{
  "schemaVersion": 1,
  "generatedAt": "2026-07-02T17:31:14.077Z",
  "state": "KY",
  "stateName": "Kentucky",
  "slug": "kentucky",
  "files": {
    "json": "/data/states/kentucky-impact-summary.json",
    "csv": "/data/states/kentucky-hospital-impact-2026-07-02.csv",
    "workbook": "/data/states/kentucky-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": 137,
    "currentPeCount": 15,
    "formerPeCount": 0,
    "peBefore2010Count": 0,
    "closuresAfterPeCount": 0,
    "worseningQualityCount": 0,
    "worseningFinancialCount": 22,
    "unresolvedCount": 15,
    "documentedDebtEventCount": 0,
    "ceoCompensationStructuredCount": 0
  },
  "statusCounts": {
    "corporate_chain": 44,
    "verified_independent": 63,
    "signal": 11,
    "confirmed_pe": 15,
    "unknown": 4
  },
  "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": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 252.3864236817773,
      "display": "Direct-care contract labor +252.4%",
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -199.98264249270045,
      "display": "Net income -200.0%",
      "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": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 156.14932113179555,
      "display": "Total liabilities +156.1%",
      "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": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -151.46222799690133,
      "display": "Net income -151.5%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 121.83420803797804,
      "display": "Total liabilities +121.8%",
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 76.79416178646453,
      "display": "Operating expense +76.8%",
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -64.99902011966357,
      "display": "Net income -65.0%",
      "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": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "status": "Critical",
      "leadMetric": "Discharges",
      "percentChange": -61.18980169971672,
      "display": "Discharges -61.2%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    }
  ],
  "hospitalRows": [
    {
      "hospitalId": "0181742223",
      "ccn": "",
      "hospital": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
      "city": "FORT CAMPBELL",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Blanchfield Tricare",
      "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": "0196784503",
      "ccn": "",
      "hospital": "BYRD ARMY MEDICAL HOME",
      "city": "FORT CAMPBELL",
      "state": "KY",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Defense",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784506",
      "ccn": "",
      "hospital": "CAMPBELL AIRFIELD MEDICAL HOME",
      "city": "FORT CAMPBELL",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Blanchfield Tricare",
      "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": "180043",
      "ccn": "180043",
      "hospital": "ADVENTHEALTH MANCHESTER",
      "city": "MANCHESTER",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "AdventHealth",
      "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": "180080",
      "ccn": "180080",
      "hospital": "BAPTIST HEALTH CORBIN",
      "city": "CORBIN",
      "state": "KY",
      "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": "180138",
      "ccn": "180138",
      "hospital": "BAPTIST HEALTH LA GRANGE",
      "city": "LA GRANGE",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Baptisthealth",
      "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": "180103",
      "ccn": "180103",
      "hospital": "BAPTIST HEALTH LEXINGTON",
      "city": "LEXINGTON",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Baptisthealth",
      "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": "180130",
      "ccn": "180130",
      "hospital": "BAPTIST HEALTH LOUISVILLE",
      "city": "LOUISVILLE",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Baptisthealth",
      "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": "0102442431",
      "ccn": "",
      "hospital": "BAPTIST HEALTH MADISONVILLE",
      "city": "MADISONVILLE",
      "state": "KY",
      "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": "180104",
      "ccn": "180104",
      "hospital": "BAPTIST HEALTH PADUCAH",
      "city": "PADUCAH",
      "state": "KY",
      "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": "180049",
      "ccn": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "state": "KY",
      "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": "Operating expense",
      "financialLeadPercentChange": 20.679225401822222,
      "financialLeadDisplay": "Operating expense +20.7%",
      "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/180049.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0004640906",
      "ccn": "",
      "hospital": "BARBOURVILLE ARH HOSPITAL",
      "city": "BARBOURVILLE",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Arh",
      "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": "181308",
      "ccn": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Discharges",
      "financialLeadPercentChange": -61.18980169971672,
      "financialLeadDisplay": "Discharges -61.2%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/181308.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180046",
      "ccn": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -40.62333376780679,
      "financialLeadDisplay": "Net income -40.6%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/180046.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "181319",
      "ccn": "181319",
      "hospital": "BRECKINRIDGE MEMORIAL HOSPITAL",
      "city": "HARDINSBURG",
      "state": "KY",
      "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": "181322",
      "ccn": "181322",
      "hospital": "CALDWELL MEDICAL CENTER",
      "city": "PRINCETON",
      "state": "KY",
      "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": "181310",
      "ccn": "181310",
      "hospital": "CARROLL COUNTY MEMORIAL HOSPITAL",
      "city": "CARROLLTON",
      "state": "KY",
      "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": "181309",
      "ccn": "181309",
      "hospital": "CASEY COUNTY HOSPITAL",
      "city": "LIBERTY",
      "state": "KY",
      "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": "180092",
      "ccn": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 18.691472920348502,
      "financialLeadDisplay": "Operating expense +18.7%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/180092.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "181317",
      "ccn": "181317",
      "hospital": "CUMBERLAND COUNTY HOSPITAL",
      "city": "BURKESVILLE",
      "state": "KY",
      "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": "181315",
      "ccn": "181315",
      "hospital": "EPHRAIM MCDOWELL FORT LOGAN HOSPITAL",
      "city": "STANFORD",
      "state": "KY",
      "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": "180025",
      "ccn": "180025",
      "hospital": "FLAGET MEMORIAL HOSPITAL",
      "city": "BARDSTOWN",
      "state": "KY",
      "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": "180780",
      "ccn": "180780",
      "hospital": "FLEMING COUNTY HOSPITAL",
      "city": "FLEMINGSBURG",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Mixed",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "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-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/180780.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180127",
      "ccn": "180127",
      "hospital": "FRANKFORT REGIONAL MEDICAL CENTER",
      "city": "FRANKFORT",
      "state": "KY",
      "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": "180101",
      "ccn": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 25.48504327909945,
      "financialLeadDisplay": "Operating expense +25.5%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/180101.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180050",
      "ccn": "180050",
      "hospital": "HARLAN ARH HOSPITAL",
      "city": "HARLAN",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Arh",
      "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": "180079",
      "ccn": "180079",
      "hospital": "HARRISON MEMORIAL HOSPITAL",
      "city": "CYNTHIANA",
      "state": "KY",
      "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": "180029",
      "ccn": "180029",
      "hospital": "HAZARD ARH REGIONAL MEDICAL CENTER",
      "city": "HAZARD",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Arh",
      "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": "180116",
      "ccn": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -61.01624404139206,
      "financialLeadDisplay": "Net income -61.0%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/180116.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180051",
      "ccn": "180051",
      "hospital": "JENNIE STUART MEDICAL CENTER",
      "city": "HOPKINSVILLE",
      "state": "KY",
      "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": "181334",
      "ccn": "181334",
      "hospital": "KENTUCKY RIVER MEDICAL CENTER",
      "city": "JACKSON",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Mixed",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "parentSystem": "Quorum Health Corporation",
      "formerOperator": "",
      "acquisitionDate": "May 2020",
      "acquisitionYear": 2020,
      "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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "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-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/181334.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180132",
      "ccn": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "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": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -8.360014040515065,
      "financialLeadDisplay": "Net income -8.4%",
      "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/180132.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "184012",
      "ccn": "184012",
      "hospital": "LINCOLN TRAIL BEHAVIORAL HEALTH SYSTEM",
      "city": "RADCLIFF",
      "state": "KY",
      "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": "0005042276",
      "ccn": "",
      "hospital": "LOGAN MEMORIAL HOSPITAL",
      "city": "RUSSELLVILLE",
      "state": "KY",
      "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": "181327",
      "ccn": "181327",
      "hospital": "MARSHALL COUNTY HOSPITAL",
      "city": "BENTON",
      "state": "KY",
      "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": "181316",
      "ccn": "181316",
      "hospital": "MARY BRECKINRIDGE ARH HOSPITAL",
      "city": "HYDEN",
      "state": "KY",
      "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": "181331",
      "ccn": "181331",
      "hospital": "MCDOWELL ARH HOSPITAL",
      "city": "MC DOWELL",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Arh",
      "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": "180019",
      "ccn": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -26.12810744976296,
      "financialLeadDisplay": "Net income -26.1%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/180019.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180105",
      "ccn": "180105",
      "hospital": "MONROE COUNTY MEDICAL CENTER",
      "city": "TOMPKINSVILLE",
      "state": "KY",
      "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": "181307",
      "ccn": "181307",
      "hospital": "MORGAN COUNTY ARH HOSPITAL",
      "city": "WEST LIBERTY",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Arh",
      "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": "0006840217",
      "ccn": "",
      "hospital": "NORTON AUDUBON HOSPITAL",
      "city": "LOUISVILLE",
      "state": "KY",
      "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": "0006940241",
