{
  "schemaVersion": 1,
  "generatedAt": "2026-07-02T17:31:14.077Z",
  "state": "NC",
  "stateName": "North Carolina",
  "slug": "north-carolina",
  "files": {
    "json": "/data/states/north-carolina-impact-summary.json",
    "csv": "/data/states/north-carolina-hospital-impact-2026-07-02.csv",
    "workbook": "/data/states/north-carolina-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": 160,
    "currentPeCount": 22,
    "formerPeCount": 0,
    "peBefore2010Count": 0,
    "closuresAfterPeCount": 0,
    "worseningQualityCount": 0,
    "worseningFinancialCount": 99,
    "unresolvedCount": 10,
    "documentedDebtEventCount": 1,
    "ceoCompensationStructuredCount": 0
  },
  "statusCounts": {
    "verified_independent": 27,
    "signal": 7,
    "corporate_chain": 100,
    "confirmed_pe": 16,
    "pe_contract": 6,
    "disputed": 3,
    "closed": 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": "0184927103",
      "hospital": "NOVANT HEALTH REHABILITATION HOSPITAL",
      "city": "WINSTON-SALEM",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 34467.189384800964,
      "display": "Direct-care contract labor +34467.2%",
      "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": "344034",
      "hospital": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
      "city": "LINVILLE",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 13102.878503599326,
      "display": "Total liabilities +13102.9%",
      "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": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
      "city": "SALISBURY",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -8525.472278899599,
      "display": "Net income -8525.5%",
      "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": "340190",
      "hospital": "NOVANT HEALTH MINT HILL MEDICAL CENTER",
      "city": "CHARLOTTE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 2920.8773091926105,
      "display": "Direct-care contract labor +2920.9%",
      "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": "340109",
      "hospital": "SENTARA ALBEMARLE MEDICAL CENTER",
      "city": "ELIZABETH CITY",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 2008.308827518854,
      "display": "Direct-care contract labor +2008.3%",
      "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": "0000000128",
      "hospital": "NOVANT HEALTH BRUNSWICK MEDICAL CENTER",
      "city": "BOLIVIA",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 1757.5533705756839,
      "display": "Direct-care contract labor +1757.6%",
      "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": "340085",
      "hospital": "NOVANT HEALTH THOMASVILLE MEDICAL CENTER",
      "city": "THOMASVILLE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 1272.4532661784344,
      "display": "Direct-care contract labor +1272.5%",
      "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": "340098",
      "hospital": "ATRIUM HEALTH PINEVILLE",
      "city": "CHARLOTTE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 1220.0263499960731,
      "display": "Direct-care contract labor +1220.0%",
      "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."
    }
  ],
  "hospitalRows": [
    {
      "hospitalId": "0196784535",
      "ccn": "",
      "hospital": "LINDEN OAKS MEDICAL HOME",
      "city": "CAMERON",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Defense",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196784535.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000000013",
      "ccn": "",
      "hospital": "NAVAL MEDICAL CENTER CAMP LEJEUNE",
      "city": "CAMP LEJEUNE",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Defense",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000000013.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000000037",
      "ccn": "",
      "hospital": "WOMACK ARMY MEDICAL CENTER",
      "city": "FORT BRAGG",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Defense",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000000037.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0002328719",
      "ccn": "",
      "hospital": "CIHA HOSPITAL",
      "city": "CHEROKEE",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "The Cherokee Indian Hospital Authority",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0002328719.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340047",
      "ccn": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "state": "NC",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health Wake Forest Baptist",
      "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": 25.85547906115904,
      "financialLeadDisplay": "Direct-care contract labor +25.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-cms-hospital-chow",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340047.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340027",
      "ccn": "340027",
      "hospital": "UNC LENOIR HEALTH CARE",
      "city": "KINSTON",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 41.72274452084036,
      "financialLeadDisplay": "Direct-care contract labor +41.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340027.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0006927549",
      "ccn": "",
      "hospital": "FRANKLIN MEDICAL CENTER",
      "city": "LOUISBURG",
      "state": "NC",
      "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": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0006927549.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340023",
      "ccn": "340023",
      "hospital": "ADVENTHEALTH HENDERSONVILLE",
      "city": "HENDERSONVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "AdventHealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 5",
      "qualityLeadDisplay": "CMS overall rating 5",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 78.33566129664808,
      "financialLeadDisplay": "Direct-care contract labor +78.3%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340023.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340183",
      "ccn": "340183",
      "hospital": "NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER",
      "city": "HUNTERSVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "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": 691.5642879835844,
      "financialLeadDisplay": "Direct-care contract labor +691.6%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340183.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0010328722",
      "ccn": "",
      "hospital": "ST. LUKE'S HOSPITAL",
      "city": "COLUMBUS",
      "state": "NC",
      "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": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0010328722.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0011127514",
      "ccn": "",
      "hospital": "UNIVERSITY OF NORTH CAROLINA HOSPITALS",
      "city": "CHAPEL HILL",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0011127514.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340127",
      "ccn": "340127",
      "hospital": "GRANVILLE HEALTH SYSTEM",
      "city": "OXFORD",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Granville Health System",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -53.029631631156825,
      "financialLeadDisplay": "Net income -53.0%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340127.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340098",
      "ccn": "340098",
      "hospital": "ATRIUM HEALTH PINEVILLE",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health",
      "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": 1220.0263499960731,
      "financialLeadDisplay": "Direct-care contract labor +1220.0%",
      "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/340098.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196784165",
      "ccn": "",
      "hospital": "CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196784165.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "344032",
      "ccn": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "February 2023",
      "acquisitionYear": 2023,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 5.2650175354575275,
      "financialLeadDisplay": "Operating expense +5.3%",
      "financialBaselineType": "acquisition_anchor",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/344032.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0004728203",
      "ccn": "",
      "hospital": "CAROLINAS REHABILITATION",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0004728203.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340107",
      "ccn": "340107",
      "hospital": "VIDANT EDGECOMBE HOSPITAL",
      "city": "TARBORO",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "ECU Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -32.21515429864289,
      "financialLeadDisplay": "Net income -32.2%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-ecu-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.ecuhealth.org/about-us/system-of-care/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340107.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0178127610",
      "ccn": "",
      "hospital": "UNC HOSPITALS AT WAKEBROOK",
      "city": "RALEIGH",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0178127610.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340020",
      "ccn": "340020",
      "hospital": "CENTRAL CAROLINA HOSPITAL",
      "city": "SANFORD",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -92.52036420898152,
      "financialLeadDisplay": "Net income -92.5%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340020.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340109",
      "ccn": "340109",
      "hospital": "SENTARA ALBEMARLE MEDICAL CENTER",
      "city": "ELIZABETH CITY",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Sentara Health",
      "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": 2008.308827518854,
      "financialLeadDisplay": "Direct-care contract labor +2008.3%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340109.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340060",
      "ccn": "340060",
      "hospital": "UNC ROCKINGHAM HOSPITAL",
      "city": "EDEN",
      "state": "NC",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -31.10900554662465,
      "financialLeadDisplay": "Net income -31.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-cms-hospital-chow",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340060.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341326",
      "ccn": "341326",
      "hospital": "ANGEL MEDICAL CENTER",
      "city": "FRANKLIN",
      "state": "NC",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "pe_contract",
      "publicStatusLabel": "PE-backed contract",
      "relationshipType": "contract",
      "peFirm": "Blackstone",
      "parentSystem": "TeamHealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 339.59455702986565,
      "financialLeadDisplay": "Total liabilities +339.6%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 11,
      "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-valley-contract-reporting",
        "source-onex-scp",
        "source-acep-valley",
        "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://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
        "https://www.onex.com/portfolio/OP-OpCo-SCPHealth",
        "https://www.acep.org/news/acep-newsroom-articles/4-16-26-joint-statement-from-the-american-college-of-emergency-physicians-and-virginia-college-of-emergency-physicians",
        "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/341326.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000827401",
      "ccn": "",
      "hospital": "CONE HEALTH",
      "city": "GREENSBORO",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Cone 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cone-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.conehealth.com/about-us/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000827401.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340070",
      "ccn": "340070",
      "hospital": "ALAMANCE REGIONAL MEDICAL CENTER",
      "city": "BURLINGTON",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Cone Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -69.38355434111733,
      "financialLeadDisplay": "Net income -69.4%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-cone-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.conehealth.com/about-us/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340070.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341329",
      "ccn": "341329",
      "hospital": "BLUE RIDGE REGIONAL HOSPITAL",
      "city": "SPRUCE PINE",
      "state": "NC",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "pe_contract",
      "publicStatusLabel": "PE-backed contract",
      "relationshipType": "contract",
      "peFirm": "Blackstone",
      "parentSystem": "TeamHealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 82.24575775908511,
      "financialLeadDisplay": "Total liabilities +82.2%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 11,
      "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-valley-contract-reporting",
        "source-onex-scp",
        "source-acep-valley",
        "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://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
        "https://www.onex.com/portfolio/OP-OpCo-SCPHealth",
        "https://www.acep.org/news/acep-newsroom-articles/4-16-26-joint-statement-from-the-american-college-of-emergency-physicians-and-virginia-college-of-emergency-physicians",
        "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/341329.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0011828659",
      "ccn": "",
      "hospital": "WILKES MEDICAL CENTER",
      "city": "NORTH WILKESBORO",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health Wake Forest Baptist",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 64.69955894785167,
      "financialLeadDisplay": "Operating expense +64.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0011828659.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0003227983",
      "ccn": "",
      "hospital": "VIDANT BERTIE HOSPITAL",
      "city": "WINDSOR",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "ECU 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-ecu-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.ecuhealth.org/about-us/system-of-care/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0003227983.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0008028301",
      "ccn": "",
      "hospital": "HIGHSMITH - RAINEY SPECIALTY HOSPITAL",
      "city": "FAYETTEVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Cape Fear Valley 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cape-fear-valley-administration",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.capefearvalley.com/administration",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0008028301.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340171",
      "ccn": "340171",
      "hospital": "NOVANT HEALTH MATTHEWS MEDICAL CENTER",
      "city": "MATTHEWS",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 5",
      "qualityLeadDisplay": "CMS overall rating 5",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -45.343069146490144,
      "financialLeadDisplay": "Net income -45.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340171.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196784729",
      "ccn": "",
      "hospital": "FIRSTHEALTH MOORE REG. HOSP. AND PINEHURST TREATMENT",
      "city": "PINEHURST",
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      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
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      "peFirm": "",
      "parentSystem": "FirstHealth of the Carolinas",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-firsthealth-mickey-foster",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.firsthealth.org/about-us/leadership-team/mickey-w-foster/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196784729.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340115",
      "ccn": "340115",
      "hospital": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - HOKE CAMPUS",
