{
  "schemaVersion": 1,
  "generatedAt": "2026-07-02T17:31:14.077Z",
  "state": "NE",
  "stateName": "Nebraska",
  "slug": "nebraska",
  "files": {
    "json": "/data/states/nebraska-impact-summary.json",
    "csv": "/data/states/nebraska-hospital-impact-2026-07-02.csv",
    "workbook": "/data/states/nebraska-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": 114,
    "currentPeCount": 3,
    "formerPeCount": 0,
    "peBefore2010Count": 0,
    "closuresAfterPeCount": 0,
    "worseningQualityCount": 0,
    "worseningFinancialCount": 5,
    "unresolvedCount": 2,
    "documentedDebtEventCount": 0,
    "ceoCompensationStructuredCount": 0
  },
  "statusCounts": {
    "corporate_chain": 35,
    "verified_independent": 74,
    "confirmed_pe": 3,
    "signal": 2
  },
  "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": "280131",
      "hospital": "MIDWEST SURGICAL HOSPITAL, LLC",
      "city": "OMAHA",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 255.17021665305046,
      "display": "Total liabilities +255.2%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 152.59538553083652,
      "display": "Total liabilities +152.6%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 17.69834836082121,
      "display": "Total liabilities +17.7%",
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 17.69834836082121,
      "display": "Total liabilities +17.7%",
      "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": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -11.155534608133584,
      "display": "Net income -11.2%",
      "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": "0004468071",
      "ccn": "",
      "hospital": "WINNEBAGO HOSPITAL",
      "city": "WINNEBAGO",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Ihs",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281349",
      "ccn": "281349",
      "hospital": "PENDER COMMUNITY HOSPITAL DISTRICT",
      "city": "PENDER",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0010969162",
      "ccn": "",
      "hospital": "CHEYENNE COUNTY HOSPITAL ASSOCIATION, INC",
      "city": "SIDNEY",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281333",
      "ccn": "281333",
      "hospital": "ROCK COUNTY",
      "city": "BASSETT",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0105068661",
      "ccn": "",
      "hospital": "ALEGENT CREIGHTON HEALTH MEMORIAL HOSP SCHUYLER",
      "city": "SCHUYLER",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0106769154",
      "ccn": "",
      "hospital": "REGIONAL WEST GARDEN COUNTY",
      "city": "OSHKOSH",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0106468046",
      "ccn": "",
      "hospital": "ALEGENT HEALTH",
      "city": "PAPILLION",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281304",
      "ccn": "281304",
      "hospital": "THAYER COUNTY",
      "city": "HEBRON",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281345",
      "ccn": "281345",
      "hospital": "PROVIDENCE MEDICAL CENTER, INC",
      "city": "WAYNE",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Providence",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281362",
      "ccn": "281362",
      "hospital": "PHELPS MEMORIAL HEALTH CENTER",
      "city": "HOLDREGE",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0105168410",
      "ccn": "",
      "hospital": "ST. MARY'S COMMUNITY HOSPITAL",
      "city": "NEBRASKA CITY",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0000869022",
      "ccn": "",
      "hospital": "CAMBRIDGE MEMORIAL HOSPITAL, INC",
      "city": "CAMBRIDGE",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281318",
      "ccn": "281318",
      "hospital": "MORRILL COUNTY COMMUNITY HOSPITAL",
      "city": "BRIDGEPORT",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0009268010",
      "ccn": "",
      "hospital": "FATHER FLANAGAN'S BOYS' HOME",
      "city": "BOYS TOWN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784697",
      "ccn": "",
      "hospital": "FATHER FLANAGAN'S BOYS' HOME",
      "city": "BOYS TOWN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281311",
      "ccn": "281311",
      "hospital": "FRANKLIN COUNTY",
      "city": "FRANKLIN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0001068818",
      "ccn": "",
      "hospital": "MEMORIAL COMMUNITY HEALTH, INC",
      "city": "AURORA",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0185768137",
      "ccn": "",
      "hospital": "HENRY HIGGINS",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281365",
      "ccn": "281365",
      "hospital": "JENNIE M MELHAM MEMORIAL MEDICAL CENTER, INC",
      "city": "BROKEN BOW",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280003",
      "ccn": "280003",
      "hospital": "BRYAN MEDICAL CENTER",
      "city": "LINCOLN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0001368371",
      "ccn": "",
      "hospital": "HENDERSON HEALTH CARE SERVICES, INC",
      "city": "HENDERSON",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0106368130",
      "ccn": "",
      "hospital": "ALEGENT HEALTH",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0001568506",
      "ccn": "",
      "hospital": "LINCOLN SURGERY CENTER, LLC",
      "city": "LINCOLN",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281328",
      "ccn": "281328",
      "hospital": "MERRICK MEDICAL CENTER",
      "city": "CENTRAL CITY",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0179968118",
      "ccn": "",
      "hospital": "MADONNA REHABILITATION HOSPITAL",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281307",
      "ccn": "281307",
      "hospital": "SAUNDERS MEDICAL CENTER",