      "ccn": "",
      "hospital": "NORTON BROWNSBORO HOSPITAL",
      "city": "LOUISVILLE",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Nortonhealthcare",
      "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": "181323",
      "ccn": "181323",
      "hospital": "OHIO COUNTY HOSPITAL",
      "city": "HARTFORD",
      "state": "KY",
      "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": "180038",
      "ccn": "180038",
      "hospital": "OWENSBORO HEALTH REGIONAL HOSPITAL",
      "city": "OWENSBORO",
      "state": "KY",
      "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": "0007941240",
      "ccn": "",
      "hospital": "PAUL B HALL REGIONAL MEDICAL CENTER",
      "city": "PAINTSVILLE",
      "state": "KY",
      "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": "180044",
      "ccn": "180044",
      "hospital": "PIKEVILLE MEDICAL CENTER",
      "city": "PIKEVILLE",
      "state": "KY",
      "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": "184017",
      "ccn": "184017",
      "hospital": "RIVENDELL BEHAVIORAL HEALTH SERVICES",
      "city": "BOWLING GREEN",
      "state": "KY",
      "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": "181330",
      "ccn": "181330",
      "hospital": "RUSSELL COUNTY HOSPITAL",
      "city": "RUSSELL SPRINGS",
      "state": "KY",
      "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": "180010",
      "ccn": "180010",
      "hospital": "SAINT JOSEPH HOSPITAL",
      "city": "LEXINGTON",
      "state": "KY",
      "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": "180024",
      "ccn": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -42.66569333970463,
      "financialLeadDisplay": "Net income -42.7%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/180024.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180018",
      "ccn": "180018",
      "hospital": "ST CLAIRE REGIONAL MEDICAL CENTER",
      "city": "MOREHEAD",
      "state": "KY",
      "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": "180035",
      "ccn": "180035",
      "hospital": "ST ELIZABETH EDGEWOOD",
      "city": "EDGEWOOD",
      "state": "KY",
      "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": "180045",
      "ccn": "180045",
      "hospital": "ST ELIZABETH FLORENCE",
      "city": "FLORENCE",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Stelizabeth",
      "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": "181311",
      "ccn": "181311",
      "hospital": "ST ELIZABETH GRANT",
      "city": "WILLIAMSTOWN",
      "state": "KY",
      "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": "180087",
      "ccn": "180087",
      "hospital": "TAYLOR REGIONAL HOSPITAL",
      "city": "CAMPBELLSVILLE",
      "state": "KY",
      "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": "184007",
      "ccn": "184007",
      "hospital": "THE BROOK HOSPITAL - DUPONT",
      "city": "LOUISVILLE",
      "state": "KY",
      "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": "184008",
      "ccn": "184008",
      "hospital": "THE BROOK HOSPITAL - KMI",
      "city": "LOUISVILLE",
      "state": "KY",
      "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": "181333",
      "ccn": "181333",
      "hospital": "THE MEDICAL CENTER AT ALBANY",
      "city": "ALBANY",
      "state": "KY",
      "tier": "Tier 2",
      "overallStatus": "Unknown",
      "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": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "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/181333.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0010942101",
      "ccn": "",
      "hospital": "THE MEDICAL CENTER AT BOWLING GREEN",
      "city": "BOWLING GREEN",
      "state": "KY",
      "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": "0001142749",
      "ccn": "",
      "hospital": "THE MEDICAL CENTER AT CAVERNA",
      "city": "HORSE CAVE",
      "state": "KY",
      "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": "181318",
      "ccn": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "state": "KY",
      "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": -42.25941422594142,
      "financialLeadDisplay": "Discharges -42.3%",
      "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/181318.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "181324",
      "ccn": "181324",
      "hospital": "THE MEDICAL CENTER AT SCOTTSVILLE",
      "city": "SCOTTSVILLE",
      "state": "KY",
      "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": "180128",
      "ccn": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "parentSystem": "Quorum Health Corporation",
      "formerOperator": "",
      "acquisitionDate": "May 2020",
      "acquisitionYear": 2020,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -28.729487148747513,
      "financialLeadDisplay": "Net income -28.7%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/180128.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180069",
      "ccn": "180069",
      "hospital": "TUG VALLEY ARH REGIONAL MEDICAL CENTER",
      "city": "SOUTH WILLIAMSON",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Arh",
      "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": "0011540508",
      "ccn": "",
      "hospital": "UK HEALTHCARE GOOD SAMARITAN HOSPITAL",
      "city": "LEXINGTON",
      "state": "KY",
      "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": "180141",
      "ccn": "180141",
      "hospital": "UNIVERSITY OF LOUISVILLE HOSPITAL",
      "city": "LOUISVILLE",
      "state": "KY",
      "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": "180002",
      "ccn": "180002",
      "hospital": "WHITESBURG ARH HOSPITAL",
      "city": "WHITESBURG",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Arh",
      "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": "181305",
      "ccn": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "state": "KY",
      "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": 156.14932113179555,
      "financialLeadDisplay": "Total liabilities +156.1%",
      "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/181305.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180012",
      "ccn": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "state": "KY",
      "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": "Operating expense",
      "financialLeadPercentChange": 11.9150656857384,
      "financialLeadDisplay": "Operating expense +11.9%",
      "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/180012.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000840504",
      "ccn": "",
      "hospital": "CARDINAL HILL REHABILITATION HOSPITAL",
      "city": "LEXINGTON",
      "state": "KY",
      "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": "184015",
      "ccn": "184015",
      "hospital": "CENTRAL STATE HOSPITAL",
      "city": "LOUISVILLE",
      "state": "KY",
      "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": "181329",
      "ccn": "181329",
      "hospital": "CHI SAINT JOSEPH BEREA NF",
      "city": "BEREA",
      "state": "KY",
      "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": "180143",
      "ccn": "180143",
      "hospital": "CHI SAINT JOSEPH EAST",
      "city": "LEXINGTON",
      "state": "KY",
      "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": "180011",
      "ccn": "180011",
      "hospital": "CHI SAINT JOSEPH LONDON",
      "city": "LONDON",
      "state": "KY",
      "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": "180064",
      "ccn": "180064",
      "hospital": "CHI SAINT JOSEPH MOUNT STERLING",
      "city": "MOUNT STERLING",
      "state": "KY",
      "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": "180779",
      "ccn": "180779",
      "hospital": "CRITTENDEN COMMUNITY HOSPITAL",
      "city": "MARION",
      "state": "KY",
      "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": "184014",
      "ccn": "184014",
      "hospital": "CUMBERLAND HALL",
      "city": "HOPKINSVILLE",
      "state": "KY",
      "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": "180056",
      "ccn": "180056",
      "hospital": "DEACONESS HENDERSON HOSPITAL",
      "city": "HENDERSON",
      "state": "KY",
      "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": "0005942437",
      "ccn": "",
      "hospital": "DEACONESS UNION COUNTY HOSPITAL",
      "city": "MORGANFIELD",
      "state": "KY",
      "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": "184004",
      "ccn": "184004",
      "hospital": "EASTERN STATE HOSPITAL",
      "city": "LEXINGTON",
      "state": "KY",
      "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": "0003442701",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAKEVIEW",
      "city": "ELIZABETHTOWN",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Encompass Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0003541017",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTHERN KENTUCKY",
      "city": "EDGEWOOD",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Encompass Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "180048",
      "ccn": "180048",
      "hospital": "EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER",
      "city": "DANVILLE",
      "state": "KY",
      "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": "0002741042",
      "ccn": "",
      "hospital": "GATEWAY REHABILITATION HOSPITAL",
      "city": "FLORENCE",
      "state": "KY",
      "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": "180005",
      "ccn": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "state": "KY",
      "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": "Beds",
      "financialLeadPercentChange": -56.55172413793104,
      "financialLeadDisplay": "Beds -56.6%",
      "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/180005.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "181325",
      "ccn": "181325",
      "hospital": "JANE TODD CRAWFORD HOSPITAL",
      "city": "GREENSBURG",
      "state": "KY",
      "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": "0004240031",
      "ccn": "",
      "hospital": "KENTUCKY CORRECTIONAL PSYCHIATRIC CENTER",
      "city": "LA GRANGE",
      "state": "KY",
      "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": "181320",
      "ccn": "181320",
      "hospital": "LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC",
      "city": "SALEM",
      "state": "KY",
      "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": "180102",
      "ccn": "180102",
      "hospital": "LOURDES HOSPITAL",
      "city": "PADUCAH",
      "state": "KY",
      "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": "181301",
      "ccn": "181301",
      "hospital": "MARCUM AND WALLACE MEMORIAL HOSPITAL",
      "city": "IRVINE",
      "state": "KY",
      "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": "0006040965",
      "ccn": "",
      "hospital": "MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPITAL",
      "city": "MIDDLESBORO",
      "state": "KY",
      "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": "180027",
      "ccn": "180027",
      "hospital": "MURRAY - CALLOWAY COUNTY HOSPITAL",
      "city": "MURRAY",
      "state": "KY",
      "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": "0007040202",
      "ccn": "",
      "hospital": "NORTON HOSPITAL - NORTON HEALTHCARE PAVILION - NOR",
      "city": "LOUISVILLE",
      "state": "KY",
      "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": "0007140207",
      "ccn": "",
      "hospital": "NORTON WOMEN'S AND CHILDREN'S HOSPITAL",
      "city": "LOUISVILLE",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Nortonhealthcare",
      "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": "180004",
      "ccn": "180004",
      "hospital": "OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL",
      "city": "GREENVILLE",
      "state": "KY",