      "city": "PINEHURST",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "FirstHealth of the Carolinas",
      "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": 195.92118373099592,
      "financialLeadDisplay": "Direct-care contract labor +195.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-firsthealth-mickey-foster",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.firsthealth.org/about-us/leadership-team/mickey-w-foster/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340115.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341317",
      "ccn": "341317",
      "hospital": "LIFEBRITE COMMUNITY HOSPITAL OF STOKES",
      "city": "DANBURY",
      "state": "NC",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "LifeBrite",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 36.09284511893151,
      "financialLeadDisplay": "Total liabilities +36.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-cms-hospital-chow",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/341317.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340028",
      "ccn": "340028",
      "hospital": "CAPE FEAR VALLEY MEDICAL CENTER",
      "city": "FAYETTEVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Cape Fear Valley Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 110.39386663373728,
      "financialLeadDisplay": "Total liabilities +110.4%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-cape-fear-valley-administration",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.capefearvalley.com/administration",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340028.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340126",
      "ccn": "340126",
      "hospital": "WILSON MEDICAL CENTER",
      "city": "WILSON",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 1",
      "qualityLeadDisplay": "CMS overall rating 1",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 172.02186332123213,
      "financialLeadDisplay": "Total liabilities +172.0%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340126.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0008828117",
      "ccn": "",
      "hospital": "LAKE NORMAN REGIONAL MEDICAL CENTER",
      "city": "MOORESVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Community Health Systems",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-sec-chs-proxy-2026",
        "source-chs-kevin-hammons-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.sec.gov/Archives/edgar/data/1108109/000119312526140269/cyh-20260331.htm",
        "https://www.chs.net/company-overview/leadership/kevin-hammons",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0008828117.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340097",
      "ccn": "340097",
      "hospital": "HUGH CHATHAM MEMORIAL HOSPITAL, INC",
      "city": "ELKIN",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Hugh Chatham Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -140.28889191077982,
      "financialLeadDisplay": "Net income -140.3%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340097.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341316",
      "ccn": "341316",
      "hospital": "HIGHLANDS - CASHIERS HOSPITAL",
      "city": "HIGHLANDS",
      "state": "NC",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "pe_contract",
      "publicStatusLabel": "PE-backed contract",
      "relationshipType": "contract",
      "peFirm": "Blackstone",
      "parentSystem": "TeamHealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 343.7762654798538,
      "financialLeadDisplay": "Total liabilities +343.8%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 11,
      "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-valley-contract-reporting",
        "source-onex-scp",
        "source-acep-valley",
        "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://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
        "https://www.onex.com/portfolio/OP-OpCo-SCPHealth",
        "https://www.acep.org/news/acep-newsroom-articles/4-16-26-joint-statement-from-the-american-college-of-emergency-physicians-and-virginia-college-of-emergency-physicians",
        "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/341316.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340173",
      "ccn": "340173",
      "hospital": "WAKEMED CARY HOSPITAL",
      "city": "CARY",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "WakeMed",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 5",
      "qualityLeadDisplay": "CMS overall rating 5",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -70.99804325659672,
      "financialLeadDisplay": "Net income -71.0%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340173.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "344016",
      "ccn": "344016",
      "hospital": "BRYNN MARR HOSPITAL",
      "city": "JACKSONVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Universal Health Services",
      "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": -272.1090100278765,
      "financialLeadDisplay": "Net income -272.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 10,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-sec-uhs-proxy-2026",
        "source-uhs-marc-miller-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526148814/uhs-20260403.htm",
        "https://uhs.com/about-universal-health-services/leadership/marc-d-miller/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/344016.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340148",
      "ccn": "340148",
      "hospital": "NOVANT HEALTH MEDICAL PARK HOSPITAL",
      "city": "WINSTON-SALEM",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 5",
      "qualityLeadDisplay": "CMS overall rating 5",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -53.002657944881825,
      "financialLeadDisplay": "Net income -53.0%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340148.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340053",
      "ccn": "340053",
      "hospital": "NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 5",
      "qualityLeadDisplay": "CMS overall rating 5",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 603.3113507302302,
      "financialLeadDisplay": "Direct-care contract labor +603.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340053.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341325",
      "ccn": "341325",
      "hospital": "ASHE MEMORIAL HOSPITAL, INC",
      "city": "JEFFERSON",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Ashe Memorial Hospital",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Patient days",
      "financialLeadPercentChange": -25.277008310249304,
      "financialLeadDisplay": "Patient days -25.3%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/341325.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340131",
      "ccn": "340131",
      "hospital": "CAROLINAEAST MEDICAL CENTER",
      "city": "NEW BERN",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "CarolinaEast Health System",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -34.86203271182392,
      "financialLeadDisplay": "Net income -34.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340131.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340021",
      "ccn": "340021",
      "hospital": "ATRIUM HEALTH CLEVELAND",
      "city": "SHELBY",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -32.954829640764395,
      "financialLeadDisplay": "Net income -33.0%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340021.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0172728451",
      "ccn": "",
      "hospital": "CAROLINA DUNES BEHAVIORAL HEALTH",
      "city": "LELAND",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Acadia Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 412.19596596231014,
      "financialLeadDisplay": "Total liabilities +412.2%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 10,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-sec-acadia-proxy-2026",
        "source-acadia-ceo-8k-2026",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.sec.gov/Archives/edgar/data/1520697/000114036126011130/ny20062977x1_def14a.htm",
        "https://www.sec.gov/edgar/browse/?CIK=1520697",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0172728451.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340085",
      "ccn": "340085",
      "hospital": "NOVANT HEALTH THOMASVILLE MEDICAL CENTER",
      "city": "THOMASVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "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": 1272.4532661784344,
      "financialLeadDisplay": "Direct-care contract labor +1272.5%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340085.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340188",
      "ccn": "340188",
      "hospital": "CAPE FEAR VALLEY HOKE HOSPITAL",
      "city": "RAEFORD",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Cape Fear Valley Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 89.78622816579288,
      "financialLeadDisplay": "Total liabilities +89.8%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-cape-fear-valley-administration",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.capefearvalley.com/administration",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340188.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0002027835",
      "ccn": "",
      "hospital": "VIDANT MEDICAL CENTER",
      "city": "GREENVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "ECU 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-ecu-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.ecuhealth.org/about-us/system-of-care/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0002027835.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341318",
      "ccn": "341318",
      "hospital": "VIDANT CHOWAN HOSPITAL",
      "city": "EDENTON",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "ECU Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 27.524671341758594,
      "financialLeadDisplay": "Operating expense +27.5%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-ecu-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.ecuhealth.org/about-us/system-of-care/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/341318.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340141",
      "ccn": "340141",
      "hospital": "NEW HANOVER REGIONAL MEDICAL CENTER",
      "city": "WILMINGTON",
      "state": "NC",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "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": 653.1458372312042,
      "financialLeadDisplay": "Direct-care contract labor +653.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-cms-hospital-chow",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340141.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0006028687",
      "ccn": "",
      "hospital": "DAVIS REGIONAL MEDICAL CENTER",
      "city": "STATESVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Community Health Systems",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-sec-chs-proxy-2026",
        "source-chs-kevin-hammons-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.sec.gov/Archives/edgar/data/1108109/000119312526140269/cyh-20260331.htm",
        "https://www.chs.net/company-overview/leadership/kevin-hammons",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0006028687.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0007228655",
      "ccn": "",
      "hospital": "CAROLINAS HEALTHCARE SYSTEM BLUE RIDGE",
      "city": "MORGANTON",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0007228655.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340030",
      "ccn": "340030",
      "hospital": "DUKE UNIVERSITY HOSPITAL",
      "city": "DURHAM",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 5",
      "qualityLeadDisplay": "CMS overall rating 5",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 76.72067640839352,
      "financialLeadDisplay": "Direct-care contract labor +76.7%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340030.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340084",
      "ccn": "340084",
      "hospital": "ATRIUM HEALTH ANSON",
      "city": "WADESBORO",
      "state": "NC",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 27.532287945538194,
      "financialLeadDisplay": "Direct-care contract labor +27.5%",
      "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/340084.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341320",
      "ccn": "341320",
      "hospital": "ALLEGHANY MEMORIAL HOSPITAL",
      "city": "SPARTA",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Alleghany Health",
      "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": -158.35224765991825,
      "financialLeadDisplay": "Net income -158.4%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/341320.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000000128",
      "ccn": "",
      "hospital": "NOVANT HEALTH BRUNSWICK MEDICAL CENTER",
      "city": "BOLIVIA",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "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": 1757.5533705756839,
      "financialLeadDisplay": "Direct-care contract labor +1757.6%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000000128.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0008627406",
      "ccn": "342012",
      "hospital": "KINDRED HOSPITAL - GREENSBORO",
      "city": "GREENSBORO",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "ScionHealth",
      "formerOperator": "",
      "acquisitionDate": "December 2021",
      "acquisitionYear": 2021,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -119.07348157125132,
      "financialLeadDisplay": "Net income -119.1%",
      "financialBaselineType": "acquisition_anchor",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0008627406.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0001027804",
      "ccn": "",
      "hospital": "NASH GENERAL HOSPITAL",
      "city": "ROCKY MOUNT",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0001027804.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0184927103",
      "ccn": "",
      "hospital": "NOVANT HEALTH REHABILITATION HOSPITAL",
      "city": "WINSTON-SALEM",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 34467.189384800964,
      "financialLeadDisplay": "Direct-care contract labor +34467.2%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0184927103.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0009027293",
      "ccn": "",
      "hospital": "LEXINGTON MEDICAL CENTER",
      "city": "LEXINGTON",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health Wake Forest Baptist",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 43.3041769501577,
      "financialLeadDisplay": "Operating expense +43.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0009027293.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0007427870",
      "ccn": "",
      "hospital": "VIDANT NORTH HOSPITAL",
      "city": "ROANOKE RAPIDS",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "ECU 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-ecu-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.ecuhealth.org/about-us/system-of-care/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0007427870.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340032",
      "ccn": "340032",
      "hospital": "CAROMONT REGIONAL MEDICAL CENTER",
      "city": "GASTONIA",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "CaroMont Health",
      "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": 269.05429694712035,
      "financialLeadDisplay": "Direct-care contract labor +269.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340032.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341319",
      "ccn": "341319",
      "hospital": "TRANSYLVANIA REGIONAL HOSPITAL",
      "city": "BREVARD",
      "state": "NC",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "pe_contract",
      "publicStatusLabel": "PE-backed contract",
      "relationshipType": "contract",
      "peFirm": "Blackstone",
      "parentSystem": "TeamHealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 53.065682480125844,
      "financialLeadDisplay": "Total liabilities +53.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 11,
