{
  "schemaVersion": 1,
  "generatedAt": "2026-07-02T17:31:14.077Z",
  "state": "NH",
  "stateName": "New Hampshire",
  "slug": "new-hampshire",
  "files": {
    "json": "/data/states/new-hampshire-impact-summary.json",
    "csv": "/data/states/new-hampshire-hospital-impact-2026-07-02.csv",
    "workbook": "/data/states/new-hampshire-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": 38,
    "currentPeCount": 0,
    "formerPeCount": 0,
    "peBefore2010Count": 0,
    "closuresAfterPeCount": 0,
    "worseningQualityCount": 0,
    "worseningFinancialCount": 25,
    "unresolvedCount": 4,
    "documentedDebtEventCount": 0,
    "ceoCompensationStructuredCount": 1
  },
  "statusCounts": {
    "verified_independent": 23,
    "corporate_chain": 11,
    "signal": 3,
    "disputed": 1
  },
  "tierDefinitions": [
    {
      "tier": "Tier 1",
      "definition": "Confirmed PE ownership/control or closed after documented PE acquisition."
    },
    {
      "tier": "Tier 2",
      "definition": "PE-backed contract, former PE ownership, documented debt/bankruptcy/asset-sale concern, or transaction warning."
    },
    {
      "tier": "Tier 3",
      "definition": "Corporate-chain or major-system exposure without PE proof."
    },
    {
      "tier": "Independent/Unresolved",
      "definition": "No documented PE exposure, verified independent, unknown, or evidence incomplete."
    }
  ],
  "topFinancialDeclines": [
    {
      "hospitalId": "304001",
      "hospital": "HAMPSTEAD HOSPITAL",
      "city": "HAMPSTEAD",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -13681.803086098998,
      "display": "Net income -13681.8%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300001",
      "hospital": "CONCORD HOSPITAL",
      "city": "CONCORD",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 2098.5372364740088,
      "display": "Direct-care contract labor +2098.5%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300011",
      "hospital": "ST JOSEPH HOSPITAL",
      "city": "NASHUA",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 1103.475471927739,
      "display": "Direct-care contract labor +1103.5%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300005",
      "hospital": "CONCORD HOSPITAL - LACONIA",
      "city": "LACONIA",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 644.6581708649168,
      "display": "Direct-care contract labor +644.7%",
      "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": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 571.5205216319282,
      "display": "Direct-care contract labor +571.5%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300012",
      "hospital": "ELLIOT HOSPITAL CITY OF MANCHESTER",
      "city": "MANCHESTER",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 334.31713532918457,
      "display": "Direct-care contract labor +334.3%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300012",
      "hospital": "NORTHEAST REHABILITATION HOSPITAL AT ELLIOT HOSPITAL",
      "city": "MANCHESTER",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 334.31713532918457,
      "display": "Direct-care contract labor +334.3%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300019",
      "hospital": "THE CHESHIRE MEDICAL CENTER",
      "city": "KEENE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -187.60420442189198,
      "display": "Net income -187.6%",
      "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."
