{
  "schemaVersion": 1,
  "generatedAt": "2026-07-02T17:31:14.077Z",
  "state": "ME",
  "stateName": "Maine",
  "slug": "maine",
  "files": {
    "json": "/data/states/maine-impact-summary.json",
    "csv": "/data/states/maine-hospital-impact-2026-07-02.csv",
    "workbook": "/data/states/maine-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": 47,
    "currentPeCount": 0,
    "formerPeCount": 0,
    "peBefore2010Count": 0,
    "closuresAfterPeCount": 0,
    "worseningQualityCount": 0,
    "worseningFinancialCount": 29,
    "unresolvedCount": 4,
    "documentedDebtEventCount": 0,
    "ceoCompensationStructuredCount": 0
  },
  "statusCounts": {
    "verified_independent": 37,
    "signal": 3,
    "corporate_chain": 6,
    "unknown": 1
  },
  "tierDefinitions": [
    {
      "tier": "Tier 1",
      "definition": "Confirmed PE ownership/control or closed after documented PE acquisition."
    },
    {
      "tier": "Tier 2",
      "definition": "PE-backed contract, former PE ownership, documented debt/bankruptcy/asset-sale concern, or transaction warning."
    },
    {
      "tier": "Tier 3",
      "definition": "Corporate-chain or major-system exposure without PE proof."
    },
    {
      "tier": "Independent/Unresolved",
      "definition": "No documented PE exposure, verified independent, unknown, or evidence incomplete."
    }
  ],
  "topFinancialDeclines": [
    {
      "hospitalId": "200050",
      "hospital": "NORTHERN LIGHT MAINE COAST HOSPITAL",
      "city": "ELLSWORTH",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 4832.835863439424,
      "display": "Direct-care contract labor +4832.8%",
      "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": "200009",
      "hospital": "MAINE MEDICAL CENTER",
      "city": "PORTLAND",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 2023.2853942235333,
      "display": "Direct-care contract labor +2023.3%",
      "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": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 982.904939734957,
      "display": "Direct-care contract labor +982.9%",
      "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": "201308",
      "hospital": "HOULTON REGIONAL HOSPITAL",
      "city": "HOULTON",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -338.11585425479234,
      "display": "Net income -338.1%",
      "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": "200001",
      "hospital": "ST JOSEPH HOSPITAL",
      "city": "BANGOR",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 271.00757241564435,
      "display": "Direct-care contract labor +271.0%",
      "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": "201303",
      "hospital": "PENOBSCOT VALLEY HOSPITAL",
      "city": "LINCOLN",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -263.3922109922201,
      "display": "Net income -263.4%",
      "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."
    },
    {
      "hospitalId": "201302",
      "hospital": "LINCOLN HEALTH",
      "city": "DAMARISCOTTA",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -200.8433345803378,
      "display": "Net income -200.8%",
      "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": "200033",
      "hospital": "EASTERN MAINE MEDICAL CENTER",
      "city": "BANGOR",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 181.77051294768484,
      "display": "Total liabilities +181.8%",
      "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."
    }
  ],
  "hospitalRows": [
    {
      "hospitalId": "201310",
      "ccn": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Discharges",
      "financialLeadPercentChange": -32.03007518796993,
      "financialLeadDisplay": "Discharges -32.0%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201310.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201305",
      "ccn": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "state": "ME",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 110.86878394858685,
      "financialLeadDisplay": "Operating expense +110.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "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",
        "source-cms-hospital-chow",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "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",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201305.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200031",
      "ccn": "200031",
      "hospital": "CARY MEDICAL CENTER",
      "city": "CARIBOU",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 1",
      "qualityLeadDisplay": "CMS overall rating 1",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -61.48703278253954,
      "financialLeadDisplay": "Net income -61.5%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200031.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200024",
      "ccn": "200024",
      "hospital": "CENTRAL MAINE MEDICAL CENTER",
      "city": "LEWISTON",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -70.27477267538235,
      "financialLeadDisplay": "Net income -70.3%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200024.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0004704441",
      "ccn": "",
      "hospital": "CHARLES A DEAN MEMORIAL HOSPITAL",
      "city": "GREENVILLE",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0004704441.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "204004",
      "ccn": "204004",
      "hospital": "DOROTHEA DIX PSYCHIATRIC CENTER",
      "city": "BANGOR",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -19.08547753524638,
      "financialLeadDisplay": "Net income -19.1%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/204004.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201311",
      "ccn": "201311",
      "hospital": "DOWN EAST COMMUNITY HOSPITAL",
      "city": "MACHIAS",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -128.80814460007753,
      "financialLeadDisplay": "Net income -128.8%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201311.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200033",
      "ccn": "200033",
      "hospital": "EASTERN MAINE MEDICAL CENTER",
      "city": "BANGOR",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 5",
      "qualityLeadDisplay": "CMS overall rating 5",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 181.77051294768484,
      "financialLeadDisplay": "Total liabilities +181.8%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200033.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0003404938",
      "ccn": "",
      "hospital": "FRANKLIN MEMORIAL HOSPITAL",
      "city": "FARMINGTON",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0003404938.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0003604102",
      "ccn": "",
      "hospital": "HEALTHSOUTH - MAINE MEDICAL CENTER, LLC",
      "city": "PORTLAND",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0003604102.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201308",
      "ccn": "201308",
      "hospital": "HOULTON REGIONAL HOSPITAL",