      "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-valley-contract-reporting",
        "source-onex-scp",
        "source-acep-valley",
        "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://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
        "https://www.onex.com/portfolio/OP-OpCo-SCPHealth",
        "https://www.acep.org/news/acep-newsroom-articles/4-16-26-joint-statement-from-the-american-college-of-emergency-physicians-and-virginia-college-of-emergency-physicians",
        "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/341319.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340184",
      "ccn": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "city": "CLYDE",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 99.67003134013787,
      "financialLeadDisplay": "Total liabilities +99.7%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340184.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0011727533",
      "ccn": "",
      "hospital": "WAYNE UNC HEALTHCARE",
      "city": "GOLDSBORO",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0011727533.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0004828012",
      "ccn": "",
      "hospital": "CAROLINAS REHABILITATION MT. HOLLY",
      "city": "BELMONT",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0004828012.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340013",
      "ccn": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
      "city": "RUTHERFORDTON",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
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      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 26.12684104395133,
      "financialLeadDisplay": "Operating expense +26.1%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340013.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340050",
      "ccn": "340050",
      "hospital": "SOUTHEASTERN REGIONAL MEDICAL CENTER",
      "city": "LUMBERTON",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -99.5140444241439,
      "financialLeadDisplay": "Net income -99.5%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340050.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340069",
      "ccn": "340069",
      "hospital": "WAKEMED",
      "city": "RALEIGH",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "WakeMed",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 28.562760415209574,
      "financialLeadDisplay": "Total liabilities +28.6%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340069.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0010428002",
      "ccn": "",
      "hospital": "ATRIUM HEALTH STANLY",
      "city": "ALBEMARLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0010428002.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0168327610",
      "ccn": "",
      "hospital": "HOLLY HILL HOSPITAL, LLC",
      "city": "RALEIGH",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Universal Health Services",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -55.868935346666305,
      "financialLeadDisplay": "Net income -55.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 10,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-sec-uhs-proxy-2026",
        "source-uhs-marc-miller-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526148814/uhs-20260403.htm",
        "https://uhs.com/about-universal-health-services/leadership/marc-d-miller/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0168327610.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000427892",
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      "hospital": "MARTIN GENERAL HOSPITAL",
      "city": "WILLIAMSTON",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Unknown",
      "publicStatus": "disputed",
      "publicStatusLabel": "Disputed",
      "relationshipType": "ownership",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "parentSystem": "Quorum Health Corporation",
      "formerOperator": "",
      "acquisitionDate": "May 2020",
      "acquisitionYear": 2020,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 3,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "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/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000427892.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340042",
      "ccn": "340042",
      "hospital": "ONSLOW MEMORIAL HOSPITAL, INC",
      "city": "JACKSONVILLE",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Onslow Memorial Hospital",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 1",
      "qualityLeadDisplay": "CMS overall rating 1",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 23.51981029388557,
      "financialLeadDisplay": "Operating expense +23.5%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340042.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340041",
      "ccn": "340041",
      "hospital": "CALDWELL MEMORIAL HOSPITAL, INC",
      "city": "LENOIR",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -60.52764372555072,
      "financialLeadDisplay": "Net income -60.5%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340041.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0177827006",
      "ccn": "",
      "hospital": "DAVIE MEDICAL CENTER",
      "city": "BERMUDA RUN",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health Wake Forest Baptist",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0177827006.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340014",
      "ccn": "340014",
      "hospital": "NOVANT HEALTH FORSYTH MEDICAL CENTER",
      "city": "WINSTON-SALEM",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -132.83490270580361,
      "financialLeadDisplay": "Net income -132.8%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340014.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340051",
      "ccn": "340051",
      "hospital": "WATAUGA MEDICAL CENTER, INC",
      "city": "BOONE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Appalachian Regional Healthcare System",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -69.76438115158604,
      "financialLeadDisplay": "Net income -69.8%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340051.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0006127611",
      "ccn": "",
      "hospital": "DUKE RALEIGH HOSPITAL",
      "city": "RALEIGH",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Duke Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -41.31775334489017,
      "financialLeadDisplay": "Net income -41.3%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-duke-health-craig-albanese",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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://corporate.dukehealth.org/news/duke-names-health-system-chief-executive-officer",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0006127611.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340142",
      "ccn": "340142",
      "hospital": "CARTERET GENERAL HOSPITAL",
      "city": "MOREHEAD CITY",
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      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
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      "peFirm": "",
      "parentSystem": "Carteret Health Care",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 26.279125792651282,
      "financialLeadDisplay": "Total liabilities +26.3%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340142.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "344007",
      "ccn": "344007",
      "hospital": "OLD VINEYARD YOUTH SERVICES",
      "city": "WINSTON-SALEM",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Universal Health Services",
      "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": 10.657739929324524,
      "financialLeadDisplay": "Operating expense +10.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 10,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-sec-uhs-proxy-2026",
        "source-uhs-marc-miller-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526148814/uhs-20260403.htm",
        "https://uhs.com/about-universal-health-services/leadership/marc-d-miller/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/344007.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340123",
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      "hospital": "RANDOLPH HOSPITAL, INC",
      "city": "ASHEBORO",
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      "overallStatus": "Improving",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
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      "peFirm": "",
      "parentSystem": "Cone Health",
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      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Improving",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": 165.11909185800545,
      "financialLeadDisplay": "Net income +165.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-cms-hospital-chow",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340123.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340155",
      "ccn": "340155",
      "hospital": "DUKE REGIONAL HOSPITAL",
      "city": "DURHAM",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 5",
      "qualityLeadDisplay": "CMS overall rating 5",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -49.68689395994735,
      "financialLeadDisplay": "Net income -49.7%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340155.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340049",
      "ccn": "340049",
      "hospital": "NORTH CAROLINA SPECIALTY HOSPITAL",
      "city": "DURHAM",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Bain Capital",
      "parentSystem": "Surgery Partners",
      "formerOperator": "",
      "acquisitionDate": "August 2017",
      "acquisitionYear": 2017,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 27.336773818861122,
      "financialLeadDisplay": "Total liabilities +27.3%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340049.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341328",
      "ccn": "341328",
      "hospital": "ERLANGER MURPHY MEDICAL CENTER",
      "city": "MURPHY",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Erlanger Health System",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -64.16837341540335,
      "financialLeadDisplay": "Net income -64.2%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/341328.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340120",
      "ccn": "340120",
      "hospital": "VIDANT DUPLIN HOSPITAL",
      "city": "KENANSVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "ECU Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -61.651601918355624,
      "financialLeadDisplay": "Net income -61.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-ecu-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.ecuhealth.org/about-us/system-of-care/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340120.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196784246",
      "ccn": "",
      "hospital": "VERITAS COLLABORATIVE, LLC",
      "city": "DURHAM",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Veritas Collaborative",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196784246.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "344029",
      "ccn": "344029",
      "hospital": "GOOD HOPE HOSPITAL, INC",
      "city": "ERWIN",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Cape Fear Valley Health",
      "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": -154.82517156395394,
      "financialLeadDisplay": "Net income -154.8%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-cape-fear-valley-administration",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.capefearvalley.com/administration",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/344029.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340116",
      "ccn": "340116",
      "hospital": "FRYE REGIONAL MEDICAL CENTER",
      "city": "HICKORY",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
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      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 42.24003781989031,
      "financialLeadDisplay": "Total liabilities +42.2%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340116.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0003028801",
      "ccn": "342017",
      "hospital": "ASHEVILLE SPECIALTY HOSPITAL",
      "city": "ASHEVILLE",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Closed",
      "publicStatus": "closed",
      "publicStatusLabel": "Closed",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "2024",
      "closureStatus": "closed_or_historical",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -1164.3933967419398,
      "financialLeadDisplay": "Net income -1164.4%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "documented_event_present",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 19,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-cms-care-compare",
        "source-cms-hospital-all-owners",
        "source-cms-hospital-chow",
        "source-cms-hospital-enrollments",
        "source-hca-mission-acquisition",
        "source-mission-health-contact-hospital-list",
        "source-mission-health-history-system-list",
        "source-mission-health-locations",
        "source-pe-tracker-no-current-pe",
        "source-asheville-specialty-closure-nchn",
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hcris",
        "source-sec-hca-proxy-2026",
        "source-sec-hca-10k-2025",
        "source-hospital-universe-0003028801",
        "source-pesp-hospital-tracker",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://investor.hcahealthcare.com/news/news-details/2019/HCA-Healthcare-Completes-Purchase-of-Mission-Health/default.aspx",
        "https://www.missionhealth.org/contact-us",
        "https://www.missionhealth.org/about-us/our-history",
        "https://www.missionhealth.org/locations",
        "research/imports/pe-hospital-tracker-2026-04-03.csv",
        "https://www.northcarolinahealthnews.org/2024/11/30/mission-health-permanently-shutters-asheville-specialty-hospital/",
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526106142/d939252ddef14a.htm",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm",
        "https://healthcarewatch.xyz/data/hospitals.json",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0003028801.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0010728752",
      "ccn": "340087",
      "hospital": "MISSION HOSPITAL MCDOWELL",
      "city": "MARION",
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      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "pe_contract",
      "publicStatusLabel": "PE-backed contract",
      "relationshipType": "contract",
      "peFirm": "Blackstone",
      "parentSystem": "TeamHealth",
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      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 45.17138688832503,
      "financialLeadDisplay": "Total liabilities +45.2%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 11,
      "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-valley-contract-reporting",
        "source-onex-scp",
        "source-acep-valley",
        "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://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
        "https://www.onex.com/portfolio/OP-OpCo-SCPHealth",
        "https://www.acep.org/news/acep-newsroom-articles/4-16-26-joint-statement-from-the-american-college-of-emergency-physicians-and-virginia-college-of-emergency-physicians",
        "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/0010728752.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340145",
      "ccn": "340145",
      "hospital": "ATRIUM HEALTH LINCOLN",
      "city": "LINCOLNTON",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health",
      "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": 165.83774395324548,
      "financialLeadDisplay": "Direct-care contract labor +165.8%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340145.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341323",
      "ccn": "341323",
      "hospital": "CHARLES A. CANNON JR. MEMORIAL HOSPITAL, INCORPORATED",