      "city": "WAHOO",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0010168124",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - OMAHA, INC",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Select Medical",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281350",
      "ccn": "281350",
      "hospital": "JOHNSON COUNTY HOSPITAL",
      "city": "TECUMSEH",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281324",
      "ccn": "281324",
      "hospital": "NEMAHA COUNTY HOSPITAL",
      "city": "AUBURN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281336",
      "ccn": "281336",
      "hospital": "YORK GENERAL HEALTH CARE SERVICES",
      "city": "YORK",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280003",
      "ccn": "280003",
      "hospital": "BRYAN MEDICAL CENTER",
      "city": "LINCOLN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0106868502",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - LINCOLN, INC",
      "city": "LINCOLN",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Select Medical",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280132",
      "ccn": "280132",
      "hospital": "BELLEVUE MEDICAL CENTER, LLC",
      "city": "BELLEVUE",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0002269153",
      "ccn": "",
      "hospital": "BANNER HEALTH",
      "city": "OGALLALA",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Banner Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0106068803",
      "ccn": "",
      "hospital": "CATHOLIC HEALTH INITIATIVES",
      "city": "GRAND ISLAND",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280125",
      "ccn": "280125",
      "hospital": "FAITH REGIONAL HEALTH SERVICES",
      "city": "NORFOLK",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281353",
      "ccn": "281353",
      "hospital": "VALLEY COUNTY HEALTH",
      "city": "ORD",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0008968446",
      "ccn": "",
      "hospital": "COMMUNITY MEMORIAL HOSPITAL DISTRICT",
      "city": "SYRACUSE",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280013",
      "ccn": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "InTandem Capital Partners",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 17.69834836082121,
      "financialLeadDisplay": "Total liabilities +17.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/280013.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "281358",
      "ccn": "281358",
      "hospital": "GORDON MEMORIAL HOSPITAL DISTRICT",
      "city": "GORDON",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281329",
      "ccn": "281329",
      "hospital": "AVERA ST. ANTHONY'S HOSPITAL",
      "city": "O' NEILL",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Avera",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281339",
      "ccn": "281339",
      "hospital": "MEMORIAL HEALTH CARE SYSTEMS",
      "city": "SEWARD",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280139",
      "ccn": "280139",
      "hospital": "GRAND ISLAND REGIONAL MEDICAL CENTER",
      "city": "GRAND ISLAND",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281332",
      "ccn": "281332",
      "hospital": "BUTLER COUNTY",
      "city": "DAVID CITY",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280061",
      "ccn": "280061",
      "hospital": "REGIONAL WEST MEDICAL CENTER",
      "city": "SCOTTSBLUFF",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281343",
      "ccn": "281343",
      "hospital": "WEST HOLT MEMORIAL HOSPITAL, INC",
      "city": "ATKINSON",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "284009",
      "ccn": "284009",
      "hospital": "DOUGLAS COUNTY",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280060",
      "ccn": "280060",
      "hospital": "CHI HEALTH BERGAN MERCY HOSPITAL",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "CommonSpirit Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0003368788",
      "ccn": "",
      "hospital": "FRANCISCAN CARE SERVICES, INC",
      "city": "WEST POINT",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280077",
      "ccn": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "state": "NE",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -11.155534608133584,
      "financialLeadDisplay": "Net income -11.2%",
      "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-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/280077.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "280111",
      "ccn": "280111",
      "hospital": "COLUMBUS COMMUNITY HOSPITAL, INC",
      "city": "COLUMBUS",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0003669145",
      "ccn": "",
      "hospital": "KIMBALL COUNTY",
      "city": "KIMBALL",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784699",
      "ccn": "",
      "hospital": "PAPILLION FAMILY HOSPITAL, LLC",
      "city": "PAPILLION",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0104868506",
      "ccn": "",
      "hospital": "MADONNA REHABILITATION HOSPITAL LINCOLN",
      "city": "LINCOLN",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784700",
      "ccn": "",
      "hospital": "MADONNA REHABILITATION SPECIALTY HOSPITAL LINCOLN",
      "city": "LINCOLN",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0105968510",
      "ccn": "",
      "hospital": "CATHOLIC HEALTH INITIATIVES",
      "city": "LINCOLN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0004069101",
      "ccn": "",
      "hospital": "NORTH PLATTE NE HOSPITAL CORPORATION",
      "city": "NORTH PLATTE",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0104968122",
      "ccn": "",
      "hospital": "ALEGENT HEALTH",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0010068022",