    }
  ],
  "hospitalRows": [
    {
      "hospitalId": "301305",
      "ccn": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 35.024195240747694,
      "financialLeadDisplay": "Operating expense +35.0%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301305.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "301310",
      "ccn": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Payroll employees",
      "financialLeadPercentChange": -26.21604159616035,
      "financialLeadDisplay": "Payroll employees -26.2%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301310.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300034",
      "ccn": "300034",
      "hospital": "CATHOLIC MEDICAL CENTER",
      "city": "MANCHESTER",
      "state": "NH",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -133.80030647738016,
      "financialLeadDisplay": "Net income -133.8%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300034.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300019",
      "ccn": "300019",
      "hospital": "THE CHESHIRE MEDICAL CENTER",
      "city": "KEENE",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -187.60420442189198,
      "financialLeadDisplay": "Net income -187.6%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300019.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300001",
      "ccn": "300001",
      "hospital": "CONCORD HOSPITAL",
      "city": "CONCORD",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 2098.5372364740088,
      "financialLeadDisplay": "Direct-care contract labor +2098.5%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300001.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300005",
      "ccn": "300005",
      "hospital": "CONCORD HOSPITAL - LACONIA",
      "city": "LACONIA",
      "state": "NH",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 644.6581708649168,
      "financialLeadDisplay": "Direct-care contract labor +644.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-cms-hospital-chow",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300005.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "301306",
      "ccn": "301306",
      "hospital": "CONCORD HOSPITAL - FRANKLIN",
      "city": "FRANKLIN",
      "state": "NH",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 135.41047767850205,
      "financialLeadDisplay": "Operating expense +135.4%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-cms-hospital-chow",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301306.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "301301",
      "ccn": "301301",
      "hospital": "COTTAGE HOSPITAL",
      "city": "WOODSVILLE",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -122.29464281905705,
      "financialLeadDisplay": "Net income -122.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301301.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0019323820",
      "ccn": "",
      "hospital": "DOVER EMERGENCY ROOM",
      "city": "DOVER",
      "state": "NH",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Portsmouthhospital",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0019323820.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300012",
      "ccn": "300012",
      "hospital": "ELLIOT HOSPITAL CITY OF MANCHESTER",
      "city": "MANCHESTER",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 334.31713532918457,
      "financialLeadDisplay": "Direct-care contract labor +334.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300012.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0001503301",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CONCORD, INC",
      "city": "CONCORD",
      "state": "NH",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Encompass Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0001503301.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300023",
      "ccn": "300023",
      "hospital": "EXETER HOSPITAL INC",
      "city": "EXETER",
      "state": "NH",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Beth Israel Lahey Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -171.2032997126588,
      "financialLeadDisplay": "Net income -171.2%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "source_present_amount_not_structured",
      "sourceCount": 22,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-bilh-about",
        "source-bilh-locations",
        "source-bilh-leadership",
        "source-bilh-kevin-tabb-profile",
        "source-bilh-kevin-transition-2026",
        "source-bidmc-affiliates-bilh",
        "source-bilh-medical-education",
        "source-propublica-bilh-2022-schedule-o",
        "source-propublica-bilh-990",
        "source-axios-bilh-price-cap",
        "source-cms-hospital-general-information",
        "source-cms-bidmc-provider-220086",
        "source-cms-bidmc-hcahps",
        "source-cms-bidmc-hai",
        "source-cms-bidmc-mortality-safety",
        "source-cms-bidmc-readmissions",
        "source-cms-hospital-all-owners",
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://bilh.org/about",
        "https://bilh.org/locations",
        "https://bilh.org/about/leadership/executive-team",
        "https://bilh.org/about/leadership/executive-team/kevin-tabb-md",
        "https://bilh.org/about/news-and-stories/all-news-and-stories/news/2026/03/bilh-president-ceo-kevin-tabb-announces-leadership-transition",
        "https://bidmc.org/about/affiliates-community-partners",
        "https://bilh.org/research-education/medical-education",
        "https://projects.propublica.org/nonprofits/full_text/202412279349301501/IRS990ScheduleO",
        "https://projects.propublica.org/nonprofits/organizations/832671600",
        "https://www.axios.com/2018/11/30/beth-israel-deaconess-lahey-hospital-merger-price-cap",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://www.cms.gov/medicare/medicare-general-information/medicareapprovedfacilitie/vad-destination-therapy-facilities-aug2007-items/-beth-israel-deaconess-medical-center",
        "https://data.cms.gov/provider-data/dataset/dgck-syfz",
        "https://data.cms.gov/provider-data/dataset/77hc-ibv8",
        "https://data.cms.gov/provider-data/dataset/ynj2-r877",
        "https://data.cms.gov/provider-data/dataset/632h-zaca",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300023.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300014",
      "ccn": "300014",
      "hospital": "FRISBIE MEMORIAL HOSPITAL",
      "city": "ROCHESTER",
      "state": "NH",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -100.79886117973373,
      "financialLeadDisplay": "Net income -100.8%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-cms-hospital-chow",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300014.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "304001",
      "ccn": "304001",
      "hospital": "HAMPSTEAD HOSPITAL",