      "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": "180070",
      "ccn": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "state": "KY",
      "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": 121.83420803797804,
      "financialLeadDisplay": "Total liabilities +121.8%",
      "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/180070.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180154",
      "ccn": "180154",
      "hospital": "PINEVILLE COMMUNITY HEALTH CENTER, INC",
      "city": "PINEVILLE",
      "state": "KY",
      "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": "0008543202",
      "ccn": "",
      "hospital": "RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL",
      "city": "OWENSBORO",
      "state": "KY",
      "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": "0008640456",
      "ccn": "",
      "hospital": "ROCKCASTLE REGIONAL HOSPITAL AND RESPIRATORY CARE CT",
      "city": "MOUNT VERNON",
      "state": "KY",
      "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": "0009642104",
      "ccn": "",
      "hospital": "SOUTHERN KENTUCKY REHABILITATION HOSPITAL",
      "city": "BOWLING GREEN",
      "state": "KY",
      "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": "180001",
      "ccn": "180001",
      "hospital": "ST ELIZABETH FT THOMAS",
      "city": "FORT THOMAS",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Stelizabeth",
      "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": "0196784160",
      "ccn": "",
      "hospital": "ST ELIZABETH MEDICAL CENTER NORTH",
      "city": "EDGEWOOD",
      "state": "KY",
      "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": "184006",
      "ccn": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "LLR Partners, HealthInvest Equity Partners, NewSpring Capital, Petra Capital Partners, SV Health Investors",
      "parentSystem": "SUN Behavioral Health",
      "formerOperator": "",
      "acquisitionDate": "February 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -52.61538431668351,
      "financialLeadDisplay": "Net income -52.6%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/184006.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180149",
      "ccn": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "state": "KY",
      "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": "Net income",
      "financialLeadPercentChange": -30.520503002667688,
      "financialLeadDisplay": "Net income -30.5%",
      "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/180149.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180017",
      "ccn": "180017",
      "hospital": "T J SAMSON COMMUNITY HOSPITAL",
      "city": "GLASGOW",
      "state": "KY",
      "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": "181302",
      "ccn": "181302",
      "hospital": "THE JAMES B HAGGIN MEMORIAL HOSPITAL",
      "city": "HARRODSBURG",
      "state": "KY",
      "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": "184009",
      "ccn": "184009",
      "hospital": "THE RIDGE BEHAVIORAL HEALTH SYSTEM",
      "city": "LEXINGTON",
      "state": "KY",
      "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": "181304",
      "ccn": "181304",
      "hospital": "TRIGG COUNTY HOSPITAL",
      "city": "CADIZ",
      "state": "KY",
      "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": "180124",
      "ccn": "180124",
      "hospital": "TRISTAR GREENVIEW REGIONAL HOSPITAL",
      "city": "BOWLING GREEN",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "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": "180067",
      "ccn": "180067",
      "hospital": "UNIVERSITY OF KENTUCKY HOSPITAL",
      "city": "LEXINGTON",
      "state": "KY",
      "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": "0002540202",
      "ccn": "",
      "hospital": "UOFL HEALTH - FRAZIER REHABILITATION INSTITUTE",
      "city": "LOUISVILLE",
      "state": "KY",
      "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": "180040",
      "ccn": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "state": "KY",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Kentuckyonehealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -64.99902011966357,
      "financialLeadDisplay": "Net income -65.0%",
      "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/180040.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0009440215",
      "ccn": "",
      "hospital": "UOFL HEALTH - MARY AND ELIZABETH HOSPITAL",
      "city": "LOUISVILLE",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Kentuckyonehealth",
      "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": "0007540205",
      "ccn": "",
      "hospital": "UOFL HEALTH - PEACE HOSPITAL",
      "city": "LOUISVILLE",
      "state": "KY",
      "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": "180016",
      "ccn": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "state": "KY",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Kentuckyonehealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -199.98264249270045,
      "financialLeadDisplay": "Net income -200.0%",
      "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/180016.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "181321",
      "ccn": "181321",
      "hospital": "WAYNE COUNTY HOSPITAL",
      "city": "MONTICELLO",
      "state": "KY",
      "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": "184002",
      "ccn": "184002",
      "hospital": "WESTERN STATE HOSPITAL",
      "city": "HOPKINSVILLE",
      "state": "KY",
      "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": "0173640206",
      "ccn": "",
      "hospital": "ROBLEY REX DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "city": "LOUISVILLE",
      "state": "KY",
      "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": "0175640502",
      "ccn": "",
      "hospital": "TROY BOWLING CAMPUS",
      "city": "LEXINGTON",
      "state": "KY",
      "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": "0007341101",
      "ccn": "",
      "hospital": "OUR LADY OF BELLEFONTE HOSPITAL",
      "city": "ASHLAND",
      "state": "KY",
      "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": "0004440204",
      "ccn": "182001",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "ScionHealth",
      "formerOperator": "",
      "acquisitionDate": "December 2021",
      "acquisitionYear": 2021,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 252.3864236817773,
      "financialLeadDisplay": "Direct-care contract labor +252.4%",
      "financialBaselineType": "acquisition_anchor",
      "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/0004440204.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180038",
      "ccn": "180038",
      "hospital": "OWENSBORO HEALTH",
      "city": "OWENSBORO",
      "state": "KY",
      "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": "0010341014",
      "ccn": "",
      "hospital": "ST. ELIZABETH COVINGTON",
      "city": "COVINGTON",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Stelizabeth",
      "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": "0173741075",
      "ccn": "",
      "hospital": "CINCINNATI VA MEDICAL CENTER - FORT THOMAS",
      "city": "FT THOMAS",
      "state": "KY",
      "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": "0012440232",
      "ccn": "",
      "hospital": "NORTON HEALTHCARE PAVILION",
      "city": "LOUISVILLE",
      "state": "KY",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Nortonhealthcare",
      "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": "18007F",
      "ccn": "18007F",
      "hospital": "LEXINGTON VA MEDICAL CENTER - LEESTOWN",
      "city": "LEXINGTON",
      "state": "KY",
      "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": "0181840121",
      "ccn": "",
      "hospital": "IRELAND ARMY COMMUNITY HOSPITAL",
      "city": "FORT KNOX",
      "state": "KY",
      "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": "0196785207",
      "ccn": "",
      "hospital": "BELLEFONTE HOSPITAL AND RECOVERY CENTER",
      "city": "ASHLAND",
      "state": "KY",
      "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": "180078",
      "ccn": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "state": "KY",
      "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": "Operating expense",
      "financialLeadPercentChange": 76.79416178646453,
      "financialLeadDisplay": "Operating expense +76.8%",
      "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/180078.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "180009",
      "ccn": "180009",
      "hospital": "KINGS DAUGHTERS MEDICAL CENTER",
      "city": "ASHLAND",
      "state": "KY",
      "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": "0196785212",
      "ccn": "",
      "hospital": "U OF L HEALTH, FRAZIER REHABILITATION HOSPITAL-BROWNSBORO",
      "city": "LOUISVILLE",
      "state": "KY",
      "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": "0196785208",
      "ccn": "",
      "hospital": "JANE TODD CRAWFORD MEMORIAL HOSPITAL",
      "city": "GREENSBURG",
      "state": "KY",
      "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": "180020",
      "ccn": "180020",
      "hospital": "MIDDLESBORO ARH HOSPITAL",
      "city": "MIDDLESBORO",
      "state": "KY",
      "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": "18007F",
      "ccn": "18007F",
      "hospital": "LEXINGTON VA MEDICAL CENTER",
      "city": "LEXINGTON",
      "state": "KY",
      "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": "180066",
      "ccn": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "ScionHealth",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -151.46222799690133,
      "financialLeadDisplay": "Net income -151.5%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/180066.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196785450",
      "ccn": "",
      "hospital": "REHABILITATIONHOSPITALOFLOUISVILLE,LLC,DBA BAPTISTHEALTHREHABILITATIONHOSPITAL",
      "city": "LOUISVILLE",
      "state": "KY",
      "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": "pe-tracker-18T040",
      "ccn": "018040",
      "hospital": "FRAZIER REHAB INSTITUTE",
      "city": "LOUISVILLE",
      "state": "KY",
      "tier": "Tier 1",
      "overallStatus": "Mixed",
      "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": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners"
      ],
      "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"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-18T040.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    }
  ],
  "metricTrendRows": [
    {
      "hospitalId": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": -345162,
      "afterValue": 32065961,
      "percentChange": 9390.119132465335,
      "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": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 32275001,
      "afterValue": 3918936,
      "percentChange": -87.85767349782576,
      "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": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 7132515,
      "afterValue": 3511410,
      "percentChange": -50.768978403830914,
      "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": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 457.49,
      "afterValue": 530.15,
      "percentChange": 15.882314367527151,
      "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": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 50,
      "afterValue": 53,
      "percentChange": 6,
      "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": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 14713,
      "afterValue": 15122,
      "percentChange": 2.7798545503976078,
      "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": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 3698,
      "afterValue": 4594,
      "percentChange": 24.229313142239047,