      "ccn": "",
      "hospital": "NEBRASKA METHODIST HOSPITAL",
      "city": "ELKHORN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0004468901",
      "ccn": "",
      "hospital": "THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION",
      "city": "HASTINGS",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281306",
      "ccn": "281306",
      "hospital": "KEARNEY COUNTY",
      "city": "MINDEN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0105668124",
      "ccn": "",
      "hospital": "ALEGENT HEALTH",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0105868526",
      "ccn": "",
      "hospital": "NEBRASKA HEART HOSPITAL",
      "city": "LINCOLN",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784701",
      "ccn": "",
      "hospital": "ADVANCED MEDICAL IMAGING SURGERY CENTER LLC",
      "city": "LINCOLN",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280131",
      "ccn": "280131",
      "hospital": "MIDWEST SURGICAL HOSPITAL, LLC",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Bain Capital",
      "parentSystem": "Surgery Partners",
      "formerOperator": "",
      "acquisitionDate": "August 2017",
      "acquisitionYear": 2017,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 255.17021665305046,
      "financialLeadDisplay": "Total liabilities +255.2%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/280131.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196784702",
      "ccn": "",
      "hospital": "STATE OF NEBRASKA - DEPT OF HEALTH AND HUMAN SERVS",
      "city": "LINCOLN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280134",
      "ccn": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "state": "NE",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 152.59538553083652,
      "financialLeadDisplay": "Total liabilities +152.6%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/280134.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "281359",
      "ccn": "281359",
      "hospital": "MEMORIAL COMMUNITY HOSPITAL CORPORATION",
      "city": "BLAIR",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0005068114",
      "ccn": "",
      "hospital": "CHILDREN'S HOSPITAL AND MEDICAL CENTER",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0005169337",
      "ccn": "",
      "hospital": "CHADRON COMMUNITY HOSPITAL, INC",
      "city": "CHADRON",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280040",
      "ccn": "280040",
      "hospital": "THE NEBRASKA METHODIST HOSPITAL",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0005369140",
      "ccn": "",
      "hospital": "PERKINS COUNTY HOSPITAL DISTRICT",
      "city": "GRANT",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0005468359",
      "ccn": "",
      "hospital": "CITY OF FRIEND",
      "city": "FRIEND",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0005569138",
      "ccn": "",
      "hospital": "GOTHENBURG MEMORIAL HOSPITAL DISTRICT",
      "city": "GOTHENBURG",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281325",
      "ccn": "281325",
      "hospital": "BROWN COUNTY",
      "city": "AINSWORTH",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280013",
      "ccn": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "InTandem Capital Partners",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 17.69834836082121,
      "financialLeadDisplay": "Total liabilities +17.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/280013.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0005968825",
      "ccn": "",
      "hospital": "CALLAWAY HOSPITAL DISTRICT",
      "city": "CALLAWAY",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0006069130",
      "ccn": "",
      "hospital": "COZAD HOSPITAL DISTRICT NUMBER 2",
      "city": "COZAD",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281303",
      "ccn": "281303",
      "hospital": "NIOBRARA VALLEY HOSPITAL CORPORATION",
      "city": "LYNCH",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0009768701",
      "ccn": "",
      "hospital": "STATE OF NEBRASKA - DEPT OF HEALTH AND HUMAN SERVS",
      "city": "NORFOLK",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281363",
      "ccn": "281363",
      "hospital": "COMMUNITY HOSPITAL ASSOCIATION",
      "city": "MCCOOK",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281334",
      "ccn": "281334",
      "hospital": "BOONE COUNTY",
      "city": "ALBION",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0106968847",
      "ccn": "",
      "hospital": "GOOD SAMARITAN HOSPITAL",
      "city": "KEARNEY",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0006468729",
      "ccn": "",
      "hospital": "SACRED HEART HEALTH SERVICES",
      "city": "CREIGHTON",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0006568978",
      "ccn": "",
      "hospital": "BRODSTONE MEMORIAL HOSPITAL",
      "city": "SUPERIOR",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281301",
      "ccn": "281301",
      "hospital": "FILLMORE COUNTY",
      "city": "GENEVA",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281354",
      "ccn": "281354",
      "hospital": "CRETE AREA MEDICAL CENTER",
      "city": "CRETE",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281326",
      "ccn": "281326",
      "hospital": "ANTELOPE MEMORIAL HOSPITAL",
      "city": "NELIGH",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0007068352",
      "ccn": "",
      "hospital": "JEFFERSON COMMUNITY HEALTH CENTER INC",
      "city": "FAIRBURY",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0000000063",
      "ccn": "",
      "hospital": "BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC",