      "city": "HAMPSTEAD",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "disputed",
      "publicStatusLabel": "Disputed",
      "relationshipType": "ownership",
      "peFirm": "H.I.G. Capital",
      "parentSystem": "Wellpath",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -13681.803086098998,
      "financialLeadDisplay": "Net income -13681.8%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/304001.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "301312",
      "ccn": "301312",
      "hospital": "HUGGINS HOSPITAL",
      "city": "WOLFEBORO",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 43.565958662080135,
      "financialLeadDisplay": "Operating expense +43.6%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301312.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "301302",
      "ccn": "301302",
      "hospital": "LITTLETON REGIONAL HEALTHCARE",
      "city": "LITTLETON",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 1",
      "qualityLeadDisplay": "CMS overall rating 1",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 15.65895920941813,
      "financialLeadDisplay": "Operating expense +15.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301302.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300003",
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      "hospital": "MARY HITCHCOCK MEMORIAL HOSPITAL",
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      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
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      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -37.03248369158422,
      "financialLeadDisplay": "Net income -37.0%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300003.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "301307",
      "ccn": "301307",
      "hospital": "MEMORIAL HOSPITAL",
      "city": "NORTH CONWAY",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
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      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 40.4136969952077,
      "financialLeadDisplay": "Operating expense +40.4%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301307.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "301309",
      "ccn": "301309",
      "hospital": "MONADNOCK COMMUNITY HOSPITAL",
      "city": "PETERBOROUGH",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
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      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
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      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 16.31939626822807,
      "financialLeadDisplay": "Operating expense +16.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301309.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "301304",
      "ccn": "301304",
      "hospital": "NEW LONDON HOSPITAL",
      "city": "NEW LONDON",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 29.57660295116375,
      "financialLeadDisplay": "Operating expense +29.6%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301304.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0002203801",
      "ccn": "",
      "hospital": "NORTHEAST REHAB HOSPITAL AT PEASE",
      "city": "PORTSMOUTH",
      "state": "NH",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0002203801.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0107703062",
      "ccn": "",
      "hospital": "NORTHEAST REHAB. HOSP. AT SNHMC - WEST",
      "city": "NASHUA",
      "state": "NH",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0107703062.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000203079",
      "ccn": "",
      "hospital": "NORTHEAST REHABILITATION HOSPITAL",
      "city": "SALEM",
      "state": "NH",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "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": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -60.39981330243167,
      "financialLeadDisplay": "Net income -60.4%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000203079.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300012",
      "ccn": "300012",
      "hospital": "NORTHEAST REHABILITATION HOSPITAL AT ELLIOT HOSPITAL",
      "city": "MANCHESTER",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 334.31713532918457,
      "financialLeadDisplay": "Direct-care contract labor +334.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300012.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300017",
      "ccn": "300017",
      "hospital": "PARKLAND MEDICAL CENTER",
      "city": "DERRY",
      "state": "NH",
      "tier": "Tier 3",
      "overallStatus": "Improving",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Improving",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": 75.89522326219588,
      "financialLeadDisplay": "Net income +75.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300017.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300029",
      "ccn": "300029",
      "hospital": "PORTSMOUTH REGIONAL HOSPITAL",
      "city": "PORTSMOUTH",
      "state": "NH",
      "tier": "Tier 3",
      "overallStatus": "Improving",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Portsmouthhospital",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Improving",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": 92.62521915515866,
      "financialLeadDisplay": "Net income +92.6%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300029.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0018633874",
      "ccn": "",
      "hospital": "SEABROOK EMERGENCY ROOM",
      "city": "SEABROOK",
      "state": "NH",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Portsmouthhospital",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0018633874.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0002303060",
      "ccn": "",
      "hospital": "SOUTHERN NEW HAMPSHIRE MEDICAL CENTER",
      "city": "NASHUA",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0002303060.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "301311",
      "ccn": "301311",
      "hospital": "SPEARE MEMORIAL HOSPITAL",
      "city": "PLYMOUTH",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -88.05535182205077,
      "financialLeadDisplay": "Net income -88.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301311.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300011",
      "ccn": "300011",
      "hospital": "ST JOSEPH HOSPITAL",
      "city": "NASHUA",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 1103.475471927739,
      "financialLeadDisplay": "Direct-care contract labor +1103.5%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300011.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0002503576",
      "ccn": "",
      "hospital": "UPPER CT VALLEY HOSPITAL",
      "city": "COLEBROOK",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0002503576.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "301308",