      "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": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 137283411,
      "afterValue": 165672557,
      "percentChange": 20.679225401822222,
      "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": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 126299595,
      "afterValue": 182032216,
      "percentChange": 44.12731568933376,
      "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": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 87971944,
      "afterValue": 111050115,
      "percentChange": 26.233558053463046,
      "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": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 455455,
      "afterValue": 2815727,
      "percentChange": 518.2228760250738,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 10300223,
      "afterValue": 9476993,
      "percentChange": -7.9923512335606715,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 87.43,
      "afterValue": 102.95,
      "percentChange": 17.751343932288684,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 25,
      "afterValue": 25,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 3281,
      "afterValue": 3281,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 353,
      "afterValue": 137,
      "percentChange": -61.18980169971672,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 17655706,
      "afterValue": 22782446,
      "percentChange": 29.037298196968166,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 17471368,
      "afterValue": 25377589,
      "percentChange": 45.25244388418812,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 7670729,
      "afterValue": 11123229,
      "percentChange": 45.008759923600486,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 15727850,
      "afterValue": 9338673,
      "percentChange": -40.62333376780679,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": -16306977,
      "afterValue": -36084045,
      "percentChange": -121.27979330565071,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 419165,
      "afterValue": 3680,
      "percentChange": -99.12206410363461,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 145.03,
      "afterValue": 144.37,
      "percentChange": -0.4550782596704107,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 34,
      "afterValue": 34,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 4948,
      "afterValue": 3619,
      "percentChange": -26.859337105901375,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 1047,
      "afterValue": 837,
      "percentChange": -20.057306590257877,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 39707796,
      "afterValue": 39401095,
      "percentChange": -0.7723949221457671,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 53028077,
      "afterValue": 48000842,
      "percentChange": -9.480326808758312,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 20775324,
      "afterValue": 29639807,
      "percentChange": 42.66832613537098,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "04/30/2022",
      "afterPeriod": "04/30/2024",
      "beforeValue": 30572913,
      "afterValue": 44237063,
      "percentChange": 44.69364760891447,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "04/30/2022",
      "afterPeriod": "04/30/2024",
      "beforeValue": -114491187,
      "afterValue": -184862942,
      "percentChange": -61.46477894407716,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "04/30/2022",
      "afterPeriod": "04/30/2024",
      "beforeValue": 753193,
      "afterValue": 359268,
      "percentChange": -52.30067193933029,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "04/30/2022",
      "afterPeriod": "04/30/2024",
      "beforeValue": 496.07,
      "afterValue": 532.55,
      "percentChange": 7.353800874876522,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "04/30/2022",
      "afterPeriod": "04/30/2024",
      "beforeValue": 54,
      "afterValue": 59,
      "percentChange": 9.25925925925926,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "04/30/2022",
      "afterPeriod": "04/30/2024",
      "beforeValue": 13591,
      "afterValue": 14274,
      "percentChange": 5.025384445588993,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "04/30/2022",
      "afterPeriod": "04/30/2024",
      "beforeValue": 3673,
      "afterValue": 3813,
      "percentChange": 3.811598148652328,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "04/30/2022",
      "afterPeriod": "04/30/2024",
      "beforeValue": 123718265,
      "afterValue": 146843031,
      "percentChange": 18.691472920348502,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "04/30/2022",
      "afterPeriod": "04/30/2024",
      "beforeValue": 152414390,
      "afterValue": 189318693,
      "percentChange": 24.213135649461968,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "04/30/2022",
      "afterPeriod": "04/30/2024",
      "beforeValue": 90082105,
      "afterValue": 118496886,
      "percentChange": 31.54320272600202,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 18787948,
      "afterValue": 33784303,
      "percentChange": 79.81901482801635,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": -219394057,
      "afterValue": -252657756,
      "percentChange": -15.161622632284885,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 2013830,
      "afterValue": 93064,
      "percentChange": -95.37875590293123,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 388.6,
      "afterValue": 455.72,
      "percentChange": 17.272259392691712,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 75,
      "afterValue": 75,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 7112,
      "afterValue": 6383,
      "percentChange": -10.250281214848144,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 1960,
      "afterValue": 2251,
      "percentChange": 14.846938775510205,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 99128680,
      "afterValue": 124391667,
      "percentChange": 25.48504327909945,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 117159379,
      "afterValue": 157314825,
      "percentChange": 34.274205226028045,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 45591909,
      "afterValue": 77614163,
      "percentChange": 70.23670362212734,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 18215664,
      "afterValue": 7101150,
      "percentChange": -61.01624404139206,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": -169431366,
      "afterValue": -173800368,
      "percentChange": -2.578626439215511,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2021",
      "afterPeriod": "02/28/2023",
      "beforeValue": 237332,
      "afterValue": 195742,
      "percentChange": -17.523974853791312,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 495.98,
      "afterValue": 462.69,
      "percentChange": -6.711964192104524,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 95,
      "afterValue": 95,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 19577,
      "afterValue": 12439,
      "percentChange": -36.46115339428922,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 3805,
      "afterValue": 2522,
      "percentChange": -33.71879106438897,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 99013168,
      "afterValue": 102773744,
      "percentChange": 3.7980564362913833,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 115341564,
      "afterValue": 106965449,
      "percentChange": -7.2620092094468225,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 43893035,
      "afterValue": 72353253,
      "percentChange": 64.83994100658566,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 44163622,
      "afterValue": 40471537,
      "percentChange": -8.360014040515065,
      "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": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": -719645111,
      "afterValue": -760649642,
      "percentChange": -5.697882244071828,
      "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": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 15547905,
      "afterValue": 8241387,
      "percentChange": -46.99358530940342,
      "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": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 896.62,
      "afterValue": 966.13,
      "percentChange": 7.752448082799847,
      "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": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 188,
      "afterValue": 182,
      "percentChange": -3.1914893617021276,
      "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": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 40345,
      "afterValue": 38004,
      "percentChange": -5.802453835667369,
      "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": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 7508,
      "afterValue": 8096,
      "percentChange": 7.831646244006393,
      "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": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 248524571,
      "afterValue": 288139109,
      "percentChange": 15.939887891406922,
      "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": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 289789688,
      "afterValue": 326216254,
      "percentChange": 12.570000765520684,
      "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": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 93781799,
      "afterValue": 131240573,
      "percentChange": 39.94247753767232,
      "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": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 14957241,
      "afterValue": 11049197,
      "percentChange": -26.12810744976296,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": -228913657,
      "afterValue": -247269931,
      "percentChange": -8.018863636432142,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 3167653,
      "afterValue": 3531738,
      "percentChange": 11.493841023622222,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 285.27,
      "afterValue": 278.89,
      "percentChange": -2.2364777228590444,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 100,
      "afterValue": 100,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 7097,
      "afterValue": 5509,
      "percentChange": -22.375651683810062,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 2145,
      "afterValue": 1777,
      "percentChange": -17.156177156177158,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 72304181,
      "afterValue": 78967706,
      "percentChange": 9.215960830812813,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 84982932,
      "afterValue": 88891392,
      "percentChange": 4.599111736930894,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 36531284,
      "afterValue": 48981008,
      "percentChange": 34.079623371573796,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 6805524,
      "afterValue": 3901900,
      "percentChange": -42.66569333970463,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": -25667576,
      "afterValue": -24995119,
      "percentChange": 2.619869519427935,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 251404,
      "afterValue": 870998,
      "percentChange": 246.453517048257,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 202.79,
      "afterValue": 226.12,
      "percentChange": 11.504512056807542,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 63,
      "afterValue": 63,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 3932,
      "afterValue": 2546,
      "percentChange": -35.24923702950152,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 1095,
      "afterValue": 815,
      "percentChange": -25.570776255707763,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 39619856,
      "afterValue": 49885755,
      "percentChange": 25.910995234308775,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 44523508,
      "afterValue": 52119751,