      "city": "HOULTON",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -338.11585425479234,
      "financialLeadDisplay": "Net income -338.1%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201308.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201302",
      "ccn": "201302",
      "hospital": "LINCOLN HEALTH",
      "city": "DAMARISCOTTA",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -200.8433345803378,
      "financialLeadDisplay": "Net income -200.8%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201302.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200009",
      "ccn": "200009",
      "hospital": "MAINE MEDICAL CENTER",
      "city": "PORTLAND",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 2023.2853942235333,
      "financialLeadDisplay": "Direct-care contract labor +2023.3%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200009.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200039",
      "ccn": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "state": "ME",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Mainegeneral",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -156.88626173216448,
      "financialLeadDisplay": "Net income -156.9%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200039.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200021",
      "ccn": "200021",
      "hospital": "MID COAST HOSPITAL",
      "city": "BRUNSWICK",
      "state": "ME",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -36.861128207918334,
      "financialLeadDisplay": "Net income -36.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "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",
        "source-cms-hospital-chow",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "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",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200021.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201307",
      "ccn": "201307",
      "hospital": "MILLINOCKET REGIONAL HOSPITAL",
      "city": "MILLINOCKET",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -122.24835815567691,
      "financialLeadDisplay": "Net income -122.2%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201307.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201304",
      "ccn": "201304",
      "hospital": "MOUNT DESERT ISLAND HOSPITAL",
      "city": "BAR HARBOR",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -63.686286407433,
      "financialLeadDisplay": "Net income -63.7%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201304.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200018",
      "ccn": "200018",
      "hospital": "NORTHERN LIGHT A R GOULD HOSPITAL",
      "city": "PRESQUE ISLE",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 122.26837323627646,
      "financialLeadDisplay": "Direct-care contract labor +122.3%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200018.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "204006",
      "ccn": "204006",
      "hospital": "NORTHERN LIGHT ACADIA HOSPITAL",
      "city": "BANGOR",
      "state": "ME",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Acadia Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -81.98043080050066,
      "financialLeadDisplay": "Net income -82.0%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/204006.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201300",
      "ccn": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
      "city": "BLUE HILL",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -45.51148262078926,
      "financialLeadDisplay": "Net income -45.5%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201300.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0002804901",
      "ccn": "",
      "hospital": "NORTHERN LIGHT INLAND HOSPITAL",
      "city": "WATERVILLE",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0002804901.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200050",
      "ccn": "200050",
      "hospital": "NORTHERN LIGHT MAINE COAST HOSPITAL",
      "city": "ELLSWORTH",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 4832.835863439424,
      "financialLeadDisplay": "Direct-care contract labor +4832.8%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200050.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201309",
      "ccn": "201309",
      "hospital": "NORTHERN LIGHT MAYO HOSPITAL",
      "city": "DOVER FOXCROFT",
      "state": "ME",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -42.133175890024674,
      "financialLeadDisplay": "Net income -42.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "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",
        "source-cms-hospital-chow",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "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",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201309.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200008",
      "ccn": "200008",
      "hospital": "NORTHERN LIGHT MERCY HOSPITAL",
      "city": "PORTLAND",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 175.54201097265624,
      "financialLeadDisplay": "Direct-care contract labor +175.5%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200008.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201317",
      "ccn": "201317",
      "hospital": "NORTHERN MAINE MEDICAL CENTER",
      "city": "FORT KENT",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201317.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0002604856",
      "ccn": "",
      "hospital": "PENOBSCOT BAY MEDICAL CENTER",
      "city": "ROCKPORT",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0002604856.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201303",
      "ccn": "201303",
      "hospital": "PENOBSCOT VALLEY HOSPITAL",
      "city": "LINCOLN",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -263.3922109922201,
      "financialLeadDisplay": "Net income -263.4%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201303.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201314",
      "ccn": "201314",
      "hospital": "REDINGTON FAIRVIEW GENERAL HOSPITAL",
      "city": "SKOWHEGAN",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -49.26407267257941,
      "financialLeadDisplay": "Net income -49.3%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201314.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "204008",
      "ccn": "204008",
      "hospital": "RIVERVIEW PSYCHIATRIC CENTER",
      "city": "AUGUSTA",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Improving",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Improving",
      "financialLeadMetric": "Payroll employees",
      "financialLeadPercentChange": 21.694915254237287,
      "financialLeadDisplay": "Payroll employees +21.7%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/204008.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201306",
      "ccn": "201306",
      "hospital": "RUMFORD HOSPITAL",
      "city": "RUMFORD",
      "state": "ME",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Discharges",
      "financialLeadPercentChange": -40.79861111111111,