      "ccn": "301308",
      "hospital": "VALLEY REGIONAL HOSPITAL, INC",
      "city": "CLAREMONT",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 32.616120751319755,
      "financialLeadDisplay": "Operating expense +32.6%",
      "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-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301308.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "301303",
      "ccn": "301303",
      "hospital": "WEEKS MEDICAL CENTER",
      "city": "LANCASTER",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -90.94400483282743,
      "financialLeadDisplay": "Net income -90.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/301303.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "300018",
      "ccn": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 571.5205216319282,
      "financialLeadDisplay": "Direct-care contract labor +571.5%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/300018.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0001003047",
      "ccn": "",
      "hospital": "CROTCHED MOUNTAIN REHABILITATION CENTER",
      "city": "GREENFIELD",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0001003047.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000503055",
      "ccn": "",
      "hospital": "ST JOSEPH HOSPITAL MILFORD MED CTR",
      "city": "MILFORD",
      "state": "NH",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000503055.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0009103104",
      "ccn": "",
      "hospital": "VA MEDICAL CENTER - MANCHESTER",
      "city": "MANCHESTER",
      "state": "NH",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0009103104.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196785008",
      "ccn": "",
      "hospital": "PLAISTOW FREE STANDING EMERGENCY ROOM",
      "city": "PLAISTOW",
      "state": "NH",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196785008.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    }
  ],
  "metricTrendRows": [
    {
      "hospitalId": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 9626000,
      "afterValue": 13223000,
      "percentChange": 37.36754622896322,
      "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": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 80790000,
      "afterValue": 60849000,
      "percentChange": -24.68251021165986,
      "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": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 332.7,
      "afterValue": 383.52,
      "percentChange": 15.27502254283138,
      "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": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 24,
      "afterValue": 24,
      "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": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 4381,
      "afterValue": 5501,
      "percentChange": 25.564939511527047,
      "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": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 466,
      "afterValue": 720,
      "percentChange": 54.506437768240346,
      "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": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 77197000,
      "afterValue": 104234628,
      "percentChange": 35.024195240747694,
      "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": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 78673000,
      "afterValue": 108263000,
      "percentChange": 37.61137874493155,
      "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": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 120887000,
      "afterValue": 144784000,
      "percentChange": 19.768047846335833,
      "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": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 2797805,
      "afterValue": 10974774,
      "percentChange": 292.26372102416,
      "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": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 64503885,
      "afterValue": 32019830,
      "percentChange": -50.35984266684091,
      "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": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 325.03,
      "afterValue": 239.82,
      "percentChange": -26.21604159616035,
      "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": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 25,
      "afterValue": 25,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 4034,
      "afterValue": 4230,
      "percentChange": 4.858701041150223,
      "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": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 876,
      "afterValue": 698,
      "percentChange": -20.319634703196346,
      "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": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 61288992,
      "afterValue": 83743498,
      "percentChange": 36.637094635199745,
      "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": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 50438246,
      "afterValue": 90373134,
      "percentChange": 79.17580639104699,
      "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": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 91964367,
      "afterValue": 77160768,
      "percentChange": -16.097103131259523,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "300034",
      "hospital": "CATHOLIC MEDICAL CENTER",
      "city": "MANCHESTER",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
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    },
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    {
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    },
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    },
    {
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    },
    {
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    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "301306",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    {
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    },
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    {
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    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "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": "300023",
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      "metric": "total_assets",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "300014",
      "hospital": "FRISBIE MEMORIAL HOSPITAL",
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      "metric": "total_liabilities",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "300014",
      "hospital": "FRISBIE MEMORIAL HOSPITAL",
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      "metric": "contract_labor_direct_patient_care",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "300014",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    {