      "city": "BEATRICE",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0007268640",
      "ccn": "",
      "hospital": "CITY OF GENOA",
      "city": "GENOA",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280133",
      "ccn": "280133",
      "hospital": "NEBRASKA SPINE HOSPITAL, LLC",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281352",
      "ccn": "281352",
      "hospital": "COMMUNITY MEDICAL CENTER, INC",
      "city": "FALLS CITY",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281338",
      "ccn": "281338",
      "hospital": "HOWARD COUNTY",
      "city": "ST PAUL",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281344",
      "ccn": "281344",
      "hospital": "CHERRY COUNTY",
      "city": "VALENTINE",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0007868651",
      "ccn": "",
      "hospital": "POLK COUNTY",
      "city": "OSCEOLA",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281347",
      "ccn": "281347",
      "hospital": "OSMOND GENERAL HOSPITAL, INC",
      "city": "OSMOND",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281302",
      "ccn": "281302",
      "hospital": "PAWNEE COUNTY",
      "city": "PAWNEE CITY",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281316",
      "ccn": "281316",
      "hospital": "WEBSTER COUNTY",
      "city": "RED CLOUD",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281340",
      "ccn": "281340",
      "hospital": "DUNDY COUNTY",
      "city": "BENKELMAN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0008569301",
      "ccn": "",
      "hospital": "BOX BUTTE COUNTY",
      "city": "ALLIANCE",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281351",
      "ccn": "281351",
      "hospital": "CHASE COUNTY",
      "city": "IMPERIAL",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281300",
      "ccn": "281300",
      "hospital": "HARLAN COUNTY HEALTH SYSTEM BOARD OF TRUSTEES",
      "city": "ALMA",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "281361",
      "ccn": "281361",
      "hospital": "LEXINGTON REGIONAL HEALTH CENTER",
      "city": "LEXINGTON",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "28006F",
      "ccn": "28006F",
      "hospital": "OMAHA VA MEDICAL CENTER",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0174568803",
      "ccn": "",
      "hospital": "VA NEBRASKA-WESTERN IOWA HEALTH CARE SYSTEM",
      "city": "GRAND ISLAND",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280125",
      "ccn": "280125",
      "hospital": "FAITH REGIONAL HEALTH SERVICES EAST CAMPUS",
      "city": "NORFOLK",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0009868131",
      "ccn": "",
      "hospital": "BOYS TOWN NATIONAL RESEARCH HOSPITAL",
      "city": "OMAHA",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "284003",
      "ccn": "284003",
      "hospital": "LINCOLN REGIONAL CENTER",
      "city": "LINCOLN",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0003868045",
      "ccn": "",
      "hospital": "OAKLAND MERCY HOSPITAL",
      "city": "OAKLAND",
      "state": "NE",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "280023",
      "ccn": "280023",
      "hospital": "CHI HEALTH ST. FRANCIS",
      "city": "GRAND ISLAND",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "CommonSpirit Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196785261",
      "ccn": "",
      "hospital": "CHI NEBRASKA",
      "city": "KEARNEY",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "CommonSpirit Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196785262",
      "ccn": "",
      "hospital": "KIMBALL COUNTY HOSPITAL",
      "city": "KIMBALL",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196785263",
      "ccn": "",
      "hospital": "CHI NEBRASKA",
      "city": "PLAINVIEW",
      "state": "NE",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "CommonSpirit Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    }
  ],
  "metricTrendRows": [
    {
      "hospitalId": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "beforeValue": 32735316,
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      "percentChange": 214.04802996250288,
      "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": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 834580832,
      "afterValue": 982287855,
      "percentChange": 17.69834836082121,
      "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": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 95290538,
      "afterValue": 93134653,
      "percentChange": -2.262433443286888,
      "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": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 6960,
      "afterValue": 7318.44,
      "percentChange": 5.149999999999994,
      "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": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 613,
      "afterValue": 629,
      "percentChange": 2.6101141924959217,
      "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": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 182186,
      "afterValue": 186932,
      "percentChange": 2.60503002426092,
      "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": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 21285,
      "afterValue": 22549,
      "percentChange": 5.938454310547334,
      "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": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 1987585988,
      "afterValue": 2372932381,
      "percentChange": 19.387658965524967,
      "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": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 1294888474,
      "afterValue": 1605524543,
      "percentChange": 23.989407214385324,