      "financialLeadDisplay": "Discharges -40.8%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201306.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "201313",
      "ccn": "201313",
      "hospital": "SEBASTICOOK VALLEY HEALTH",
      "city": "PITTSFIELD",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 30.052437776230562,
      "financialLeadDisplay": "Operating expense +30.1%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/201313.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0001204005",
      "ccn": "",
      "hospital": "SOUTHERN MAINE HEALTH CARE",
      "city": "BIDDEFORD",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0001204005.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000304092",
      "ccn": "",
      "hospital": "SPRING HARBOR HOSPITAL",
      "city": "WESTBROOK",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -95.75614979477265,
      "financialLeadDisplay": "Net income -95.8%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000304092.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200001",
      "ccn": "200001",
      "hospital": "ST JOSEPH HOSPITAL",
      "city": "BANGOR",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 271.00757241564435,
      "financialLeadDisplay": "Direct-care contract labor +271.0%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200001.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200034",
      "ccn": "200034",
      "hospital": "ST MARY'S REGIONAL MEDICAL CENTER",
      "city": "LEWISTON",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -147.95092558699588,
      "financialLeadDisplay": "Net income -148.0%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200034.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0002304268",
      "ccn": "",
      "hospital": "STEPHENS MEMORIAL HOSPITAL",
      "city": "NORWAY",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0002304268.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0001504915",
      "ccn": "",
      "hospital": "WALDO COUNTY GENERAL HOSPITAL",
      "city": "BELFAST",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0001504915.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200020",
      "ccn": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "state": "ME",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 982.904939734957,
      "financialLeadDisplay": "Direct-care contract labor +982.9%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200020.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "20003F",
      "ccn": "20003F",
      "hospital": "TOGUS VA MEDICAL CENTER",
      "city": "AUGUSTA",
      "state": "ME",
      "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": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 3,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/20003F.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "200039",
      "ccn": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "state": "ME",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Mainegeneral",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -156.88626173216448,
      "financialLeadDisplay": "Net income -156.9%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "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",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/200039.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0002504538",
      "ccn": "",
      "hospital": "SAINT ANDREWS HOSPITAL AND HEALTHCARE CENTER",
      "city": "BOOTHBAY HARBOR",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0002504538.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0003804011",
      "ccn": "",
      "hospital": "PARKVIEW ADVENTIST MEDICAL CENTER: PARKVIEW MEMORIAL HOSPITAL",
      "city": "BRUNSWICK",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0003804011.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0005304605",
      "ccn": "",
      "hospital": "KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND",
      "city": "ELLSWORTH",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0005304605.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0003504092",
      "ccn": "",
      "hospital": "MERCY WESTBROOK",
      "city": "WESTBROOK",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0003504092.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0002904901",
      "ccn": "",
      "hospital": "MAINEGENERAL MEDICAL CENTER-THAYER",
      "city": "WATERVILLE",
      "state": "ME",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Mainegeneral",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0002904901.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0005104064",
      "ccn": "",
      "hospital": "MILESTONE FOUNDATION - EXTENDED CARE",
      "city": "OLD ORCHARD BEACH",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0005104064.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196784212",
      "ccn": "",
      "hospital": "MAINE MEDICAL CENTER -TRANSPLANT CENTER",
      "city": "PORTLAND",
      "state": "ME",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196784212.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    }
  ],
  "metricTrendRows": [
    {
      "hospitalId": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 6629745,
      "afterValue": 5697590,
      "percentChange": -14.060193868693291,
      "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": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 25207179,
      "afterValue": 10899495,
      "percentChange": -56.76035386585703,
      "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": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 205.33,
      "afterValue": 202.39,
      "percentChange": -1.4318414259971879,
      "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": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "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": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 4798,
      "afterValue": 5686,
      "percentChange": 18.507711546477697,
      "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": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 665,
      "afterValue": 452,
      "percentChange": -32.03007518796993,
      "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": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 48236257,
      "afterValue": 48863664,
      "percentChange": 1.3006958645236508,
      "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": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 50775093,
      "afterValue": 50412852,
      "percentChange": -0.713422622386925,
      "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": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 78376923,
      "afterValue": 35120197,
      "percentChange": -55.1906407451081,
      "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": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": -4762640,
      "afterValue": 267875,
      "percentChange": 105.62450657618463,
      "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": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 18316376,