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    },
    {
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    },
    {
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    },
    {
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    {
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    {
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    {
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    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    {
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    {
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    {
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    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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        "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": "300029",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
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    },
    {
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    },
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    {
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    {
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    {
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      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 25,
      "afterValue": 25,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "301303",
      "hospital": "WEEKS MEDICAL CENTER",
      "city": "LANCASTER",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 2337,
      "afterValue": 3145,
      "percentChange": 34.574240479246896,
      "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": "301303",
      "hospital": "WEEKS MEDICAL CENTER",
      "city": "LANCASTER",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 435,
      "afterValue": 487,
      "percentChange": 11.954022988505747,
      "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": "301303",
      "hospital": "WEEKS MEDICAL CENTER",
      "city": "LANCASTER",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 56229882,
      "afterValue": 83318048,
      "percentChange": 48.173969136197016,
      "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": "301303",
      "hospital": "WEEKS MEDICAL CENTER",
      "city": "LANCASTER",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 49995743,
      "afterValue": 76437388,
      "percentChange": 52.88779286668467,
      "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": "301303",
      "hospital": "WEEKS MEDICAL CENTER",
      "city": "LANCASTER",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 91915278,
      "afterValue": 74508515,
      "percentChange": -18.937834252103332,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 5983445,
      "afterValue": 99421591,
      "percentChange": 1561.6111788442945,
      "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": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 221699824,
      "afterValue": 167468376,
      "percentChange": -24.461655864913993,
      "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": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 2121956,
      "afterValue": 14249370,
      "percentChange": 571.5205216319282,
      "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": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 1749.77,
      "afterValue": 1929.36,
      "percentChange": 10.26363464912531,
      "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": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 118,
      "afterValue": 118,
      "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": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 32356,
      "afterValue": 42618,
      "percentChange": 31.71591049573495,
      "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": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 8141,
      "afterValue": 8374,
      "percentChange": 2.8620562584449085,
      "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": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 356495866,
      "afterValue": 469505742,
      "percentChange": 31.700192562681778,
      "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": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 342824221,
      "afterValue": 550301152,
      "percentChange": 60.519916123429326,
      "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": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
      "afterPeriod": "09/30/2023",
      "beforeValue": 611975543,
      "afterValue": 803011755,
      "percentChange": 31.21631479969127,
      "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": "304001",
      "hospital": "HAMPSTEAD HOSPITAL",
      "city": "HAMPSTEAD",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -13681.803086098998,
      "display": "Net income -13681.8%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300001",
      "hospital": "CONCORD HOSPITAL",
      "city": "CONCORD",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 2098.5372364740088,
      "display": "Direct-care contract labor +2098.5%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300011",
      "hospital": "ST JOSEPH HOSPITAL",
      "city": "NASHUA",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 1103.475471927739,
      "display": "Direct-care contract labor +1103.5%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300005",
      "hospital": "CONCORD HOSPITAL - LACONIA",
      "city": "LACONIA",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 644.6581708649168,
      "display": "Direct-care contract labor +644.7%",
      "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": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 571.5205216319282,
      "display": "Direct-care contract labor +571.5%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300012",
      "hospital": "ELLIOT HOSPITAL CITY OF MANCHESTER",
      "city": "MANCHESTER",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 334.31713532918457,
      "display": "Direct-care contract labor +334.3%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300012",
      "hospital": "NORTHEAST REHABILITATION HOSPITAL AT ELLIOT HOSPITAL",
      "city": "MANCHESTER",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 334.31713532918457,
      "display": "Direct-care contract labor +334.3%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300019",
      "hospital": "THE CHESHIRE MEDICAL CENTER",
      "city": "KEENE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -187.60420442189198,
      "display": "Net income -187.6%",
      "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": "300023",
      "hospital": "EXETER HOSPITAL INC",
      "city": "EXETER",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -171.2032997126588,
      "display": "Net income -171.2%",
      "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."