      "percentChange": 17.0611960764637,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 25443610,
      "afterValue": 32437500,
      "percentChange": 27.487805386106768,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 6264342,
      "afterValue": 9524074,
      "percentChange": 52.036303254196525,
      "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": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 5620045,
      "afterValue": 4205837,
      "percentChange": -25.163641928134027,
      "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": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 109.15,
      "afterValue": 107.92,
      "percentChange": -1.1268896014658762,
      "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": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 18,
      "afterValue": 25,
      "percentChange": 38.88888888888889,
      "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": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 4579,
      "afterValue": 5163,
      "percentChange": 12.753876392225378,
      "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": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 239,
      "afterValue": 138,
      "percentChange": -42.25941422594142,
      "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": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 26753089,
      "afterValue": 29139570,
      "percentChange": 8.92039420195552,
      "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": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 31852978,
      "afterValue": 38317144,
      "percentChange": 20.29375714886062,
      "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": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 40066611,
      "afterValue": 38445081,
      "percentChange": -4.0470854897111215,
      "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": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 10343272,
      "afterValue": 7371703,
      "percentChange": -28.729487148747513,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 11464441,
      "afterValue": -4043563,
      "percentChange": -135.27047677248285,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 845541,
      "afterValue": 906935,
      "percentChange": 7.2609134270248274,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 192.71,
      "afterValue": 173.1,
      "percentChange": -10.175911992112507,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 65,
      "afterValue": 65,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 7123,
      "afterValue": 3833,
      "percentChange": -46.18840376245964,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 1567,
      "afterValue": 1119,
      "percentChange": -28.58966177409062,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 41994553,
      "afterValue": 41311765,
      "percentChange": -1.625896577587098,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 49584733,
      "afterValue": 48483820,
      "percentChange": -2.2202660645566046,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "03/31/2022",
      "afterPeriod": "03/31/2024",
      "beforeValue": 31170791,
      "afterValue": 26923187,
      "percentChange": -13.62687267063579,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": -12646638,
      "afterValue": 11208721,
      "percentChange": 188.6300453923011,
      "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": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 4016980,
      "afterValue": 10289467,
      "percentChange": 156.14932113179555,
      "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": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 155.07,
      "afterValue": 119.54,
      "percentChange": -22.91223318501321,
      "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": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 25,
      "afterValue": 25,
      "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": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 2469,
      "afterValue": 3492,
      "percentChange": 41.43377885783718,
      "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": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 384,
      "afterValue": 359,
      "percentChange": -6.510416666666667,
      "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": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 22178648,
      "afterValue": 22441864,
      "percentChange": 1.186799123192721,
      "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": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 7107986,
      "afterValue": 22741654,
      "percentChange": 219.94511525486965,
      "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": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 8749866,
      "afterValue": 9229162,
      "percentChange": 5.4777524592948055,
      "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": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": -30270319,
      "afterValue": 70846362,
      "percentChange": 334.0456405497411,
      "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": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 125187596,
      "afterValue": 95581344,
      "percentChange": -23.64950917341683,
      "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": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 29769272,
      "afterValue": 10132081,
      "percentChange": -65.96463292753683,
      "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": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 1483.27,
      "afterValue": 1484.91,
      "percentChange": 0.11056651857046255,
      "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": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 247,
      "afterValue": 271,
      "percentChange": 9.7165991902834,
      "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": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 60493,
      "afterValue": 61833,
      "percentChange": 2.2151323293604217,
      "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": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 11527,
      "afterValue": 12313,
      "percentChange": 6.81877331482606,
      "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": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 442443226,
      "afterValue": 495160627,
      "percentChange": 11.9150656857384,
      "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": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 394744904,
      "afterValue": 535725225,
      "percentChange": 35.714285243819134,
      "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": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 307549758,
      "afterValue": 343616358,
      "percentChange": 11.727077996920421,
      "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": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": -8151003,
      "afterValue": 23453769,
      "percentChange": 387.7408952002594,
      "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": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": -6491565,
      "afterValue": -12010280,
      "percentChange": -85.01362922500199,
      "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": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 9680205,
      "afterValue": 2967969,
      "percentChange": -69.33981253496181,
      "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": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 485.63,
      "afterValue": 430.94,
      "percentChange": -11.261660111607602,
      "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": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 145,
      "afterValue": 63,
      "percentChange": -56.55172413793104,
      "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": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 19306,
      "afterValue": 13644,
      "percentChange": -29.327670154356163,
      "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": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 3668,
      "afterValue": 3142,
      "percentChange": -14.340239912758998,
      "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": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 121854183,
      "afterValue": 125032325,
      "percentChange": 2.608151744778429,
      "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": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 98532302,
      "afterValue": 94733747,
      "percentChange": -3.8551367652001067,
      "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": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 43679239,
      "afterValue": 47705246,
      "percentChange": 9.21720957638479,
      "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": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 7848583,
      "afterValue": 14471892,
      "percentChange": 84.38859600516425,
      "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": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 47287962,
      "afterValue": 104900876,
      "percentChange": 121.83420803797804,
      "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": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 1134908,
      "afterValue": 1794232,
      "percentChange": 58.0949292806113,
      "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": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 285.26,
      "afterValue": 247.88,
      "percentChange": -13.103835097805511,
      "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": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 49,
      "afterValue": 49,
      "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": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 7100,
      "afterValue": 4555,
      "percentChange": -35.845070422535215,
      "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": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 1594,
      "afterValue": 1430,
      "percentChange": -10.28858218318695,
      "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": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 45717516,
      "afterValue": 53104935,
      "percentChange": 16.158837238663622,
      "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": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 52034256,
      "afterValue": 66710792,
      "percentChange": 28.20552675914113,
      "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": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "05/31/2022",
      "afterPeriod": "05/31/2024",
      "beforeValue": 55501631,
      "afterValue": 140520348,
      "percentChange": 153.18237584765754,
      "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": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 41204040,
      "afterValue": 19524376,
      "percentChange": -52.61538431668351,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 73623241,
      "afterValue": 37947404,
      "percentChange": -48.45730304103293,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 249.8,
      "afterValue": 311.48,
      "percentChange": 24.69175340272218,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 197,
      "afterValue": 197,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 34490,
      "afterValue": 39949,
      "percentChange": 15.827776167004929,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 6448,
      "afterValue": 7133,
      "percentChange": 10.623449131513647,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 40113359,
      "afterValue": 49503313,
      "percentChange": 23.408545766511352,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 81247060,
      "afterValue": 68841910,
      "percentChange": -15.26842940532248,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 100186104,
      "afterValue": 88703181,
      "percentChange": -11.461592517860561,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 4925620,