      "city": "LINVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Appalachian Regional Healthcare System",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 182.08157550448922,
      "financialLeadDisplay": "Total liabilities +182.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/341323.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340114",
      "ccn": "340114",
      "hospital": "REX HOSPITAL",
      "city": "RALEIGH",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 5",
      "qualityLeadDisplay": "CMS overall rating 5",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -38.74398011496039,
      "financialLeadDisplay": "Net income -38.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340114.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0010628713",
      "ccn": "",
      "hospital": "SWAIN COMMUNITY HOSPITAL",
      "city": "BRYSON CITY",
      "state": "NC",
      "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": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0010628713.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341311",
      "ccn": "341311",
      "hospital": "CHATHAM HOSPITAL, INC",
      "city": "SILER CITY",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 96.41207239088537,
      "financialLeadDisplay": "Total liabilities +96.4%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/341311.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341324",
      "ccn": "341324",
      "hospital": "THE OUTER BANKS HOSPITAL, INC",
      "city": "NAGS HEAD",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "ECU Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 26.98810593281013,
      "financialLeadDisplay": "Operating expense +27.0%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-ecu-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.ecuhealth.org/about-us/system-of-care/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/341324.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0014528025",
      "ccn": "",
      "hospital": "CAROLINAS REHABILITATION - NORTHEAST",
      "city": "CONCORD",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0014528025.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340068",
      "ccn": "340068",
      "hospital": "COLUMBUS REGIONAL HEALTHCARE SYSTEM",
      "city": "WHITEVILLE",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Columbus Regional Healthcare System",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 1",
      "qualityLeadDisplay": "CMS overall rating 1",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 161.83173277785957,
      "financialLeadDisplay": "Direct-care contract labor +161.8%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340068.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340008",
      "ccn": "340008",
      "hospital": "SCOTLAND MEMORIAL HOSPITAL",
      "city": "LAURINBURG",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Scotland Health Care System",
      "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": 659.6271609846851,
      "financialLeadDisplay": "Direct-care contract labor +659.6%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340008.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340099",
      "ccn": "340099",
      "hospital": "VIDANT ROANOKE - CHOWAN HOSPITAL",
      "city": "AHOSKIE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "ECU Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -251.06077502472814,
      "financialLeadDisplay": "Net income -251.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-ecu-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.ecuhealth.org/about-us/system-of-care/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340099.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0176828211",
      "ccn": "",
      "hospital": "CAROLINAS MEDICAL CENTER - CENTER FOR MENTAL HEALTH",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0176828211.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341315",
      "ccn": "341315",
      "hospital": "CAPE FEAR VALLEY - BLADEN COUNTY HOSPITAL",
      "city": "ELIZABETHTOWN",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Cape Fear Valley Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 144.1649496549004,
      "financialLeadDisplay": "Total liabilities +144.2%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-cape-fear-valley-administration",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.capefearvalley.com/administration",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/341315.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341307",
      "ccn": "341307",
      "hospital": "PENDER MEMORIAL HOSPITAL, INC",
      "city": "BURGAW",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 59.29793931968882,
      "financialLeadDisplay": "Total liabilities +59.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/341307.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340002",
      "ccn": "340002",
      "hospital": "MISSION HOSPITAL",
      "city": "ASHEVILLE",
      "state": "NC",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "pe_contract",
      "publicStatusLabel": "PE-backed contract",
      "relationshipType": "contract",
      "peFirm": "Blackstone",
      "parentSystem": "TeamHealth",
      "formerOperator": "",
      "acquisitionDate": "April 15, 2020",
      "acquisitionYear": 2020,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 158.39870044791047,
      "financialLeadDisplay": "Direct-care contract labor +158.4%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 11,
      "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-valley-contract-reporting",
        "source-onex-scp",
        "source-acep-valley",
        "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://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
        "https://www.onex.com/portfolio/OP-OpCo-SCPHealth",
        "https://www.acep.org/news/acep-newsroom-articles/4-16-26-joint-statement-from-the-american-college-of-emergency-physicians-and-virginia-college-of-emergency-physicians",
        "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/340002.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340090",
      "ccn": "340090",
      "hospital": "JOHNSTON HEALTH",
      "city": "SMITHFIELD",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 26.382479856752074,
      "financialLeadDisplay": "Operating expense +26.4%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340090.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196784258",
      "ccn": "",
      "hospital": "FELLOWSHIP HALL",
      "city": "GREENSBORO",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Fellowship Hall",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196784258.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341303",
      "ccn": "341303",
      "hospital": "FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL",
      "city": "TROY",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "FirstHealth of the Carolinas",
      "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": 43.00652607408303,
      "financialLeadDisplay": "Operating expense +43.0%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-firsthealth-mickey-foster",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.firsthealth.org/about-us/leadership-team/mickey-w-foster/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/341303.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340039",
      "ccn": "340039",
      "hospital": "IREDELL MEMORIAL HOSPITAL, INCORPORATED",
      "city": "STATESVILLE",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Iredell Health System",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 27.64815220120741,
      "financialLeadDisplay": "Total liabilities +27.6%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340039.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000327536",
      "ccn": "",
      "hospital": "MARIA PARHAM HEALTH",
      "city": "HENDERSON",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Unknown",
      "publicStatus": "disputed",
      "publicStatusLabel": "Disputed",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 3,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "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/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000327536.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340130",
      "ccn": "340130",
      "hospital": "ATRIUM HEALTH UNION",
      "city": "MONROE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 48.57446634601067,
      "financialLeadDisplay": "Total liabilities +48.6%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340130.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340004",
      "ccn": "340004",
      "hospital": "HIGH POINT REGIONAL HEALTH",
      "city": "HIGH POINT",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health Wake Forest Baptist",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 38.171036531505095,
      "financialLeadDisplay": "Operating expense +38.2%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340004.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340024",
      "ccn": "340024",
      "hospital": "SAMPSON REGIONAL MEDICAL CENTER",
      "city": "CLINTON",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Sampson Regional Medical Center",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -31.068761310113384,
      "financialLeadDisplay": "Net income -31.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340024.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340015",
      "ccn": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
      "city": "SALISBURY",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -8525.472278899599,
      "financialLeadDisplay": "Net income -8525.5%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340015.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0178727705",
      "ccn": "",
      "hospital": "VERITAS COLLABORATIVE - NORTH CAROLINA, LLC",
      "city": "DURHAM",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Veritas Collaborative",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0178727705.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340159",
      "ccn": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
      "city": "ROXBORO",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -266.4080209508387,
      "financialLeadDisplay": "Net income -266.4%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340159.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0002727320",
      "ccn": "",
      "hospital": "ANNIE PENN HOSPITAL",
      "city": "REIDSVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Cone 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cone-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.conehealth.com/about-us/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0002727320.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0003127889",
      "ccn": "",
      "hospital": "VIDANT BEAUFORT HOSPITAL",
      "city": "WASHINGTON",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "ECU 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-ecu-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.ecuhealth.org/about-us/system-of-care/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0003127889.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340016",
      "ccn": "340016",
      "hospital": "HARRIS REGIONAL HOSPITAL",
      "city": "SYLVA",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 17.59028892424836,
      "financialLeadDisplay": "Total liabilities +17.6%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340016.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0004028813",
      "ccn": "343025",
      "hospital": "CAREPARTNERS REHABILITATION HOSPITAL",
      "city": "ASHEVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Beds",
      "financialLeadPercentChange": -5.405405405405405,
      "financialLeadDisplay": "Beds -5.4%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 16,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-cms-care-compare",
        "source-cms-hospital-all-owners",
        "source-cms-hospital-chow",
        "source-cms-hospital-enrollments",
        "source-hca-mission-acquisition",
        "source-mission-health-contact-hospital-list",
        "source-mission-health-history-system-list",
        "source-mission-health-locations",
        "source-pe-tracker-no-current-pe",
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hcris",
        "source-sec-hca-proxy-2026",
        "source-sec-hca-10k-2025",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://investor.hcahealthcare.com/news/news-details/2019/HCA-Healthcare-Completes-Purchase-of-Mission-Health/default.aspx",
        "https://www.missionhealth.org/contact-us",
        "https://www.missionhealth.org/about-us/our-history",
        "https://www.missionhealth.org/locations",
        "research/imports/pe-hospital-tracker-2026-04-03.csv",
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526106142/d939252ddef14a.htm",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0004028813.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000228791",
      "ccn": "",
      "hospital": "MARGARET R. PARDEE MEMORIAL HOSPITAL",
      "city": "HENDERSONVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 5",
      "qualityLeadDisplay": "CMS overall rating 5",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -72.71747744684404,
      "financialLeadDisplay": "Net income -72.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000228791.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0003328335",
      "ccn": "",
      "hospital": "BETSY JOHNSON HOSPITAL",
      "city": "DUNN",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Cape Fear Valley Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -86.56496558923212,
      "financialLeadDisplay": "Net income -86.6%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-cape-fear-valley-administration",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.capefearvalley.com/administration",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0003328335.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340143",
      "ccn": "340143",
      "hospital": "CATAWBA VALLEY MEDICAL CENTER",
      "city": "HICKORY",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Catawba Valley Health System",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 2",
      "qualityLeadDisplay": "CMS overall rating 2",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 80.75977646732811,
      "financialLeadDisplay": "Total liabilities +80.8%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340143.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340190",
      "ccn": "340190",
      "hospital": "NOVANT HEALTH MINT HILL MEDICAL CENTER",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 5",
      "qualityLeadDisplay": "CMS overall rating 5",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 2920.8773091926105,
      "financialLeadDisplay": "Direct-care contract labor +2920.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340190.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340003",
      "ccn": "340003",
      "hospital": "NORTHERN REGIONAL HOSPITAL",
      "city": "MOUNT AIRY",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Critical",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Northern Regional Hospital",
      "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": 113.64413315905848,
      "financialLeadDisplay": "Direct-care contract labor +113.6%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/340003.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340166",
      "ccn": "340166",
      "hospital": "ATRIUM HEALTH UNIVERSITY CITY",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health",
      "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": 435.89468122578376,
      "financialLeadDisplay": "Direct-care contract labor +435.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340166.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0014728217",
      "ccn": "",
      "hospital": "CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0014728217.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0004328025",
      "ccn": "",