      "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": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 2022267939,
      "afterValue": 2356439448,
      "percentChange": 16.524591156068364,
      "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": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": -11.155534608133584,
      "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": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
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      "afterValue": 47094000,
      "percentChange": -29.419699058809424,
      "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": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": 13.15872888123967,
      "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": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 1,
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      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 50,
      "afterValue": 50,
      "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": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "beforeValue": 7925,
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      "percentChange": 15.255520504731862,
      "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": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
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      "metric": "discharges",
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      "percentChange": 23.096129837702872,
      "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": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": 14.50100014799326,
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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": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": 9.772572155618331,
      "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": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": 16.41026458145779,
      "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": "280131",
      "hospital": "MIDWEST SURGICAL HOSPITAL, LLC",
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      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280131",
      "hospital": "MIDWEST SURGICAL HOSPITAL, LLC",
      "city": "OMAHA",
      "metric": "total_liabilities",
      "label": "Total liabilities",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280131",
      "hospital": "MIDWEST SURGICAL HOSPITAL, LLC",
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      "metric": "contract_labor_direct_patient_care",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280131",
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      "metric": "fte_employees",
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      "sourceIds": [
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280131",
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      "metric": "beds",
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280131",
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280131",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280131",
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      "metric": "operating_expense",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280131",
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      "metric": "net_patient_revenue",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280131",
      "hospital": "MIDWEST SURGICAL HOSPITAL, LLC",
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      "metric": "total_assets",
      "label": "Total assets",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
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      "metric": "net_income",
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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": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 636.5,
      "afterValue": 570,
      "percentChange": -10.44776119402985,
      "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": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 93,
      "afterValue": 93,
      "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": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 13057,
      "afterValue": 15264,
      "percentChange": 16.902810752852876,
      "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": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 2307,
      "afterValue": 4309,
      "percentChange": 86.77936714347638,
      "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": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 169467930,
      "afterValue": 174471538,
      "percentChange": 2.9525397519164835,
      "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": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 159405549,
      "afterValue": 159447678,
      "percentChange": 0.02642881647739879,
      "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": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 71757424,
      "afterValue": 368938124,
      "percentChange": 414.1462770458427,
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 32735316,
      "afterValue": 102804615,
      "percentChange": 214.04802996250288,
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 834580832,
      "afterValue": 982287855,
      "percentChange": 17.69834836082121,
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 95290538,
      "afterValue": 93134653,
      "percentChange": -2.262433443286888,
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 6960,
      "afterValue": 7318.44,
      "percentChange": 5.149999999999994,
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 613,
      "afterValue": 629,