      "afterValue": 3422296,
      "percentChange": -30.520503002667688,
      "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": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 1139744,
      "afterValue": 844210,
      "percentChange": -25.92985793300952,
      "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": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 178075,
      "afterValue": 218944,
      "percentChange": 22.950442229397723,
      "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": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 50.48,
      "afterValue": 54.78,
      "percentChange": 8.51822503961966,
      "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": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 49,
      "afterValue": 49,
      "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": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 984,
      "afterValue": 1191,
      "percentChange": 21.036585365853657,
      "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": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 151,
      "afterValue": 191,
      "percentChange": 26.490066225165563,
      "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": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 13155597,
      "afterValue": 16277462,
      "percentChange": 23.730317977967857,
      "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": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 14635169,
      "afterValue": 17485071,
      "percentChange": 19.472969529767646,
      "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": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
      "beforeValue": 9350172,
      "afterValue": 16928551,
      "percentChange": 81.05069083221143,
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 165443671,
      "afterValue": 57906906,
      "percentChange": -64.99902011966357,
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 81950354,
      "afterValue": 33063080,
      "percentChange": -59.654744139360275,
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 51455878,
      "afterValue": 58878818,
      "percentChange": 14.425834887124072,
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 3409.83,
      "afterValue": 3684.81,
      "percentChange": 8.064331652897652,
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 789,
      "afterValue": 789,
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 179623,
      "afterValue": 200595,
      "percentChange": 11.675564933221247,
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 33094,
      "afterValue": 40274,
      "percentChange": 21.695775669305615,
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 896950455,
      "afterValue": 1127277387,
      "percentChange": 25.678891260498887,
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 1031988448,
      "afterValue": 1152061388,
      "percentChange": 11.635105047222389,
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 537117407,
      "afterValue": 665868873,
      "percentChange": 23.9708235707952,
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": -1970329,
      "afterValue": -5910645,
      "percentChange": -199.98264249270045,
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 8192681,
      "afterValue": 6997578,
      "percentChange": -14.587447015207841,
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 1339884,
      "afterValue": 347726,
      "percentChange": -74.04805192091256,
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 145.13,
      "afterValue": 162.42,
      "percentChange": 11.913456900709704,
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 32,
      "afterValue": 32,
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 3614,
      "afterValue": 3246,
      "percentChange": -10.18262313226342,
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 1047,
      "afterValue": 1151,
      "percentChange": 9.933142311365808,
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 35034619,
      "afterValue": 42689493,
      "percentChange": 21.84945696141294,
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 32016299,
      "afterValue": 36599604,
      "percentChange": 14.315536595906977,
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 10885795,
      "afterValue": 14795214,
      "percentChange": 35.913031615972926,
      "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": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": -5702889,
      "afterValue": -3612252,
      "percentChange": 36.65926164791214,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 58406913,
      "afterValue": 60065189,
      "percentChange": 2.8391776158414674,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-08-31",
      "afterPeriod": "2022-08-31",
      "beforeValue": 3124529,
      "afterValue": 11010416,
      "percentChange": 252.3864236817773,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 294.4,
      "afterValue": 252,
      "percentChange": -14.402173913043473,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 153,
      "afterValue": 153,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 31288,
      "afterValue": 26225,
      "percentChange": -16.181922781897214,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 846,
      "afterValue": 685,
      "percentChange": -19.030732860520093,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 81934206,
      "afterValue": 73288601,
      "percentChange": -10.551887205692822,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 70752530,
      "afterValue": 64203869,
      "percentChange": -9.255726968350107,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "08/31/2022",
      "afterPeriod": "08/31/2024",
      "beforeValue": 46219765,
      "afterValue": 36330570,
      "percentChange": -21.39603046445606,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": -5373482,
      "afterValue": 11664039,
      "percentChange": 317.0666804131846,
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": -344943,
      "afterValue": -3012675,
      "percentChange": -773.3834285664587,
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 1902681,
      "afterValue": 647695,
      "percentChange": -65.95882336555628,
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 98.01,
      "afterValue": 179.24,
      "percentChange": 82.87929803081319,
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 47,
      "afterValue": 39,
      "percentChange": -17.02127659574468,
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 3471,
      "afterValue": 5126,
      "percentChange": 47.680783635839816,
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 879,
      "afterValue": 1408,
      "percentChange": 60.18202502844141,
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 20045447,
      "afterValue": 35439180,
      "percentChange": 76.79416178646453,
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 18868957,
      "afterValue": 30242039,
      "percentChange": 60.274036344457194,
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 15425394,
      "afterValue": 10387426,
      "percentChange": -32.66022248767195,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": -2195793,
      "afterValue": -5521590,
      "percentChange": -151.46222799690133,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": -32480211,
      "afterValue": -54564651,
      "percentChange": -67.9935238105442,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 532125,
      "afterValue": 44621,
      "percentChange": -91.61456424712239,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 141.44,
      "afterValue": 156.28,
      "percentChange": 10.492081447963804,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 75,
      "afterValue": 37,
      "percentChange": -50.66666666666667,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 2445,
      "afterValue": 2008,
      "percentChange": -17.873210633946833,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 482,
      "afterValue": 398,
      "percentChange": -17.42738589211618,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 25269705,
      "afterValue": 34878123,
      "percentChange": 38.023467230820465,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 22362634,
      "afterValue": 29049281,
      "percentChange": 29.900981252923962,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 11474501,
      "afterValue": 15374404,
      "percentChange": 33.98756076625903,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    }
  ],
  "documentedDebtEvents": [],
  "financialStressSignals": [
    {
      "hospitalId": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 252.3864236817773,
      "display": "Direct-care contract labor +252.4%",
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -199.98264249270045,
      "display": "Net income -200.0%",
      "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": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 156.14932113179555,
      "display": "Total liabilities +156.1%",
      "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": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -151.46222799690133,
      "display": "Net income -151.5%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 121.83420803797804,
      "display": "Total liabilities +121.8%",
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 76.79416178646453,
      "display": "Operating expense +76.8%",
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -64.99902011966357,
      "display": "Net income -65.0%",
      "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": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "status": "Critical",
      "leadMetric": "Discharges",
      "percentChange": -61.18980169971672,
      "display": "Discharges -61.2%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -61.01624404139206,
      "display": "Net income -61.0%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "status": "Critical",
      "leadMetric": "Beds",
      "percentChange": -56.55172413793104,
      "display": "Beds -56.6%",
      "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": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -52.61538431668351,
      "display": "Net income -52.6%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -42.66569333970463,
      "display": "Net income -42.7%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "status": "Declining",
      "leadMetric": "Discharges",
      "percentChange": -42.25941422594142,
      "display": "Discharges -42.3%",
      "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": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -40.62333376780679,
      "display": "Net income -40.6%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -30.520503002667688,
      "display": "Net income -30.5%",
      "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": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -28.729487148747513,
      "display": "Net income -28.7%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -26.12810744976296,
      "display": "Net income -26.1%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 25.48504327909945,
      "display": "Operating expense +25.5%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 20.679225401822222,
      "display": "Operating expense +20.7%",
      "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": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 18.691472920348502,
      "display": "Operating expense +18.7%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 11.9150656857384,
      "display": "Operating expense +11.9%",
      "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": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -8.360014040515065,
      "display": "Net income -8.4%",
      "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": "0181742223",
      "hospital": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