      "hospital": "ATRIUM HEALTH CABARRUS",
      "city": "CONCORD",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0004328025.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "341327",
      "ccn": "341327",
      "hospital": "J. ARTHUR DOSHER MEMORIAL HOSPITAL",
      "city": "SOUTHPORT",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Declining",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Dosher Memorial Hospital",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 3",
      "qualityLeadDisplay": "CMS overall rating 3",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 37.07675649877509,
      "financialLeadDisplay": "Operating expense +37.1%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/341327.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0006728379",
      "ccn": "",
      "hospital": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - RICHMOND",
      "city": "ROCKINGHAM",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "FirstHealth of the Carolinas",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-firsthealth-mickey-foster",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.firsthealth.org/about-us/leadership-team/mickey-w-foster/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0006728379.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0011527962",
      "ccn": "",
      "hospital": "WASHINGTON REGIONAL MEDICAL CENTER",
      "city": "PLYMOUTH",
      "state": "NC",
      "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": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0011527962.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0008127055",
      "ccn": "",
      "hospital": "YADKIN VALLEY COMMUNITY HOSPITAL",
      "city": "YADKINVILLE",
      "state": "NC",
      "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": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0008127055.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0008928805",
      "ccn": "",
      "hospital": "CHARLES GEORGE DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "city": "ASHEVILLE",
      "state": "NC",
      "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": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0008928805.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0009028144",
      "ccn": "",
      "hospital": "W.G. - BILL - HEFNER SALISBURY DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "city": "SALISBURY",
      "state": "NC",
      "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": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0009028144.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "34012F",
      "ccn": "34012F",
      "hospital": "DURHAM VA MEDICAL CENTER",
      "city": "DURHAM",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/34012F.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0009228207",
      "ccn": "",
      "hospital": "NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0009228207.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0014628376",
      "ccn": "",
      "hospital": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - HOKE CAMPUS",
      "city": "RAEFORD",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "FirstHealth of the Carolinas",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating 4",
      "qualityLeadDisplay": "CMS overall rating 4",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 89.78622816579288,
      "financialLeadDisplay": "Total liabilities +89.8%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-firsthealth-mickey-foster",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.firsthealth.org/about-us/leadership-team/mickey-w-foster/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0014628376.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0015127401",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - GREENSBORO",
      "city": "GREENSBORO",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Select Medical",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -58.21419471732299,
      "financialLeadDisplay": "Net income -58.2%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-sec-select-medical-proxy-2026",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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://www.sec.gov/Archives/edgar/data/1320414/000110465926023205/tm261416-3_def14a.htm",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0015127401.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0011228690",
      "ccn": "",
      "hospital": "CAROLINAS HEALTHCARE SYSTEM BLUE RIDGE - VALDESE",
      "city": "VALDESE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0011228690.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0176627403",
      "ccn": "",
      "hospital": "BEHAVIORAL HEALTH HOSPITAL",
      "city": "GREENSBORO",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Cone 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cone-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.conehealth.com/about-us/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0176627403.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0181228719",
      "ccn": "",
      "hospital": "UNITY HEALING CENTER",
      "city": "CHEROKEE",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "The Cherokee Indian Hospital Authority",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0181228719.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0004228207",
      "ccn": "",
      "hospital": "CAROLINAS MEDICAL CENTER-MERCY",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0004228207.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0012227403",
      "ccn": "",
      "hospital": "WESLEY LONG COMMUNITY HOSPITAL",
      "city": "GREENSBORO",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Cone 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cone-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.conehealth.com/about-us/leadership/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0012227403.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000000127",
      "ccn": "",
      "hospital": "NEW HANOVER REGIONAL MEDICAL CENTER ORTHOPEDIC HOSPITAL",
      "city": "WILMINGTON",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000000127.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0012127614",
      "ccn": "",
      "hospital": "WAKEMED NORTH",
      "city": "RALEIGH",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "WakeMed",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0012127614.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0000000126",
      "ccn": "",
      "hospital": "KERNERSVILLE MEDICAL CENTER-ER",
      "city": "KERNERSVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium Health Wake Forest Baptist",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0000000126.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0008528301",
      "ccn": "",
      "hospital": "VA MEDICAL CENTER - FAYETTEVILLE",
      "city": "FAYETTEVILLE",
      "state": "NC",
      "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": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0008528301.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0009127804",
      "ccn": "",
      "hospital": "LIFECARE HOSPITALS OF NORTH CAROLINA",
      "city": "ROCKY MOUNT",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "LifeCare Health Partners",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0009127804.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340168",
      "ccn": "340168",
      "hospital": "THE WILMINGTON TREATMENT CENTER, LLC",
      "city": "WILMINGTON",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Acadia Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 36.99039216207534,
      "financialLeadDisplay": "Operating expense +37.0%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 10,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-sec-acadia-proxy-2026",
        "source-acadia-ceo-8k-2026",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.sec.gov/Archives/edgar/data/1520697/000114036126011130/ny20062977x1_def14a.htm",
        "https://www.sec.gov/edgar/browse/?CIK=1520697",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340168.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196785350",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - DURHAM",
      "city": "DURHAM",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Critical",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Select Medical",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -113.70201268412747,
      "financialLeadDisplay": "Net income -113.7%",
      "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-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-sec-select-medical-proxy-2026",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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://www.sec.gov/Archives/edgar/data/1320414/000110465926023205/tm261416-3_def14a.htm",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196785350.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196785351",
      "ccn": "",
      "hospital": "CAROLINAS MEDICAL CENTER/CENTER FOR MENTAL HEALTH",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Atrium 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-advocate-atrium-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196785351.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "340195",
      "ccn": "340195",
      "hospital": "NOVANT HEALTH BALLANTYNE MEDICAL CENTER",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Novant Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 9,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-care-compare",
        "source-cms-hcris",
        "source-novant-carl-armato-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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",
        "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/340195.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "344034",
      "ccn": "344034",
      "hospital": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
      "city": "LINVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Appalachian Regional Healthcare System",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 13102.878503599326,
      "financialLeadDisplay": "Total liabilities +13102.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 8,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "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",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "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/344034.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196785354",
      "ccn": "",
      "hospital": "UNC HOSPITALS YOUTH BEHAVIORAL HEALTH",
      "city": "BUTNER",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "UNC 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": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-unc-health-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196785354.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196785355",
      "ccn": "",
      "hospital": "DAVIS REGIONAL PSYCHIATRIC HOSPITAL",
      "city": "STATESVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Community Health Systems",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-sec-chs-proxy-2026",
        "source-chs-kevin-hammons-leadership",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://www.sec.gov/Archives/edgar/data/1108109/000119312526140269/cyh-20260331.htm",
        "https://www.chs.net/company-overview/leadership/kevin-hammons",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196785355.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "344035",
      "ccn": "344035",
      "hospital": "RALEIGH OAKS BEHAVIORAL HEALTH",
      "city": "GARNER",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Mixed",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Patient Square Capital",
      "parentSystem": "Summit Behavioral Healthcare",
      "formerOperator": "",
      "acquisitionDate": "December 2021",
      "acquisitionYear": 2021,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/344035.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196785506",
      "ccn": "343025",
      "hospital": "CAREPARTNERS REHABILITATION HOSPITAL",
      "city": "ASHEVILLE",
      "state": "NC",
      "tier": "Tier 3",
      "overallStatus": "Declining",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Beds",
      "financialLeadPercentChange": -5.405405405405405,
      "financialLeadDisplay": "Beds -5.4%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 16,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-cms-care-compare",
        "source-cms-hospital-all-owners",
        "source-cms-hospital-chow",
        "source-cms-hospital-enrollments",
        "source-hca-mission-acquisition",
        "source-mission-health-contact-hospital-list",
        "source-mission-health-history-system-list",
        "source-mission-health-locations",
        "source-pe-tracker-no-current-pe",
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hcris",
        "source-sec-hca-proxy-2026",
        "source-sec-hca-10k-2025",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://investor.hcahealthcare.com/news/news-details/2019/HCA-Healthcare-Completes-Purchase-of-Mission-Health/default.aspx",
        "https://www.missionhealth.org/contact-us",
        "https://www.missionhealth.org/about-us/our-history",
        "https://www.missionhealth.org/locations",
        "research/imports/pe-hospital-tracker-2026-04-03.csv",
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526106142/d939252ddef14a.htm",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/0196785506.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-341305",
      "ccn": "341305",
      "hospital": "DLP SWAIN COUNTY HOSPITAL LLC",
      "city": "BRYSON CITY",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Discharges",
      "financialLeadPercentChange": -61.76470588235294,
      "financialLeadDisplay": "Discharges -61.8%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-341305.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-34T132",
      "ccn": "034132",
      "hospital": "MARIA PARHAM HEALTHCARE ASSOCIATION INC",
      "city": "HENDERSON",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Mixed",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-34T132.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-344031",
      "ccn": "344031",
      "hospital": "STRATEGIC BEHAVIORAL CENTER-CHARLOTTE",
      "city": "CHARLOTTE",
      "state": "NC",
      "tier": "Independent/Unresolved",
      "overallStatus": "Unknown",
      "publicStatus": "disputed",
      "publicStatusLabel": "Disputed",
      "relationshipType": "ownership",
      "peFirm": "Patient Square Capital",
      "parentSystem": "Summit Behavioral Healthcare",
      "formerOperator": "",
      "acquisitionDate": "December 2021",
      "acquisitionYear": 2021,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 3,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "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/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-344031.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-344030",
      "ccn": "344030",
      "hospital": "STRATEGIC BEHAVIORAL CENTER-LELAND",
      "city": "LELAND",
      "state": "NC",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Patient Square Capital",
      "parentSystem": "Summit Behavioral Healthcare",
      "formerOperator": "",
      "acquisitionDate": "December 2021",
      "acquisitionYear": 2021,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Available",
      "qualityLeadMetric": "CMS overall rating Not Available",
      "qualityLeadDisplay": "CMS overall rating Not Available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 412.19596596231014,
      "financialLeadDisplay": "Total liabilities +412.2%",
      "financialBaselineType": "acquisition_anchor",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 7,
      "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-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",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-344030.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    }
  ],
  "metricTrendRows": [
    {