      "percentChange": 2.6101141924959217,
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 182186,
      "afterValue": 186932,
      "percentChange": 2.60503002426092,
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 21285,
      "afterValue": 22549,
      "percentChange": 5.938454310547334,
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 1987585988,
      "afterValue": 2372932381,
      "percentChange": 19.387658965524967,
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 1294888474,
      "afterValue": 1605524543,
      "percentChange": 23.989407214385324,
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 2022267939,
      "afterValue": 2356439448,
      "percentChange": 16.524591156068364,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    }
  ],
  "documentedDebtEvents": [],
  "financialStressSignals": [
    {
      "hospitalId": "280131",
      "hospital": "MIDWEST SURGICAL HOSPITAL, LLC",
      "city": "OMAHA",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 255.17021665305046,
      "display": "Total liabilities +255.2%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 152.59538553083652,
      "display": "Total liabilities +152.6%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 17.69834836082121,
      "display": "Total liabilities +17.7%",
      "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": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 17.69834836082121,
      "display": "Total liabilities +17.7%",
      "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": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -11.155534608133584,
      "display": "Net income -11.2%",
      "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": "0004468071",
      "hospital": "WINNEBAGO HOSPITAL",
      "city": "WINNEBAGO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281349",
      "hospital": "PENDER COMMUNITY HOSPITAL DISTRICT",
      "city": "PENDER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0010969162",
      "hospital": "CHEYENNE COUNTY HOSPITAL ASSOCIATION, INC",
      "city": "SIDNEY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281333",
      "hospital": "ROCK COUNTY",
      "city": "BASSETT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0105068661",
      "hospital": "ALEGENT CREIGHTON HEALTH MEMORIAL HOSP SCHUYLER",
      "city": "SCHUYLER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0106769154",
      "hospital": "REGIONAL WEST GARDEN COUNTY",
      "city": "OSHKOSH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0106468046",
      "hospital": "ALEGENT HEALTH",
      "city": "PAPILLION",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281304",
      "hospital": "THAYER COUNTY",
      "city": "HEBRON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281345",
      "hospital": "PROVIDENCE MEDICAL CENTER, INC",
      "city": "WAYNE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281362",
      "hospital": "PHELPS MEMORIAL HEALTH CENTER",
      "city": "HOLDREGE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0105168410",
      "hospital": "ST. MARY'S COMMUNITY HOSPITAL",
      "city": "NEBRASKA CITY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000869022",
      "hospital": "CAMBRIDGE MEMORIAL HOSPITAL, INC",
      "city": "CAMBRIDGE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281318",
      "hospital": "MORRILL COUNTY COMMUNITY HOSPITAL",
      "city": "BRIDGEPORT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009268010",
      "hospital": "FATHER FLANAGAN'S BOYS' HOME",
      "city": "BOYS TOWN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784697",
      "hospital": "FATHER FLANAGAN'S BOYS' HOME",
      "city": "BOYS TOWN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281311",
      "hospital": "FRANKLIN COUNTY",
      "city": "FRANKLIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0001068818",
      "hospital": "MEMORIAL COMMUNITY HEALTH, INC",
      "city": "AURORA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0185768137",
      "hospital": "HENRY HIGGINS",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281365",
      "hospital": "JENNIE M MELHAM MEMORIAL MEDICAL CENTER, INC",
      "city": "BROKEN BOW",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280003",
      "hospital": "BRYAN MEDICAL CENTER",
      "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": "0001368371",
      "hospital": "HENDERSON HEALTH CARE SERVICES, INC",
      "city": "HENDERSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0106368130",
      "hospital": "ALEGENT HEALTH",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0001568506",
      "hospital": "LINCOLN SURGERY CENTER, LLC",
      "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": "281328",
      "hospital": "MERRICK MEDICAL CENTER",
      "city": "CENTRAL CITY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0179968118",
      "hospital": "MADONNA REHABILITATION HOSPITAL",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281307",
      "hospital": "SAUNDERS MEDICAL CENTER",
      "city": "WAHOO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0010168124",
      "hospital": "SELECT SPECIALTY HOSPITAL - OMAHA, INC",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281350",
      "hospital": "JOHNSON COUNTY HOSPITAL",
      "city": "TECUMSEH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281324",
      "hospital": "NEMAHA COUNTY HOSPITAL",
      "city": "AUBURN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281336",
      "hospital": "YORK GENERAL HEALTH CARE SERVICES",
      "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": "280003",
      "hospital": "BRYAN MEDICAL CENTER",