      "afterValue": 10019129,
      "percentChange": -45.2996105779877,
      "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": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 146.1,
      "afterValue": 124.51,
      "percentChange": -14.77754962354551,
      "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": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "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": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 1253,
      "afterValue": 1293,
      "percentChange": 3.192338387869114,
      "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": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 135,
      "afterValue": 291,
      "percentChange": 115.55555555555554,
      "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": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 12872038,
      "afterValue": 27143110,
      "percentChange": 110.86878394858685,
      "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": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 11047832,
      "afterValue": 25506571,
      "percentChange": 130.87399410128612,
      "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": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 11171660,
      "afterValue": 14120745,
      "percentChange": 26.39791221716379,
      "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": "200031",
      "hospital": "CARY MEDICAL CENTER",
      "city": "CARIBOU",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 905360,
      "afterValue": 348681,
      "percentChange": -61.48703278253954,
      "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": "200031",
      "hospital": "CARY MEDICAL CENTER",
      "city": "CARIBOU",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
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      "beforeValue": 10611182,
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      "percentChange": 23.334620026308098,
      "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": "200031",
      "hospital": "CARY MEDICAL CENTER",
      "city": "CARIBOU",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 2053796,
      "afterValue": 4549601,
      "percentChange": 121.52156299846723,
      "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": "200031",
      "hospital": "CARY MEDICAL CENTER",
      "city": "CARIBOU",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 344.99,
      "afterValue": 352.03,
      "percentChange": 2.0406388590973545,
      "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": "200031",
      "hospital": "CARY MEDICAL CENTER",
      "city": "CARIBOU",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
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      "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": "200031",
      "hospital": "CARY MEDICAL CENTER",
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      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
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      "beforeValue": 7840,
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      "percentChange": 15.076530612244898,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200031",
      "hospital": "CARY MEDICAL CENTER",
      "city": "CARIBOU",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "beforeValue": 1313,
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      "percentChange": -3.57958872810358,
      "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": "200031",
      "hospital": "CARY MEDICAL CENTER",
      "city": "CARIBOU",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": 17.060917070760777,
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200031",
      "hospital": "CARY MEDICAL CENTER",
      "city": "CARIBOU",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200031",
      "hospital": "CARY MEDICAL CENTER",
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      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": 18.560170211639946,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200024",
      "hospital": "CENTRAL MAINE MEDICAL CENTER",
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      "metric": "net_income",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200024",
      "hospital": "CENTRAL MAINE MEDICAL CENTER",
      "city": "LEWISTON",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": 31.742223317692854,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200024",
      "hospital": "CENTRAL MAINE MEDICAL CENTER",
      "city": "LEWISTON",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
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      "percentChange": 77.53197594192798,
      "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": "200024",
      "hospital": "CENTRAL MAINE MEDICAL CENTER",
      "city": "LEWISTON",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200024",
      "hospital": "CENTRAL MAINE MEDICAL CENTER",
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      "metric": "beds",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": -15.384615384615385,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200024",
      "hospital": "CENTRAL MAINE MEDICAL CENTER",
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      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": 12.827830916383832,
      "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": "200024",
      "hospital": "CENTRAL MAINE MEDICAL CENTER",
      "city": "LEWISTON",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "204004",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "204004",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "204004",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "204004",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    {
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    },
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    {
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    },
    {
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    },
    {
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    },
    {
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    },
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    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201307",
      "hospital": "MILLINOCKET REGIONAL HOSPITAL",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201307",
      "hospital": "MILLINOCKET REGIONAL HOSPITAL",
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      "metric": "total_liabilities",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201307",
      "hospital": "MILLINOCKET REGIONAL HOSPITAL",
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      "metric": "fte_employees",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201307",
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      "metric": "beds",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201307",
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      "sourceIds": [
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      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201307",