      "hospitalId": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 3861302,
      "afterValue": 43175034,
      "percentChange": 1018.1470395219023,
      "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": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 1042681880,
      "afterValue": 864885234,
      "percentChange": -17.051859192182377,
      "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": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 46941710,
      "afterValue": 59078714,
      "percentChange": 25.85547906115904,
      "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": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 8204.28,
      "afterValue": 8330.7,
      "percentChange": 1.540903040851849,
      "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": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 808,
      "afterValue": 813,
      "percentChange": 0.6188118811881188,
      "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": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 225050,
      "afterValue": 233814,
      "percentChange": 3.894245723172628,
      "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": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 39025,
      "afterValue": 43667,
      "percentChange": 11.894939141575913,
      "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": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 2031516522,
      "afterValue": 2723008009,
      "percentChange": 34.03819164213521,
      "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": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 1986016553,
      "afterValue": 2718737845,
      "percentChange": 36.894017368242956,
      "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": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 2485553304,
      "afterValue": 2330070946,
      "percentChange": -6.255442510517972,
      "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": "340027",
      "hospital": "UNC LENOIR HEALTH CARE",
      "city": "KINSTON",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 2478968,
      "afterValue": 5998277,
      "percentChange": 141.96669743215728,
      "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": "340027",
      "hospital": "UNC LENOIR HEALTH CARE",
      "city": "KINSTON",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 73373341,
      "afterValue": 37855788,
      "percentChange": -48.40661814759123,
      "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": "340027",
      "hospital": "UNC LENOIR HEALTH CARE",
      "city": "KINSTON",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 5359216,
      "afterValue": 7595228,
      "percentChange": 41.72274452084036,
      "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": "340027",
      "hospital": "UNC LENOIR HEALTH CARE",
      "city": "KINSTON",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 712.9,
      "afterValue": 722.81,
      "percentChange": 1.390096787768266,
      "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": "340027",
      "hospital": "UNC LENOIR HEALTH CARE",
      "city": "KINSTON",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 174,
      "afterValue": 178,
      "percentChange": 2.2988505747126435,
      "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": "340027",
      "hospital": "UNC LENOIR HEALTH CARE",
      "city": "KINSTON",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 27313,
      "afterValue": 22572,
      "percentChange": -17.35803463552155,
      "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": "340027",
      "hospital": "UNC LENOIR HEALTH CARE",
      "city": "KINSTON",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2021",
      "afterPeriod": "06/30/2024",
      "beforeValue": 5387,
      "afterValue": 5080,
      "percentChange": -5.6989047707443845,
      "direction": "worse",
      "sourceIds": [
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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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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      "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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    },
    {
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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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      "percentChange": 39.065791721232145,
      "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": "340098",
      "hospital": "ATRIUM HEALTH PINEVILLE",
      "city": "CHARLOTTE",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "percentChange": 57.14285714285714,
      "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": "340098",
      "hospital": "ATRIUM HEALTH PINEVILLE",
      "city": "CHARLOTTE",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 70617,
      "afterValue": 97996,
      "percentChange": 38.77111743631137,
      "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": "340098",
      "hospital": "ATRIUM HEALTH PINEVILLE",
      "city": "CHARLOTTE",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 15751,
      "afterValue": 22752,
      "percentChange": 44.447971557361434,
      "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": "340098",
      "hospital": "ATRIUM HEALTH PINEVILLE",
      "city": "CHARLOTTE",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
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      "percentChange": 46.40044570945677,
      "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": "340098",
      "hospital": "ATRIUM HEALTH PINEVILLE",
      "city": "CHARLOTTE",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
      "beforeValue": 454515947,
      "afterValue": 652261319,
      "percentChange": 43.506806153932374,
      "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": "340098",
      "hospital": "ATRIUM HEALTH PINEVILLE",
      "city": "CHARLOTTE",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2020",
      "afterPeriod": "12/31/2023",
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      "afterValue": 2185157498,
      "percentChange": 34.10206589662141,
      "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": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "acquisition_anchor",
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      "percentChange": 128.44733588030115,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2022-12-31",
      "afterPeriod": "2023-12-31",
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      "afterValue": 39133463,
      "percentChange": 1.446873023266919,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2022-12-31",
      "afterPeriod": "2023-12-31",
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      "afterValue": 177.18,
      "percentChange": 5.070272193559871,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2022-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 77,
      "afterValue": 77,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "acquisition_anchor",
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      "afterPeriod": "2023-12-31",
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      "afterValue": 25480,
      "percentChange": 6.388308977035491,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "acquisition_anchor",
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      "beforeValue": 2864,
      "afterValue": 2980,
      "percentChange": 4.050279329608938,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "acquisition_anchor",
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      "percentChange": 5.2650175354575275,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "acquisition_anchor",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "acquisition_anchor",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "340107",
      "hospital": "VIDANT EDGECOMBE HOSPITAL",
      "city": "TARBORO",
      "metric": "net_income",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340107",
      "hospital": "VIDANT EDGECOMBE HOSPITAL",
      "city": "TARBORO",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "09/30/2020",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340107",
      "hospital": "VIDANT EDGECOMBE HOSPITAL",
      "city": "TARBORO",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340107",
      "hospital": "VIDANT EDGECOMBE HOSPITAL",
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      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340107",
      "hospital": "VIDANT EDGECOMBE HOSPITAL",
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      "metric": "beds",
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      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340107",
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      "metric": "patient_days",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340107",
      "hospital": "VIDANT EDGECOMBE HOSPITAL",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340107",
      "hospital": "VIDANT EDGECOMBE HOSPITAL",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340107",
      "hospital": "VIDANT EDGECOMBE HOSPITAL",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340107",
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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": "340020",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340020",
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      "metric": "total_liabilities",
      "label": "Total liabilities",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340020",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340020",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340020",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340020",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340020",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340020",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340109",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340109",
      "hospital": "SENTARA ALBEMARLE MEDICAL CENTER",
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      "metric": "total_liabilities",
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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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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
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    {
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    },
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    },
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    {
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    {
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    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340115",
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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": "340115",
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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": "341317",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341317",
      "hospital": "LIFEBRITE COMMUNITY HOSPITAL OF STOKES",
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      "metric": "total_liabilities",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341317",
      "hospital": "LIFEBRITE COMMUNITY HOSPITAL OF STOKES",
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      "metric": "fte_employees",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341317",
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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": "341317",
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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": "341317",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341317",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340028",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "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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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period 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 compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
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    {
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    },
    {
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    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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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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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340097",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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        "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": "340148",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340148",
      "hospital": "NOVANT HEALTH MEDICAL PARK HOSPITAL",
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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": "340148",
      "hospital": "NOVANT HEALTH MEDICAL PARK HOSPITAL",
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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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      "hospital": "NOVANT HEALTH MEDICAL PARK HOSPITAL",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340148",
      "hospital": "NOVANT HEALTH MEDICAL PARK HOSPITAL",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340053",
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      "direction": "better",
      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340053",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    {
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    },
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "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": "340021",
      "hospital": "ATRIUM HEALTH CLEVELAND",
      "city": "SHELBY",
      "metric": "contract_labor_direct_patient_care",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340021",
      "hospital": "ATRIUM HEALTH CLEVELAND",
      "city": "SHELBY",
      "metric": "fte_employees",
      "label": "Payroll employees",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340021",
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      "city": "SHELBY",
      "metric": "beds",
      "label": "Beds",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340021",
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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": "340021",
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      "metric": "discharges",
      "label": "Discharges",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340021",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340021",
      "hospital": "ATRIUM HEALTH CLEVELAND",
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      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
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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": "340021",
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      "metric": "total_assets",
      "label": "Total assets",
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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": "0172728451",
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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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      "hospital": "CAROLINA DUNES BEHAVIORAL HEALTH",
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      "metric": "total_liabilities",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0172728451",
      "hospital": "CAROLINA DUNES BEHAVIORAL HEALTH",
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      "metric": "fte_employees",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0172728451",
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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": "0172728451",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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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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    {
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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."
