
      "city": "MUSCATINE",
      "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": "160016",
      "hospital": "TRINITY REGIONAL MEDICAL CENTER",
      "city": "FORT DODGE",
      "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": "0013952722",
      "hospital": "UNITY POINT HEALTH TRINITY",
      "city": "BETTENDORF",
      "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": "160082",
      "hospital": "UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDICAL CENTER",
      "city": "DES MOINES",
      "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": "160001",
      "hospital": "UNITYPOINT HEALTH MARSHALLTOWN",
      "city": "MARSHALLTOWN",
      "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": "0196784604",
      "hospital": "UNIV OF IOWA HEALTH NETWORK REHAB HOSPITAL",
      "city": "CORALVILLE",
      "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": "0009052242",
      "hospital": "UNIVERSITY OF IOWA HOSPITALS AND CLINICS",
      "city": "IOWA CITY",
      "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": "161337",
      "hospital": "VAN BUREN COUNTY HOSPITAL",
      "city": "KEOSAUQUA",
      "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": "161361",
      "hospital": "VAN DIEST MEDICAL CENTER",
      "city": "WEBSTER CITY",
      "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": "161318",
      "hospital": "VETERANS MEMORIAL HOSPITAL",
      "city": "WAUKON",
      "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": "161349",
      "hospital": "VIRGINIA GAY HOSPITAL",
      "city": "VINTON",
      "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": "161344",
      "hospital": "WASHINGTON COUNTY HOSPITAL AND CLINICS",
      "city": "WASHINGTON",
      "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": "161339",
      "hospital": "WAVERLY HEALTH CENTER",
      "city": "WAVERLY",
      "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": "161358",
      "hospital": "WAYNE COUNTY HOSPITAL",
      "city": "CORYDON",
      "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": "0000652101",
      "hospital": "WINNESHIEK MEDICAL CENTER",
      "city": "DECORAH",
      "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": "0093650310",
      "hospital": "DES MOINES VA MEDICAL CENTER",
      "city": "DES MOINES",
      "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": "16004F",
      "hospital": "IOWA CITY VA MEDICAL CENTER",
      "city": "IOWA CITY",
      "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": "0091951555",
      "hospital": "ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL",
      "city": "MISSOURI VALLEY",
      "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": "0093251246",
      "hospital": "SANFORD ROCK RAPIDS MEDICAL CENTER",
      "city": "ROCK RAPIDS",
      "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": "0001450401",
      "hospital": "NORTH IOWA MEDICAL CENTER WEST CAMPUS",
      "city": "MASON CITY",
      "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": "0012452641",
      "hospital": "MENTAL HEALTH INSTITUTE",
      "city": "MOUNT PLEASANT",
      "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": "161333",
      "hospital": "STORY COUNTY HOSPITAL NORTH",
      "city": "NEVADA",
      "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": "0009350310",
      "hospital": "MERCY FRANKLIN CENTER",
      "city": "DES MOINES",
      "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": "0011551534",
      "hospital": "GLENWOOD STATE HOSPITAL SCHOOL",
      "city": "GLENWOOD",
      "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": "0017452402",
      "hospital": "CONTINUING CARE HOSPITAL",
      "city": "CEDAR RAPIDS",
      "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": "0000000066",
      "hospital": "GENESIS MEDICAL CENTER WEST-DAVENPORT",
      "city": "DAVENPORT",
      "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": "0009450316",
      "hospital": "IOWA LUTHERAN HOSPITAL",
      "city": "DES MOINES",
      "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": "0000000064",
      "hospital": "MERCY MEDICAL CENTER WEST LAKES",
      "city": "WEST DES MOINES",
      "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": "0010750138",
      "hospital": "DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "city": "KNOXVILLE",
      "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": "0007852732",
      "hospital": "MERCY REHABILITATION SERVICES",
      "city": "CLINTON",
      "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": "160029",
      "hospital": "UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWNTOWN",
      "city": "IOWA CITY",
      "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": "pe-tracker-163026",
      "hospital": "MERCY IOWA CITY REHABLITATION HOSPITAL",
      "city": "CORALVILLE",
      "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": "January 2022",
      "hospitalId": "164006",
      "hospital": "EAGLE VIEW BEHAVIORAL HEALTH",
      "eventType": "acquisition_or_control_event",
      "title": "EAGLE VIEW BEHAVIORAL HEALTH acquisition/control event",
      "summary": "Patient Square Capital / Summit Behavioral Healthcare",
      "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": 8,
    "notAvailableRows": 135,
    "totalSourceIds": 6
  }
}