      "city": "FORT CAMPBELL",
      "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": "0196784503",
      "hospital": "BYRD ARMY MEDICAL HOME",
      "city": "FORT CAMPBELL",
      "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": "0196784506",
      "hospital": "CAMPBELL AIRFIELD MEDICAL HOME",
      "city": "FORT CAMPBELL",
      "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": "180043",
      "hospital": "ADVENTHEALTH MANCHESTER",
      "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": "180080",
      "hospital": "BAPTIST HEALTH CORBIN",
      "city": "CORBIN",
      "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": "180138",
      "hospital": "BAPTIST HEALTH LA GRANGE",
      "city": "LA GRANGE",
      "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": "180103",
      "hospital": "BAPTIST HEALTH LEXINGTON",
      "city": "LEXINGTON",
      "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": "180130",
      "hospital": "BAPTIST HEALTH LOUISVILLE",
      "city": "LOUISVILLE",
      "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": "0102442431",
      "hospital": "BAPTIST HEALTH MADISONVILLE",
      "city": "MADISONVILLE",
      "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": "180104",
      "hospital": "BAPTIST HEALTH PADUCAH",
      "city": "PADUCAH",
      "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": "180049",
      "hospital": "BAPTIST HEALTH RICHMOND",
      "city": "RICHMOND",
      "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": "0004640906",
      "hospital": "BARBOURVILLE ARH HOSPITAL",
      "city": "BARBOURVILLE",
      "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": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "city": "VERSAILLES",
      "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": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "city": "PARIS",
      "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": "181319",
      "hospital": "BRECKINRIDGE MEMORIAL HOSPITAL",
      "city": "HARDINSBURG",
      "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": "181322",
      "hospital": "CALDWELL MEDICAL CENTER",
      "city": "PRINCETON",
      "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": "181310",
      "hospital": "CARROLL COUNTY MEMORIAL HOSPITAL",
      "city": "CARROLLTON",
      "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": "181309",
      "hospital": "CASEY COUNTY HOSPITAL",
      "city": "LIBERTY",
      "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": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "city": "WINCHESTER",
      "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": "181317",
      "hospital": "CUMBERLAND COUNTY HOSPITAL",
      "city": "BURKESVILLE",
      "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": "181315",
      "hospital": "EPHRAIM MCDOWELL FORT LOGAN HOSPITAL",
      "city": "STANFORD",
      "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": "180025",
      "hospital": "FLAGET MEMORIAL HOSPITAL",
      "city": "BARDSTOWN",
      "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": "180780",
      "hospital": "FLEMING COUNTY HOSPITAL",
      "city": "FLEMINGSBURG",
      "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": "180127",
      "hospital": "FRANKFORT REGIONAL MEDICAL CENTER",
      "city": "FRANKFORT",
      "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": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "city": "GEORGETOWN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "180050",
      "hospital": "HARLAN ARH HOSPITAL",
      "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": "180079",
      "hospital": "HARRISON MEMORIAL HOSPITAL",
      "city": "CYNTHIANA",
      "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": "180029",
      "hospital": "HAZARD ARH REGIONAL MEDICAL CENTER",
      "city": "HAZARD",
      "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": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "city": "MAYFIELD",
      "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": "180051",
      "hospital": "JENNIE STUART MEDICAL CENTER",
      "city": "HOPKINSVILLE",
      "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": "181334",
      "hospital": "KENTUCKY RIVER MEDICAL CENTER",
      "city": "JACKSON",
      "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": "180132",
      "hospital": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "city": "SOMERSET",
      "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": "184012",
      "hospital": "LINCOLN TRAIL BEHAVIORAL HEALTH SYSTEM",
      "city": "RADCLIFF",
      "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": "0005042276",
      "hospital": "LOGAN MEMORIAL HOSPITAL",
      "city": "RUSSELLVILLE",
      "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": "181327",
      "hospital": "MARSHALL COUNTY HOSPITAL",
      "city": "BENTON",
      "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": "181316",
      "hospital": "MARY BRECKINRIDGE ARH HOSPITAL",
      "city": "HYDEN",
      "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": "181331",
      "hospital": "MCDOWELL ARH HOSPITAL",
      "city": "MC DOWELL",
      "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": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "city": "MAYSVILLE",
      "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": "180105",
      "hospital": "MONROE COUNTY MEDICAL CENTER",
      "city": "TOMPKINSVILLE",
      "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": "181307",
      "hospital": "MORGAN COUNTY ARH HOSPITAL",
      "city": "WEST LIBERTY",
      "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": "0006840217",
      "hospital": "NORTON AUDUBON HOSPITAL",
      "city": "LOUISVILLE",
      "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": "0006940241",
      "hospital": "NORTON BROWNSBORO HOSPITAL",
      "city": "LOUISVILLE",
      "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": "181323",
      "hospital": "OHIO COUNTY HOSPITAL",
      "city": "HARTFORD",
      "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": "180038",
      "hospital": "OWENSBORO HEALTH REGIONAL HOSPITAL",
      "city": "OWENSBORO",
      "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": "0007941240",
      "hospital": "PAUL B HALL REGIONAL MEDICAL CENTER",
      "city": "PAINTSVILLE",
      "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": "180044",
      "hospital": "PIKEVILLE MEDICAL CENTER",
      "city": "PIKEVILLE",
      "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": "184017",
      "hospital": "RIVENDELL BEHAVIORAL HEALTH SERVICES",
      "city": "BOWLING GREEN",
      "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": "181330",
      "hospital": "RUSSELL COUNTY HOSPITAL",
      "city": "RUSSELL SPRINGS",
      "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": "180010",
      "hospital": "SAINT JOSEPH HOSPITAL",
      "city": "LEXINGTON",
      "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": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "city": "LEBANON",
      "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": "180018",
      "hospital": "ST CLAIRE REGIONAL MEDICAL CENTER",
      "city": "MOREHEAD",
      "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": "180035",
      "hospital": "ST ELIZABETH EDGEWOOD",
      "city": "EDGEWOOD",
      "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": "180045",
      "hospital": "ST ELIZABETH FLORENCE",
      "city": "FLORENCE",
      "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": "181311",
      "hospital": "ST ELIZABETH GRANT",
      "city": "WILLIAMSTOWN",
      "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": "180087",
      "hospital": "TAYLOR REGIONAL HOSPITAL",
      "city": "CAMPBELLSVILLE",
      "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": "184007",
      "hospital": "THE BROOK HOSPITAL - DUPONT",
      "city": "LOUISVILLE",
      "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": "184008",
      "hospital": "THE BROOK HOSPITAL - KMI",
      "city": "LOUISVILLE",
      "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": "181333",
      "hospital": "THE MEDICAL CENTER AT ALBANY",
      "city": "ALBANY",
      "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": "0010942101",
      "hospital": "THE MEDICAL CENTER AT BOWLING GREEN",
      "city": "BOWLING GREEN",
      "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": "0001142749",
      "hospital": "THE MEDICAL CENTER AT CAVERNA",
      "city": "HORSE CAVE",
      "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": "181318",
      "hospital": "THE MEDICAL CENTER AT FRANKLIN",
      "city": "FRANKLIN",
      "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": "181324",
      "hospital": "THE MEDICAL CENTER AT SCOTTSVILLE",
      "city": "SCOTTSVILLE",
      "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": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "city": "LOUISA",
      "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": "180069",
      "hospital": "TUG VALLEY ARH REGIONAL MEDICAL CENTER",
      "city": "SOUTH WILLIAMSON",
      "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": "0011540508",
      "hospital": "UK HEALTHCARE GOOD SAMARITAN HOSPITAL",
      "city": "LEXINGTON",
      "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": "180141",
      "hospital": "UNIVERSITY OF LOUISVILLE HOSPITAL",
      "city": "LOUISVILLE",
      "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": "180002",
      "hospital": "WHITESBURG ARH HOSPITAL",
      "city": "WHITESBURG",
      "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": "181305",
      "hospital": "ARH OUR LADY OF THE WAY",
      "city": "MARTIN",
      "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": "180012",
      "hospital": "BAPTIST HEALTH HARDIN",
      "city": "ELIZABETHTOWN",
      "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": "0000840504",
      "hospital": "CARDINAL HILL REHABILITATION HOSPITAL",
      "city": "LEXINGTON",
      "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": "184015",
      "hospital": "CENTRAL STATE HOSPITAL",
      "city": "LOUISVILLE",
      "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": "181329",
      "hospital": "CHI SAINT JOSEPH BEREA NF",
      "city": "BEREA",
      "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": "180143",
      "hospital": "CHI SAINT JOSEPH EAST",
      "city": "LEXINGTON",
      "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": "180011",
      "hospital": "CHI SAINT JOSEPH LONDON",
      "city": "LONDON",
      "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": "180064",
      "hospital": "CHI SAINT JOSEPH MOUNT STERLING",
      "city": "MOUNT STERLING",
      "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": "180779",
      "hospital": "CRITTENDEN COMMUNITY HOSPITAL",
      "city": "MARION",
      "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": "184014",
      "hospital": "CUMBERLAND HALL",
      "city": "HOPKINSVILLE",
      "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": "180056",
      "hospital": "DEACONESS HENDERSON HOSPITAL",
      "city": "HENDERSON",
      "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": "0005942437",
      "hospital": "DEACONESS UNION COUNTY HOSPITAL",
      "city": "MORGANFIELD",
      "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": "184004",
      "hospital": "EASTERN STATE HOSPITAL",
      "city": "LEXINGTON",
      "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": "0003442701",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAKEVIEW",
      "city": "ELIZABETHTOWN",
      "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": "0003541017",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTHERN KENTUCKY",
      "city": "EDGEWOOD",