    },
    {
      "hospitalId": "340188",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341318",
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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": "341318",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341318",
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      "metric": "fte_employees",
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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": "341318",
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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": "341318",
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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": "341318",
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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": "340141",
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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": "340141",
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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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      "note": "No compatible pre-acquisition HCRIS period 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 compatible pre-acquisition HCRIS period 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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        "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": "340084",
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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": "340084",
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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": "340084",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341320",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341320",
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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."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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      "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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      "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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      "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": "0184927103",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0184927103",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0009027293",
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      "metric": "contract_labor_direct_patient_care",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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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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    {
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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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    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "city": "CLYDE",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "city": "CLYDE",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "07/31/2021",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "city": "CLYDE",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "07/31/2021",
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      "beforeValue": 121,
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      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "city": "CLYDE",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "07/31/2021",
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      "percentChange": 31.39170737817863,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "city": "CLYDE",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "city": "CLYDE",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "city": "CLYDE",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "07/31/2021",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "city": "CLYDE",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "07/31/2021",
      "afterPeriod": "07/31/2024",
      "beforeValue": 57442371,
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      "percentChange": 50.48160007183547,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
      "city": "RUTHERFORDTON",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2021",
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      "percentChange": 59.10450712707647,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
      "city": "RUTHERFORDTON",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2021",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
      "city": "RUTHERFORDTON",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2021",
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      "beforeValue": 1294100,
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
      "city": "RUTHERFORDTON",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "05/31/2021",
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      "percentChange": -1.393349348843088,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
      "city": "RUTHERFORDTON",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
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      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
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      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
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      "metric": "operating_expense",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
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      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340013",
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      "metric": "total_assets",
      "label": "Total assets",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340050",
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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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      "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."
    },
    {
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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": "340050",
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      "metric": "fte_employees",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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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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      "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": "340069",
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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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    },
    {
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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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      "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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      "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"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "344007",
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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": "344007",
      "hospital": "OLD VINEYARD YOUTH SERVICES",
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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": "344007",
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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": "344007",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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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": "340123",
      "hospital": "RANDOLPH HOSPITAL, INC",
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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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      "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 compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340049",
      "hospital": "NORTH CAROLINA SPECIALTY HOSPITAL",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341328",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341328",
      "hospital": "ERLANGER MURPHY MEDICAL CENTER",
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      "metric": "total_liabilities",
      "label": "Total liabilities",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341328",
      "hospital": "ERLANGER MURPHY MEDICAL CENTER",
      "city": "MURPHY",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341328",
      "hospital": "ERLANGER MURPHY MEDICAL CENTER",
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      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341328",
      "hospital": "ERLANGER MURPHY MEDICAL CENTER",
      "city": "MURPHY",
      "metric": "patient_days",
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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": "341328",
      "hospital": "ERLANGER MURPHY MEDICAL CENTER",
      "city": "MURPHY",
      "metric": "discharges",
      "label": "Discharges",
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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": "341328",
      "hospital": "ERLANGER MURPHY MEDICAL CENTER",
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      "metric": "operating_expense",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "341328",
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      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
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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": "341328",
      "hospital": "ERLANGER MURPHY MEDICAL CENTER",
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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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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340120",
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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": "340120",
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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": "340120",
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      "metric": "fte_employees",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "metric": "beds",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    {
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    },
    {
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    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0003028801",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0003028801",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0003028801",
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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": "0003028801",
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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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      "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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      "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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    },
    {
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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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      "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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        "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": "340068",
      "hospital": "COLUMBUS REGIONAL HEALTHCARE SYSTEM",
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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": "340068",
      "hospital": "COLUMBUS REGIONAL HEALTHCARE SYSTEM",
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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": "340008",
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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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      "metric": "contract_labor_direct_patient_care",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "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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    },
    {
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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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        "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": "341307",
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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": "341307",
      "hospital": "PENDER MEMORIAL HOSPITAL, INC",
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      "metric": "operating_expense",
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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": "341307",
      "hospital": "PENDER MEMORIAL HOSPITAL, INC",
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      "metric": "net_patient_revenue",
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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": "341307",
      "hospital": "PENDER MEMORIAL HOSPITAL, INC",
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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."
    },
    {
      "hospitalId": "340002",
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      "sourceIds": [
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340002",
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      "direction": "better",
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        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340002",
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      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340002",
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      "metric": "fte_employees",
      "label": "Payroll employees",
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      "sourceIds": [
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340002",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340002",
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      "sourceIds": [
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340002",
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      "sourceIds": [
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    {
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    },
    {
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    {
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    {
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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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    {
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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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      "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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    },
    {
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    },
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    },
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      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
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      "metric": "net_income",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
      "city": "SALISBURY",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
      "city": "SALISBURY",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
      "city": "SALISBURY",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
      "city": "SALISBURY",
      "metric": "beds",
      "label": "Beds",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
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      "metric": "patient_days",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
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      "metric": "discharges",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
      "city": "SALISBURY",
      "metric": "operating_expense",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
      "city": "SALISBURY",
      "metric": "net_patient_revenue",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
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      "metric": "total_assets",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
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      "metric": "net_income",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
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      "metric": "total_liabilities",
      "label": "Total liabilities",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
      "city": "ROXBORO",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
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      "metric": "fte_employees",
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      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
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      "metric": "beds",
      "label": "Beds",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
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      "metric": "patient_days",
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        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
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      "metric": "discharges",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340159",
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        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
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        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340016",
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        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period 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 compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340016",
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period 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": "0004028813",
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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": "0004028813",
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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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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0004028813",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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      "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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    },
    {
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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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        "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": "340190",
      "hospital": "NOVANT HEALTH MINT HILL MEDICAL CENTER",
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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": "340190",
      "hospital": "NOVANT HEALTH MINT HILL MEDICAL CENTER",
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      "metric": "discharges",
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      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340190",
      "hospital": "NOVANT HEALTH MINT HILL MEDICAL CENTER",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340190",
      "hospital": "NOVANT HEALTH MINT HILL MEDICAL CENTER",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340003",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "340003",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
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    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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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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    },
    {
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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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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0196785350",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0196785350",
      "hospital": "SELECT SPECIALTY HOSPITAL - DURHAM",
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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."
    },
    {
      "hospitalId": "344034",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "344034",
      "hospital": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
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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": "344034",
      "hospital": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
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      "metric": "fte_employees",
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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": "344034",
      "hospital": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
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      "metric": "beds",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "344034",
      "hospital": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
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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": "344034",
      "hospital": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
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      "label": "Discharges",
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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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      "hospital": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
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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": "344034",
      "hospital": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
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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": "344034",
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0196785506",
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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": "0196785506",
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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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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "pe-tracker-344030",
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    },
    {
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      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
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      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
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      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
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    {
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    {
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    {
      "hospitalId": "pe-tracker-344030",
      "hospital": "STRATEGIC BEHAVIORAL CENTER-LELAND",
      "city": "LELAND",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2020-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 17446345,
      "afterValue": 21781105,
      "percentChange": 24.846235701517998,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "pe-tracker-344030",
      "hospital": "STRATEGIC BEHAVIORAL CENTER-LELAND",
      "city": "LELAND",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2020-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 17409156,
      "afterValue": 22227732,
      "percentChange": 27.678400951775036,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "pe-tracker-344030",
      "hospital": "STRATEGIC BEHAVIORAL CENTER-LELAND",
      "city": "LELAND",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2020-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 10564585,
      "afterValue": 12652231,
      "percentChange": 19.76079514718278,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    }
  ],
  "documentedDebtEvents": [
    {
      "eventId": "0003028801-source-hospital-universe-0003028801",
      "hospitalId": "0003028801",
      "hospital": "ASHEVILLE SPECIALTY HOSPITAL",
      "city": "ASHEVILLE",
      "eventType": "documented_financial_event",
      "title": "Hospital universe / existing map location record",
      "publisher": "PE Healthcare Watch hospital universe",
      "sourceId": "source-hospital-universe-0003028801",
      "sourceUrl": "https://healthcarewatch.xyz/data/hospitals.json",
      "whatThisProves": "Facility identity and map coordinates already present in the hospital universe.",
      "whatThisDoesNotProve": "It does not independently prove closure, ownership, reopening, or current operations."