      "hospital": "MILLINOCKET REGIONAL HOSPITAL",
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      "metric": "discharges",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201307",
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      "metric": "operating_expense",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201307",
      "hospital": "MILLINOCKET REGIONAL HOSPITAL",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201307",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201304",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    {
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    },
    {
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    },
    {
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    {
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      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "204006",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "204006",
      "hospital": "NORTHERN LIGHT ACADIA HOSPITAL",
      "city": "BANGOR",
      "metric": "total_assets",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
      "city": "BLUE HILL",
      "metric": "net_income",
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      "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": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
      "city": "BLUE HILL",
      "metric": "total_liabilities",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
      "city": "BLUE HILL",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
      "city": "BLUE HILL",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "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": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
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      "metric": "patient_days",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
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      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
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      "metric": "operating_expense",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200050",
      "hospital": "NORTHERN LIGHT MAINE COAST HOSPITAL",
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      "metric": "net_income",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200050",
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      "metric": "total_liabilities",
      "label": "Total liabilities",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200050",
      "hospital": "NORTHERN LIGHT MAINE COAST HOSPITAL",
      "city": "ELLSWORTH",
      "metric": "contract_labor_direct_patient_care",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200050",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
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    {
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    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    {
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    {
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    },
    {
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    {
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    },
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    },
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
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    },
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    },
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    },
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    },
    {
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    },
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": 25.55947451725827,
      "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": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 87489528,
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      "percentChange": -37.37244073370701,
      "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": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 795569,
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      "percentChange": 982.904939734957,
      "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": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 875.25,
      "afterValue": 815.74,
      "percentChange": -6.79920022850614,
      "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": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 54,
      "afterValue": 54,
      "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": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
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      "beforeValue": 10640,
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      "percentChange": -14.783834586466165,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 2458,
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      "percentChange": -10.496338486574452,
      "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": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 189177913,
      "afterValue": 212496676,
      "percentChange": 12.326366556332609,
      "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": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 166504604,
      "afterValue": 197013972,
      "percentChange": 18.32343807141813,
      "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": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 150946487,
      "afterValue": 112889162,
      "percentChange": -25.212461552682576,
      "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": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 23172834,
      "afterValue": -13182159,
      "percentChange": -156.88626173216448,
      "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": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 407016029,
      "afterValue": 392204653,
      "percentChange": -3.6390154059510023,
      "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": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 6029367,
      "afterValue": 6183406,
      "percentChange": 2.5548121386540243,
      "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": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 3109.97,
      "afterValue": 3266.63,
      "percentChange": 5.037347627147539,
      "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": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 186,
      "afterValue": 186,
      "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": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 56590,
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      "percentChange": -4.962007421805973,
      "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": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 9942,
      "afterValue": 8706,
      "percentChange": -12.432106216053109,
      "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": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 585138839,
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      "percentChange": 17.246707665563115,