      "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": "0106868502",
      "hospital": "SELECT SPECIALTY HOSPITAL - LINCOLN, INC",
      "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": "280132",
      "hospital": "BELLEVUE MEDICAL CENTER, LLC",
      "city": "BELLEVUE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002269153",
      "hospital": "BANNER HEALTH",
      "city": "OGALLALA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0106068803",
      "hospital": "CATHOLIC HEALTH INITIATIVES",
      "city": "GRAND ISLAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280125",
      "hospital": "FAITH REGIONAL HEALTH SERVICES",
      "city": "NORFOLK",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281353",
      "hospital": "VALLEY COUNTY HEALTH",
      "city": "ORD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0008968446",
      "hospital": "COMMUNITY MEMORIAL HOSPITAL DISTRICT",
      "city": "SYRACUSE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280013",
      "hospital": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281358",
      "hospital": "GORDON MEMORIAL HOSPITAL DISTRICT",
      "city": "GORDON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281329",
      "hospital": "AVERA ST. ANTHONY'S HOSPITAL",
      "city": "O' NEILL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281339",
      "hospital": "MEMORIAL HEALTH CARE SYSTEMS",
      "city": "SEWARD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280139",
      "hospital": "GRAND ISLAND REGIONAL MEDICAL CENTER",
      "city": "GRAND ISLAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281332",
      "hospital": "BUTLER COUNTY",
      "city": "DAVID CITY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280061",
      "hospital": "REGIONAL WEST MEDICAL CENTER",
      "city": "SCOTTSBLUFF",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281343",
      "hospital": "WEST HOLT MEMORIAL HOSPITAL, INC",
      "city": "ATKINSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "284009",
      "hospital": "DOUGLAS COUNTY",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280060",
      "hospital": "CHI HEALTH BERGAN MERCY HOSPITAL",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0003368788",
      "hospital": "FRANCISCAN CARE SERVICES, INC",
      "city": "WEST POINT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280077",
      "hospital": "METHODIST FREMONT HEALTH",
      "city": "FREMONT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280111",
      "hospital": "COLUMBUS COMMUNITY HOSPITAL, INC",
      "city": "COLUMBUS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0003669145",
      "hospital": "KIMBALL COUNTY",
      "city": "KIMBALL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784699",
      "hospital": "PAPILLION FAMILY HOSPITAL, LLC",
      "city": "PAPILLION",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0104868506",
      "hospital": "MADONNA REHABILITATION HOSPITAL LINCOLN",
      "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": "0196784700",
      "hospital": "MADONNA REHABILITATION SPECIALTY HOSPITAL LINCOLN",
      "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": "0105968510",
      "hospital": "CATHOLIC HEALTH INITIATIVES",
      "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": "0004069101",
      "hospital": "NORTH PLATTE NE HOSPITAL CORPORATION",
      "city": "NORTH PLATTE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0104968122",
      "hospital": "ALEGENT HEALTH",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0010068022",
      "hospital": "NEBRASKA METHODIST HOSPITAL",
      "city": "ELKHORN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0004468901",
      "hospital": "THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION",
      "city": "HASTINGS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281306",
      "hospital": "KEARNEY COUNTY",
      "city": "MINDEN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0105668124",
      "hospital": "ALEGENT HEALTH",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0105868526",
      "hospital": "NEBRASKA HEART 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": "0196784701",
      "hospital": "ADVANCED MEDICAL IMAGING SURGERY CENTER LLC",
      "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": "280131",
      "hospital": "MIDWEST SURGICAL HOSPITAL, LLC",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784702",
      "hospital": "STATE OF NEBRASKA - DEPT OF HEALTH AND HUMAN SERVS",
      "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": "280134",
      "hospital": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "city": "KEARNEY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281359",
      "hospital": "MEMORIAL COMMUNITY HOSPITAL CORPORATION",
      "city": "BLAIR",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0005068114",
      "hospital": "CHILDREN'S HOSPITAL AND MEDICAL CENTER",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0005169337",
      "hospital": "CHADRON COMMUNITY HOSPITAL, INC",
      "city": "CHADRON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280040",
      "hospital": "THE NEBRASKA METHODIST HOSPITAL",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0005369140",
      "hospital": "PERKINS COUNTY HOSPITAL DISTRICT",
      "city": "GRANT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0005468359",
      "hospital": "CITY OF FRIEND",
      "city": "FRIEND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0005569138",
      "hospital": "GOTHENBURG MEMORIAL HOSPITAL DISTRICT",
      "city": "GOTHENBURG",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281325",