    },
    {
      "hospitalId": "301306",
      "hospital": "CONCORD HOSPITAL - FRANKLIN",
      "city": "FRANKLIN",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 135.41047767850205,
      "display": "Operating expense +135.4%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300034",
      "hospital": "CATHOLIC MEDICAL CENTER",
      "city": "MANCHESTER",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -133.80030647738016,
      "display": "Net income -133.8%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "301301",
      "hospital": "COTTAGE HOSPITAL",
      "city": "WOODSVILLE",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -122.29464281905705,
      "display": "Net income -122.3%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300014",
      "hospital": "FRISBIE MEMORIAL HOSPITAL",
      "city": "ROCHESTER",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -100.79886117973373,
      "display": "Net income -100.8%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "301303",
      "hospital": "WEEKS MEDICAL CENTER",
      "city": "LANCASTER",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -90.94400483282743,
      "display": "Net income -90.9%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "301311",
      "hospital": "SPEARE MEMORIAL HOSPITAL",
      "city": "PLYMOUTH",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -88.05535182205077,
      "display": "Net income -88.1%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "0000203079",
      "hospital": "NORTHEAST REHABILITATION HOSPITAL",
      "city": "SALEM",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -60.39981330243167,
      "display": "Net income -60.4%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "301312",
      "hospital": "HUGGINS HOSPITAL",
      "city": "WOLFEBORO",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 43.565958662080135,
      "display": "Operating expense +43.6%",
      "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": "301307",
      "hospital": "MEMORIAL HOSPITAL",
      "city": "NORTH CONWAY",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 40.4136969952077,
      "display": "Operating expense +40.4%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "300003",
      "hospital": "MARY HITCHCOCK MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -37.03248369158422,
      "display": "Net income -37.0%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 35.024195240747694,
      "display": "Operating expense +35.0%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "301308",
      "hospital": "VALLEY REGIONAL HOSPITAL, INC",
      "city": "CLAREMONT",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 32.616120751319755,
      "display": "Operating expense +32.6%",
      "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": "301304",
      "hospital": "NEW LONDON HOSPITAL",
      "city": "NEW LONDON",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 29.57660295116375,
      "display": "Operating expense +29.6%",
      "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": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "status": "Critical",
      "leadMetric": "Payroll employees",
      "percentChange": -26.21604159616035,
      "display": "Payroll employees -26.2%",
      "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."
    },
    {
      "hospitalId": "301309",
      "hospital": "MONADNOCK COMMUNITY HOSPITAL",
      "city": "PETERBOROUGH",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 16.31939626822807,
      "display": "Operating expense +16.3%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "301302",
      "hospital": "LITTLETON REGIONAL HEALTHCARE",
      "city": "LITTLETON",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 15.65895920941813,
      "display": "Operating expense +15.7%",
      "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."
    }
  ],
  "compensationRows": [
    {
      "hospitalId": "301305",
      "hospital": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "301310",
      "hospital": "ANDROSCOGGIN VALLEY HOSPITAL",
      "city": "BERLIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300034",
      "hospital": "CATHOLIC MEDICAL CENTER",
      "city": "MANCHESTER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300019",
      "hospital": "THE CHESHIRE MEDICAL CENTER",
      "city": "KEENE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300001",
      "hospital": "CONCORD HOSPITAL",
      "city": "CONCORD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300005",
      "hospital": "CONCORD HOSPITAL - LACONIA",
      "city": "LACONIA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "301306",
      "hospital": "CONCORD HOSPITAL - FRANKLIN",
      "city": "FRANKLIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "301301",
      "hospital": "COTTAGE HOSPITAL",
      "city": "WOODSVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0019323820",
      "hospital": "DOVER EMERGENCY ROOM",
      "city": "DOVER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300012",
      "hospital": "ELLIOT HOSPITAL CITY OF MANCHESTER",
      "city": "MANCHESTER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0001503301",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CONCORD, INC",
      "city": "CONCORD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300023",
      "hospital": "EXETER HOSPITAL INC",
      "city": "EXETER",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "source_present_amount_not_structured",
      "sourceId": "source-propublica-bilh-2022-schedule-o",
      "sourceUrl": "https://projects.propublica.org/nonprofits/full_text/202412279349301501/IRS990ScheduleO",
      "note": "A compensation-related source is present, but the amount is not structured in the current public data package."