      "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": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "afterPeriod": "06/30/2024",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "metric": "total_assets",
      "label": "Total assets",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    }
  ],
  "documentedDebtEvents": [],
  "financialStressSignals": [
    {
      "hospitalId": "200050",
      "hospital": "NORTHERN LIGHT MAINE COAST HOSPITAL",
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      "status": "Critical",
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      "baselineType": "earliest_latest_no_acquisition_date",
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        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "hospital": "MAINE MEDICAL CENTER",
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      "leadMetric": "Direct-care contract labor",
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      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
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      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "city": "HOULTON",
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      "leadMetric": "Net income",
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      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "200001",
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      "baselineType": "earliest_latest_no_acquisition_date",
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        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "city": "LINCOLN",
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      "leadMetric": "Net income",
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      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "baselineType": "earliest_latest_no_acquisition_date",
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        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "leadMetric": "Direct-care contract labor",
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      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "leadMetric": "Net income",
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      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "hospital": "MAINEGENERAL MEDICAL CENTER",
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      "leadMetric": "Net income",
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      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
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      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "201311",
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      "status": "Critical",
      "leadMetric": "Net income",
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      "display": "Net income -128.8%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "200018",
      "hospital": "NORTHERN LIGHT A R GOULD HOSPITAL",
      "city": "PRESQUE ISLE",
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      "leadMetric": "Direct-care contract labor",
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      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "201307",
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      "city": "MILLINOCKET",
      "status": "Declining",
      "leadMetric": "Net income",
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      "display": "Net income -122.2%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "status": "Declining",
      "leadMetric": "Operating expense",
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      "display": "Operating expense +110.9%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "0000304092",
      "hospital": "SPRING HARBOR HOSPITAL",
      "city": "WESTBROOK",
      "status": "Critical",
      "leadMetric": "Net income",
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      "display": "Net income -95.8%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "204006",
      "hospital": "NORTHERN LIGHT ACADIA HOSPITAL",
      "city": "BANGOR",
      "status": "Critical",
      "leadMetric": "Net income",
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      "display": "Net income -82.0%",
      "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": "200024",
      "hospital": "CENTRAL MAINE MEDICAL CENTER",
      "city": "LEWISTON",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -70.27477267538235,
      "display": "Net income -70.3%",
      "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": "201304",
      "hospital": "MOUNT DESERT ISLAND HOSPITAL",
      "city": "BAR HARBOR",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -63.686286407433,
      "display": "Net income -63.7%",
      "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": "200031",
      "hospital": "CARY MEDICAL CENTER",
      "city": "CARIBOU",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -61.48703278253954,
      "display": "Net income -61.5%",
      "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": "201314",
      "hospital": "REDINGTON FAIRVIEW GENERAL HOSPITAL",
      "city": "SKOWHEGAN",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -49.26407267257941,
      "display": "Net income -49.3%",
      "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": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
      "city": "BLUE HILL",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -45.51148262078926,
      "display": "Net income -45.5%",
      "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": "201309",
      "hospital": "NORTHERN LIGHT MAYO HOSPITAL",
      "city": "DOVER FOXCROFT",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -42.133175890024674,
      "display": "Net income -42.1%",
      "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": "201306",
      "hospital": "RUMFORD HOSPITAL",
      "city": "RUMFORD",
      "status": "Declining",
      "leadMetric": "Discharges",
      "percentChange": -40.79861111111111,
      "display": "Discharges -40.8%",
      "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": "200021",
      "hospital": "MID COAST HOSPITAL",
      "city": "BRUNSWICK",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -36.861128207918334,
      "display": "Net income -36.9%",
      "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": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "status": "Declining",
      "leadMetric": "Discharges",
      "percentChange": -32.03007518796993,
      "display": "Discharges -32.0%",
      "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": "201313",
      "hospital": "SEBASTICOOK VALLEY HEALTH",
      "city": "PITTSFIELD",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 30.052437776230562,
      "display": "Operating expense +30.1%",
      "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": "204004",
      "hospital": "DOROTHEA DIX PSYCHIATRIC CENTER",
      "city": "BANGOR",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -19.08547753524638,
      "display": "Net income -19.1%",
      "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."