      "hospital": "BROWN COUNTY",
      "city": "AINSWORTH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280013",
      "hospital": "THE NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0005968825",
      "hospital": "CALLAWAY HOSPITAL DISTRICT",
      "city": "CALLAWAY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0006069130",
      "hospital": "COZAD HOSPITAL DISTRICT NUMBER 2",
      "city": "COZAD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281303",
      "hospital": "NIOBRARA VALLEY HOSPITAL CORPORATION",
      "city": "LYNCH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009768701",
      "hospital": "STATE OF NEBRASKA - DEPT OF HEALTH AND HUMAN SERVS",
      "city": "NORFOLK",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281363",
      "hospital": "COMMUNITY HOSPITAL ASSOCIATION",
      "city": "MCCOOK",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281334",
      "hospital": "BOONE COUNTY",
      "city": "ALBION",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0106968847",
      "hospital": "GOOD SAMARITAN HOSPITAL",
      "city": "KEARNEY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0006468729",
      "hospital": "SACRED HEART HEALTH SERVICES",
      "city": "CREIGHTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0006568978",
      "hospital": "BRODSTONE MEMORIAL HOSPITAL",
      "city": "SUPERIOR",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281301",
      "hospital": "FILLMORE COUNTY",
      "city": "GENEVA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281354",
      "hospital": "CRETE AREA MEDICAL CENTER",
      "city": "CRETE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281326",
      "hospital": "ANTELOPE MEMORIAL HOSPITAL",
      "city": "NELIGH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0007068352",
      "hospital": "JEFFERSON COMMUNITY HEALTH CENTER INC",
      "city": "FAIRBURY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000000063",
      "hospital": "BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC",
      "city": "BEATRICE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0007268640",
      "hospital": "CITY OF GENOA",
      "city": "GENOA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280133",
      "hospital": "NEBRASKA SPINE HOSPITAL, LLC",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281352",
      "hospital": "COMMUNITY MEDICAL CENTER, INC",
      "city": "FALLS CITY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281338",
      "hospital": "HOWARD COUNTY",
      "city": "ST PAUL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281344",
      "hospital": "CHERRY COUNTY",
      "city": "VALENTINE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0007868651",
      "hospital": "POLK COUNTY",
      "city": "OSCEOLA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281347",
      "hospital": "OSMOND GENERAL HOSPITAL, INC",
      "city": "OSMOND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281302",
      "hospital": "PAWNEE COUNTY",
      "city": "PAWNEE CITY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281316",
      "hospital": "WEBSTER COUNTY",
      "city": "RED CLOUD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281340",
      "hospital": "DUNDY COUNTY",
      "city": "BENKELMAN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0008569301",
      "hospital": "BOX BUTTE COUNTY",
      "city": "ALLIANCE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281351",
      "hospital": "CHASE COUNTY",
      "city": "IMPERIAL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281300",
      "hospital": "HARLAN COUNTY HEALTH SYSTEM BOARD OF TRUSTEES",
      "city": "ALMA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "281361",
      "hospital": "LEXINGTON REGIONAL HEALTH CENTER",
      "city": "LEXINGTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "28006F",
      "hospital": "OMAHA VA MEDICAL CENTER",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0174568803",
      "hospital": "VA NEBRASKA-WESTERN IOWA HEALTH CARE SYSTEM",
      "city": "GRAND ISLAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280125",
      "hospital": "FAITH REGIONAL HEALTH SERVICES EAST CAMPUS",
      "city": "NORFOLK",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009868131",
      "hospital": "BOYS TOWN NATIONAL RESEARCH HOSPITAL",
      "city": "OMAHA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "284003",
      "hospital": "LINCOLN REGIONAL CENTER",
      "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": "0003868045",
      "hospital": "OAKLAND MERCY HOSPITAL",
      "city": "OAKLAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "280023",
      "hospital": "CHI HEALTH ST. FRANCIS",
      "city": "GRAND ISLAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785261",
      "hospital": "CHI NEBRASKA",
      "city": "KEARNEY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785262",
      "hospital": "KIMBALL COUNTY HOSPITAL",
      "city": "KIMBALL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785263",
      "hospital": "CHI NEBRASKA",
      "city": "PLAINVIEW",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    }
  ],
  "closureRows": [],
  "timelineRows": [
    {
      "date": "August 2017",
      "hospitalId": "280131",
      "hospital": "MIDWEST SURGICAL HOSPITAL, LLC",
      "eventType": "acquisition_or_control_event",
      "title": "MIDWEST SURGICAL HOSPITAL, LLC acquisition/control event",
      "summary": "Bain Capital / Surgery Partners",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    }
  ],
  "sourceCoverage": {
    "sourceBackedRows": 5,
    "notAvailableRows": 109,
    "totalSourceIds": 6
  }
}