    },
    {
      "hospitalId": "300014",
      "hospital": "FRISBIE MEMORIAL HOSPITAL",
      "city": "ROCHESTER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "304001",
      "hospital": "HAMPSTEAD HOSPITAL",
      "city": "HAMPSTEAD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "301312",
      "hospital": "HUGGINS HOSPITAL",
      "city": "WOLFEBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "301302",
      "hospital": "LITTLETON REGIONAL HEALTHCARE",
      "city": "LITTLETON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300003",
      "hospital": "MARY HITCHCOCK MEMORIAL HOSPITAL",
      "city": "LEBANON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "301307",
      "hospital": "MEMORIAL HOSPITAL",
      "city": "NORTH CONWAY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "301309",
      "hospital": "MONADNOCK COMMUNITY HOSPITAL",
      "city": "PETERBOROUGH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "301304",
      "hospital": "NEW LONDON HOSPITAL",
      "city": "NEW LONDON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002203801",
      "hospital": "NORTHEAST REHAB HOSPITAL AT PEASE",
      "city": "PORTSMOUTH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0107703062",
      "hospital": "NORTHEAST REHAB. HOSP. AT SNHMC - WEST",
      "city": "NASHUA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000203079",
      "hospital": "NORTHEAST REHABILITATION HOSPITAL",
      "city": "SALEM",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300012",
      "hospital": "NORTHEAST REHABILITATION HOSPITAL AT ELLIOT HOSPITAL",
      "city": "MANCHESTER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300017",
      "hospital": "PARKLAND MEDICAL CENTER",
      "city": "DERRY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300029",
      "hospital": "PORTSMOUTH REGIONAL HOSPITAL",
      "city": "PORTSMOUTH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0018633874",
      "hospital": "SEABROOK EMERGENCY ROOM",
      "city": "SEABROOK",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002303060",
      "hospital": "SOUTHERN NEW HAMPSHIRE MEDICAL CENTER",
      "city": "NASHUA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "301311",
      "hospital": "SPEARE MEMORIAL HOSPITAL",
      "city": "PLYMOUTH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300011",
      "hospital": "ST JOSEPH HOSPITAL",
      "city": "NASHUA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002503576",
      "hospital": "UPPER CT VALLEY HOSPITAL",
      "city": "COLEBROOK",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "301308",
      "hospital": "VALLEY REGIONAL HOSPITAL, INC",
      "city": "CLAREMONT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "301303",
      "hospital": "WEEKS MEDICAL CENTER",
      "city": "LANCASTER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "300018",
      "hospital": "WENTWORTH - DOUGLASS HOSPITAL",
      "city": "DOVER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0001003047",
      "hospital": "CROTCHED MOUNTAIN REHABILITATION CENTER",
      "city": "GREENFIELD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000503055",
      "hospital": "ST JOSEPH HOSPITAL MILFORD MED CTR",
      "city": "MILFORD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009103104",
      "hospital": "VA MEDICAL CENTER - MANCHESTER",
      "city": "MANCHESTER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785008",
      "hospital": "PLAISTOW FREE STANDING EMERGENCY ROOM",
      "city": "PLAISTOW",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    }
  ],
  "closureRows": [],
  "timelineRows": [],
  "sourceCoverage": {
    "sourceBackedRows": 38,
    "notAvailableRows": 0,
    "totalSourceIds": 24
  }
}