    }
  ],
  "compensationRows": [
    {
      "hospitalId": "201310",
      "hospital": "BRIDGTON HOSPITAL",
      "city": "BRIDGTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201305",
      "hospital": "CALAIS COMMUNITY HOSPITAL",
      "city": "CALAIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200031",
      "hospital": "CARY MEDICAL CENTER",
      "city": "CARIBOU",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200024",
      "hospital": "CENTRAL MAINE MEDICAL CENTER",
      "city": "LEWISTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0004704441",
      "hospital": "CHARLES A DEAN MEMORIAL 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": "204004",
      "hospital": "DOROTHEA DIX PSYCHIATRIC CENTER",
      "city": "BANGOR",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201311",
      "hospital": "DOWN EAST COMMUNITY HOSPITAL",
      "city": "MACHIAS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200033",
      "hospital": "EASTERN MAINE MEDICAL CENTER",
      "city": "BANGOR",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0003404938",
      "hospital": "FRANKLIN MEMORIAL HOSPITAL",
      "city": "FARMINGTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0003604102",
      "hospital": "HEALTHSOUTH - MAINE MEDICAL CENTER, LLC",
      "city": "PORTLAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201308",
      "hospital": "HOULTON REGIONAL HOSPITAL",
      "city": "HOULTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201302",
      "hospital": "LINCOLN HEALTH",
      "city": "DAMARISCOTTA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200009",
      "hospital": "MAINE MEDICAL CENTER",
      "city": "PORTLAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200021",
      "hospital": "MID COAST HOSPITAL",
      "city": "BRUNSWICK",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201307",
      "hospital": "MILLINOCKET REGIONAL HOSPITAL",
      "city": "MILLINOCKET",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201304",
      "hospital": "MOUNT DESERT ISLAND HOSPITAL",
      "city": "BAR HARBOR",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200018",
      "hospital": "NORTHERN LIGHT A R GOULD HOSPITAL",
      "city": "PRESQUE ISLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "204006",
      "hospital": "NORTHERN LIGHT ACADIA HOSPITAL",
      "city": "BANGOR",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201300",
      "hospital": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
      "city": "BLUE HILL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002804901",
      "hospital": "NORTHERN LIGHT INLAND HOSPITAL",
      "city": "WATERVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200050",
      "hospital": "NORTHERN LIGHT MAINE COAST HOSPITAL",
      "city": "ELLSWORTH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201309",
      "hospital": "NORTHERN LIGHT MAYO HOSPITAL",
      "city": "DOVER FOXCROFT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200008",
      "hospital": "NORTHERN LIGHT MERCY HOSPITAL",
      "city": "PORTLAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201317",
      "hospital": "NORTHERN MAINE MEDICAL CENTER",
      "city": "FORT KENT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002604856",
      "hospital": "PENOBSCOT BAY MEDICAL CENTER",
      "city": "ROCKPORT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201303",
      "hospital": "PENOBSCOT VALLEY HOSPITAL",
      "city": "LINCOLN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201314",
      "hospital": "REDINGTON FAIRVIEW GENERAL HOSPITAL",
      "city": "SKOWHEGAN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "204008",
      "hospital": "RIVERVIEW PSYCHIATRIC CENTER",
      "city": "AUGUSTA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201306",
      "hospital": "RUMFORD HOSPITAL",
      "city": "RUMFORD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "201313",
      "hospital": "SEBASTICOOK VALLEY HEALTH",
      "city": "PITTSFIELD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0001204005",
      "hospital": "SOUTHERN MAINE HEALTH CARE",
      "city": "BIDDEFORD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000304092",
      "hospital": "SPRING HARBOR HOSPITAL",
      "city": "WESTBROOK",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200001",
      "hospital": "ST JOSEPH HOSPITAL",
      "city": "BANGOR",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200034",
      "hospital": "ST MARY'S REGIONAL MEDICAL CENTER",
      "city": "LEWISTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002304268",
      "hospital": "STEPHENS MEMORIAL HOSPITAL",
      "city": "NORWAY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0001504915",
      "hospital": "WALDO COUNTY GENERAL HOSPITAL",
      "city": "BELFAST",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200020",
      "hospital": "YORK HOSPITAL",
      "city": "YORK",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "20003F",
      "hospital": "TOGUS VA MEDICAL CENTER",
      "city": "AUGUSTA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "200039",
      "hospital": "MAINEGENERAL MEDICAL CENTER",
      "city": "AUGUSTA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002504538",
      "hospital": "SAINT ANDREWS HOSPITAL AND HEALTHCARE CENTER",
      "city": "BOOTHBAY HARBOR",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0003804011",
      "hospital": "PARKVIEW ADVENTIST MEDICAL CENTER: PARKVIEW MEMORIAL HOSPITAL",
      "city": "BRUNSWICK",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0005304605",
      "hospital": "KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND",
      "city": "ELLSWORTH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0003504092",
      "hospital": "MERCY WESTBROOK",
      "city": "WESTBROOK",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002904901",
      "hospital": "MAINEGENERAL MEDICAL CENTER-THAYER",
      "city": "WATERVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0005104064",
      "hospital": "MILESTONE FOUNDATION - EXTENDED CARE",
      "city": "OLD ORCHARD BEACH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784212",
      "hospital": "MAINE MEDICAL CENTER -TRANSPLANT CENTER",
      "city": "PORTLAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_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": [],
  "sourceCoverage": {
    "sourceBackedRows": 47,
    "notAvailableRows": 0,
    "totalSourceIds": 8
  }
}