      "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": "180048",
      "hospital": "EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER",
      "city": "DANVILLE",
      "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": "0002741042",
      "hospital": "GATEWAY REHABILITATION HOSPITAL",
      "city": "FLORENCE",
      "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": "180005",
      "hospital": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "city": "PRESTONSBURG",
      "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": "181325",
      "hospital": "JANE TODD CRAWFORD HOSPITAL",
      "city": "GREENSBURG",
      "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": "0004240031",
      "hospital": "KENTUCKY CORRECTIONAL PSYCHIATRIC CENTER",
      "city": "LA GRANGE",
      "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": "181320",
      "hospital": "LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC",
      "city": "SALEM",
      "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": "180102",
      "hospital": "LOURDES HOSPITAL",
      "city": "PADUCAH",
      "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": "181301",
      "hospital": "MARCUM AND WALLACE MEMORIAL HOSPITAL",
      "city": "IRVINE",
      "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": "0006040965",
      "hospital": "MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPITAL",
      "city": "MIDDLESBORO",
      "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": "180027",
      "hospital": "MURRAY - CALLOWAY COUNTY HOSPITAL",
      "city": "MURRAY",
      "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": "0007040202",
      "hospital": "NORTON HOSPITAL - NORTON HEALTHCARE PAVILION - NOR",
      "city": "LOUISVILLE",
      "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": "0007140207",
      "hospital": "NORTON WOMEN'S AND CHILDREN'S HOSPITAL",
      "city": "LOUISVILLE",
      "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": "180004",
      "hospital": "OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL",
      "city": "GREENVILLE",
      "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": "180070",
      "hospital": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "city": "LEITCHFIELD",
      "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": "180154",
      "hospital": "PINEVILLE COMMUNITY HEALTH CENTER, INC",
      "city": "PINEVILLE",
      "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": "0008543202",
      "hospital": "RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL",
      "city": "OWENSBORO",
      "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": "0008640456",
      "hospital": "ROCKCASTLE REGIONAL HOSPITAL AND RESPIRATORY CARE CT",
      "city": "MOUNT VERNON",
      "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": "0009642104",
      "hospital": "SOUTHERN KENTUCKY REHABILITATION HOSPITAL",
      "city": "BOWLING GREEN",
      "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": "180001",
      "hospital": "ST ELIZABETH FT THOMAS",
      "city": "FORT THOMAS",
      "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": "0196784160",
      "hospital": "ST ELIZABETH MEDICAL CENTER NORTH",
      "city": "EDGEWOOD",
      "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": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "city": "ERLANGER",
      "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": "180149",
      "hospital": "T J HEALTH COLUMBIA",
      "city": "COLUMBIA",
      "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": "180017",
      "hospital": "T J SAMSON COMMUNITY HOSPITAL",
      "city": "GLASGOW",
      "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": "181302",
      "hospital": "THE JAMES B HAGGIN MEMORIAL HOSPITAL",
      "city": "HARRODSBURG",
      "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": "184009",
      "hospital": "THE RIDGE BEHAVIORAL HEALTH SYSTEM",
      "city": "LEXINGTON",
      "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": "181304",
      "hospital": "TRIGG COUNTY HOSPITAL",
      "city": "CADIZ",
      "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": "180124",
      "hospital": "TRISTAR GREENVIEW REGIONAL HOSPITAL",
      "city": "BOWLING GREEN",
      "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": "180067",
      "hospital": "UNIVERSITY OF KENTUCKY HOSPITAL",
      "city": "LEXINGTON",
      "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": "0002540202",
      "hospital": "UOFL HEALTH - FRAZIER REHABILITATION INSTITUTE",
      "city": "LOUISVILLE",
      "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": "180040",
      "hospital": "UOFL HEALTH - JEWISH HOSPITAL",
      "city": "LOUISVILLE",
      "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": "0009440215",
      "hospital": "UOFL HEALTH - MARY AND ELIZABETH HOSPITAL",
      "city": "LOUISVILLE",
      "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": "0007540205",
      "hospital": "UOFL HEALTH - PEACE HOSPITAL",
      "city": "LOUISVILLE",
      "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": "180016",
      "hospital": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "city": "SHELBYVILLE",
      "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": "181321",
      "hospital": "WAYNE COUNTY HOSPITAL",
      "city": "MONTICELLO",
      "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": "184002",
      "hospital": "WESTERN STATE HOSPITAL",
      "city": "HOPKINSVILLE",
      "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": "0173640206",
      "hospital": "ROBLEY REX DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "city": "LOUISVILLE",
      "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": "0175640502",
      "hospital": "TROY BOWLING CAMPUS",
      "city": "LEXINGTON",
      "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": "0007341101",
      "hospital": "OUR LADY OF BELLEFONTE HOSPITAL",
      "city": "ASHLAND",
      "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": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "city": "LOUISVILLE",
      "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": "180038",
      "hospital": "OWENSBORO HEALTH",
      "city": "OWENSBORO",
      "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": "0010341014",
      "hospital": "ST. ELIZABETH COVINGTON",
      "city": "COVINGTON",
      "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": "0173741075",
      "hospital": "CINCINNATI VA MEDICAL CENTER - FORT THOMAS",
      "city": "FT THOMAS",
      "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": "0012440232",
      "hospital": "NORTON HEALTHCARE PAVILION",
      "city": "LOUISVILLE",
      "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": "18007F",
      "hospital": "LEXINGTON VA MEDICAL CENTER - LEESTOWN",
      "city": "LEXINGTON",
      "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": "0181840121",
      "hospital": "IRELAND ARMY COMMUNITY HOSPITAL",
      "city": "FORT KNOX",
      "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": "0196785207",
      "hospital": "BELLEFONTE HOSPITAL AND RECOVERY CENTER",
      "city": "ASHLAND",
      "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": "180078",
      "hospital": "PAINTSVILLE ARH HOSPITAL",
      "city": "PAINTSVILLE",
      "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": "180009",
      "hospital": "KINGS DAUGHTERS MEDICAL CENTER",
      "city": "ASHLAND",
      "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": "0196785212",
      "hospital": "U OF L HEALTH, FRAZIER REHABILITATION HOSPITAL-BROWNSBORO",
      "city": "LOUISVILLE",
      "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": "0196785208",
      "hospital": "JANE TODD CRAWFORD MEMORIAL HOSPITAL",
      "city": "GREENSBURG",
      "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": "180020",
      "hospital": "MIDDLESBORO ARH HOSPITAL",
      "city": "MIDDLESBORO",
      "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": "18007F",
      "hospital": "LEXINGTON VA MEDICAL CENTER",
      "city": "LEXINGTON",
      "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": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "city": "RUSSELLVILLE",
      "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": "0196785450",
      "hospital": "REHABILITATIONHOSPITALOFLOUISVILLE,LLC,DBA BAPTISTHEALTHREHABILITATIONHOSPITAL",
      "city": "LOUISVILLE",
      "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-18T040",
      "hospital": "FRAZIER REHAB INSTITUTE",
      "city": "LOUISVILLE",
      "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": "December 2021",
      "hospitalId": "0004440204",
      "hospital": "KINDRED HOSPITAL - LOUISVILLE",
      "eventType": "acquisition_or_control_event",
      "title": "KINDRED HOSPITAL - LOUISVILLE acquisition/control event",
      "summary": "Apollo Global Management / ScionHealth",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris"
      ]
    },
    {
      "date": "February 2018",
      "hospitalId": "184006",
      "hospital": "SUN BEHAVIORAL HEALTH",
      "eventType": "acquisition_or_control_event",
      "title": "SUN BEHAVIORAL HEALTH acquisition/control event",
      "summary": "LLR Partners, HealthInvest Equity Partners, NewSpring Capital, Petra Capital Partners, SV Health Investors / SUN Behavioral Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "May 2020",
      "hospitalId": "181334",
      "hospital": "KENTUCKY RIVER MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "KENTUCKY RIVER MEDICAL CENTER acquisition/control event",
      "summary": "GoldenTree Asset Management, Davidson Kempner / Quorum Health Corporation",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "May 2020",
      "hospitalId": "180128",
      "hospital": "THREE RIVERS MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "THREE RIVERS MEDICAL CENTER acquisition/control event",
      "summary": "GoldenTree Asset Management, Davidson Kempner / Quorum Health Corporation",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "181308",
      "hospital": "BLUEGRASS COMMUNITY HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "BLUEGRASS COMMUNITY HOSPITAL acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "180046",
      "hospital": "BOURBON COMMUNITY HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "BOURBON COMMUNITY HOSPITAL acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "180092",
      "hospital": "CLARK REGIONAL MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "CLARK REGIONAL MEDICAL CENTER acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "180780",
      "hospital": "FLEMING COUNTY HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "FLEMING COUNTY HOSPITAL acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "180101",
      "hospital": "GEORGETOWN COMMUNITY HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "GEORGETOWN COMMUNITY HOSPITAL acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "180116",
      "hospital": "JACKSON PURCHASE MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "JACKSON PURCHASE MEDICAL CENTER acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "180019",
      "hospital": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "MEADOWVIEW REGIONAL MEDICAL CENTER acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "180024",
      "hospital": "SPRING VIEW HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "SPRING VIEW HOSPITAL acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "180066",
      "hospital": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "eventType": "acquisition_or_control_event",
      "title": "THE MEDICAL CENTER AT RUSSELLVILLE acquisition/control event",
      "summary": "Apollo Global Management / ScionHealth",
      "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": 26,
    "notAvailableRows": 111,
    "totalSourceIds": 6
  }
}