    }
  ],
  "financialStressSignals": [
    {
      "hospitalId": "0184927103",
      "hospital": "NOVANT HEALTH REHABILITATION HOSPITAL",
      "city": "WINSTON-SALEM",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 34467.189384800964,
      "display": "Direct-care contract labor +34467.2%",
      "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": "344034",
      "hospital": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
      "city": "LINVILLE",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 13102.878503599326,
      "display": "Total liabilities +13102.9%",
      "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": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
      "city": "SALISBURY",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -8525.472278899599,
      "display": "Net income -8525.5%",
      "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": "340190",
      "hospital": "NOVANT HEALTH MINT HILL MEDICAL CENTER",
      "city": "CHARLOTTE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 2920.8773091926105,
      "display": "Direct-care contract labor +2920.9%",
      "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": "340109",
      "hospital": "SENTARA ALBEMARLE MEDICAL CENTER",
      "city": "ELIZABETH CITY",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 2008.308827518854,
      "display": "Direct-care contract labor +2008.3%",
      "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": "0000000128",
      "hospital": "NOVANT HEALTH BRUNSWICK MEDICAL CENTER",
      "city": "BOLIVIA",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 1757.5533705756839,
      "display": "Direct-care contract labor +1757.6%",
      "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": "340085",
      "hospital": "NOVANT HEALTH THOMASVILLE MEDICAL CENTER",
      "city": "THOMASVILLE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 1272.4532661784344,
      "display": "Direct-care contract labor +1272.5%",
      "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": "340098",
      "hospital": "ATRIUM HEALTH PINEVILLE",
      "city": "CHARLOTTE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 1220.0263499960731,
      "display": "Direct-care contract labor +1220.0%",
      "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": "0003028801",
      "hospital": "ASHEVILLE SPECIALTY HOSPITAL",
      "city": "ASHEVILLE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -1164.3933967419398,
      "display": "Net income -1164.4%",
      "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": "340183",
      "hospital": "NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER",
      "city": "HUNTERSVILLE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 691.5642879835844,
      "display": "Direct-care contract labor +691.6%",
      "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": "340008",
      "hospital": "SCOTLAND MEMORIAL HOSPITAL",
      "city": "LAURINBURG",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 659.6271609846851,
      "display": "Direct-care contract labor +659.6%",
      "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": "340141",
      "hospital": "NEW HANOVER REGIONAL MEDICAL CENTER",
      "city": "WILMINGTON",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 653.1458372312042,
      "display": "Direct-care contract labor +653.1%",
      "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": "340053",
      "hospital": "NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER",
      "city": "CHARLOTTE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 603.3113507302302,
      "display": "Direct-care contract labor +603.3%",
      "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": "340166",
      "hospital": "ATRIUM HEALTH UNIVERSITY CITY",
      "city": "CHARLOTTE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 435.89468122578376,
      "display": "Direct-care contract labor +435.9%",
      "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": "0172728451",
      "hospital": "CAROLINA DUNES BEHAVIORAL HEALTH",
      "city": "LELAND",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 412.19596596231014,
      "display": "Total liabilities +412.2%",
      "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": "pe-tracker-344030",
      "hospital": "STRATEGIC BEHAVIORAL CENTER-LELAND",
      "city": "LELAND",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 412.19596596231014,
      "display": "Total liabilities +412.2%",
      "baselineType": "acquisition_anchor",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "341316",
      "hospital": "HIGHLANDS - CASHIERS HOSPITAL",
      "city": "HIGHLANDS",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 343.7762654798538,
      "display": "Total liabilities +343.8%",
      "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": "341326",
      "hospital": "ANGEL MEDICAL CENTER",
      "city": "FRANKLIN",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 339.59455702986565,
      "display": "Total liabilities +339.6%",
      "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": "344016",
      "hospital": "BRYNN MARR HOSPITAL",
      "city": "JACKSONVILLE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -272.1090100278765,
      "display": "Net income -272.1%",
      "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": "340032",
      "hospital": "CAROMONT REGIONAL MEDICAL CENTER",
      "city": "GASTONIA",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 269.05429694712035,
      "display": "Direct-care contract labor +269.1%",
      "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": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
      "city": "ROXBORO",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -266.4080209508387,
      "display": "Net income -266.4%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "340099",
      "hospital": "VIDANT ROANOKE - CHOWAN HOSPITAL",
      "city": "AHOSKIE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -251.06077502472814,
      "display": "Net income -251.1%",
      "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": "340115",
      "hospital": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - HOKE CAMPUS",
      "city": "PINEHURST",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 195.92118373099592,
      "display": "Direct-care contract labor +195.9%",
      "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": "341323",
      "hospital": "CHARLES A. CANNON JR. MEMORIAL HOSPITAL, INCORPORATED",
      "city": "LINVILLE",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 182.08157550448922,
      "display": "Total liabilities +182.1%",
      "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": "340126",
      "hospital": "WILSON MEDICAL CENTER",
      "city": "WILSON",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 172.02186332123213,
      "display": "Total liabilities +172.0%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "340145",
      "hospital": "ATRIUM HEALTH LINCOLN",
      "city": "LINCOLNTON",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 165.83774395324548,
      "display": "Direct-care contract labor +165.8%",
      "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": "340068",
      "hospital": "COLUMBUS REGIONAL HEALTHCARE SYSTEM",
      "city": "WHITEVILLE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 161.83173277785957,
      "display": "Direct-care contract labor +161.8%",
      "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": "340002",
      "hospital": "MISSION HOSPITAL",
      "city": "ASHEVILLE",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 158.39870044791047,
      "display": "Direct-care contract labor +158.4%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "341320",
      "hospital": "ALLEGHANY MEMORIAL HOSPITAL",
      "city": "SPARTA",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -158.35224765991825,
      "display": "Net income -158.4%",
      "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": "344029",
      "hospital": "GOOD HOPE HOSPITAL, INC",
      "city": "ERWIN",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -154.82517156395394,
      "display": "Net income -154.8%",
      "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": "341315",
      "hospital": "CAPE FEAR VALLEY - BLADEN COUNTY HOSPITAL",
      "city": "ELIZABETHTOWN",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 144.1649496549004,
      "display": "Total liabilities +144.2%",
      "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": "340097",
      "hospital": "HUGH CHATHAM MEMORIAL HOSPITAL, INC",
      "city": "ELKIN",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -140.28889191077982,
      "display": "Net income -140.3%",
      "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": "340014",
      "hospital": "NOVANT HEALTH FORSYTH MEDICAL CENTER",
      "city": "WINSTON-SALEM",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -132.83490270580361,
      "display": "Net income -132.8%",
      "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": "0008627406",
      "hospital": "KINDRED HOSPITAL - GREENSBORO",
      "city": "GREENSBORO",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -119.07348157125132,
      "display": "Net income -119.1%",
      "baselineType": "acquisition_anchor",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "0196785350",
      "hospital": "SELECT SPECIALTY HOSPITAL - DURHAM",
      "city": "DURHAM",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -113.70201268412747,
      "display": "Net income -113.7%",
      "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": "340003",
      "hospital": "NORTHERN REGIONAL HOSPITAL",
      "city": "MOUNT AIRY",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 113.64413315905848,
      "display": "Direct-care contract labor +113.6%",
      "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": "340028",
      "hospital": "CAPE FEAR VALLEY MEDICAL CENTER",
      "city": "FAYETTEVILLE",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 110.39386663373728,
      "display": "Total liabilities +110.4%",
      "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": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "city": "CLYDE",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 99.67003134013787,
      "display": "Total liabilities +99.7%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "340050",
      "hospital": "SOUTHEASTERN REGIONAL MEDICAL CENTER",
      "city": "LUMBERTON",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -99.5140444241439,
      "display": "Net income -99.5%",
      "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": "341311",
      "hospital": "CHATHAM HOSPITAL, INC",
      "city": "SILER CITY",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 96.41207239088537,
      "display": "Total liabilities +96.4%",
      "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": "340020",
      "hospital": "CENTRAL CAROLINA HOSPITAL",
      "city": "SANFORD",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -92.52036420898152,
      "display": "Net income -92.5%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "340188",
      "hospital": "CAPE FEAR VALLEY HOKE HOSPITAL",
      "city": "RAEFORD",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 89.78622816579288,
      "display": "Total liabilities +89.8%",
      "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": "0014628376",
      "hospital": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - HOKE CAMPUS",
      "city": "RAEFORD",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 89.78622816579288,
      "display": "Total liabilities +89.8%",
      "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": "0003328335",
      "hospital": "BETSY JOHNSON HOSPITAL",
      "city": "DUNN",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -86.56496558923212,
      "display": "Net income -86.6%",
      "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": "341329",
      "hospital": "BLUE RIDGE REGIONAL HOSPITAL",
      "city": "SPRUCE PINE",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 82.24575775908511,
      "display": "Total liabilities +82.2%",
      "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": "340143",
      "hospital": "CATAWBA VALLEY MEDICAL CENTER",
      "city": "HICKORY",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 80.75977646732811,
      "display": "Total liabilities +80.8%",
      "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": "340023",
      "hospital": "ADVENTHEALTH HENDERSONVILLE",
      "city": "HENDERSONVILLE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 78.33566129664808,
      "display": "Direct-care contract labor +78.3%",
      "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": "340030",
      "hospital": "DUKE UNIVERSITY HOSPITAL",
      "city": "DURHAM",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 76.72067640839352,
      "display": "Direct-care contract labor +76.7%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "0000228791",
      "hospital": "MARGARET R. PARDEE MEMORIAL HOSPITAL",
      "city": "HENDERSONVILLE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -72.71747744684404,
      "display": "Net income -72.7%",
      "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": "340173",
      "hospital": "WAKEMED CARY HOSPITAL",
      "city": "CARY",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -70.99804325659672,
      "display": "Net income -71.0%",
      "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": "340051",
      "hospital": "WATAUGA MEDICAL CENTER, INC",
      "city": "BOONE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -69.76438115158604,
      "display": "Net income -69.8%",
      "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": "340070",
      "hospital": "ALAMANCE REGIONAL MEDICAL CENTER",
      "city": "BURLINGTON",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -69.38355434111733,
      "display": "Net income -69.4%",
      "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": "0011828659",
      "hospital": "WILKES MEDICAL CENTER",
      "city": "NORTH WILKESBORO",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 64.69955894785167,
      "display": "Operating expense +64.7%",
      "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": "341328",
      "hospital": "ERLANGER MURPHY MEDICAL CENTER",
      "city": "MURPHY",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -64.16837341540335,
      "display": "Net income -64.2%",
      "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": "pe-tracker-341305",
      "hospital": "DLP SWAIN COUNTY HOSPITAL LLC",
      "city": "BRYSON CITY",
      "status": "Declining",
      "leadMetric": "Discharges",
      "percentChange": -61.76470588235294,
      "display": "Discharges -61.8%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "340120",
      "hospital": "VIDANT DUPLIN HOSPITAL",
      "city": "KENANSVILLE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -61.651601918355624,
      "display": "Net income -61.7%",
      "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": "340041",
      "hospital": "CALDWELL MEMORIAL HOSPITAL, INC",
      "city": "LENOIR",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -60.52764372555072,
      "display": "Net income -60.5%",
      "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": "341307",
      "hospital": "PENDER MEMORIAL HOSPITAL, INC",
      "city": "BURGAW",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 59.29793931968882,
      "display": "Total liabilities +59.3%",
      "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": "0015127401",
      "hospital": "SELECT SPECIALTY HOSPITAL - GREENSBORO",
      "city": "GREENSBORO",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -58.21419471732299,
      "display": "Net income -58.2%",
      "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": "0168327610",
      "hospital": "HOLLY HILL HOSPITAL, LLC",
      "city": "RALEIGH",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -55.868935346666305,
      "display": "Net income -55.9%",
      "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": "341319",
      "hospital": "TRANSYLVANIA REGIONAL HOSPITAL",
      "city": "BREVARD",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 53.065682480125844,
      "display": "Total liabilities +53.1%",
      "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": "340127",
      "hospital": "GRANVILLE HEALTH SYSTEM",
      "city": "OXFORD",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -53.029631631156825,
      "display": "Net income -53.0%",
      "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": "340148",
      "hospital": "NOVANT HEALTH MEDICAL PARK HOSPITAL",
      "city": "WINSTON-SALEM",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -53.002657944881825,
      "display": "Net income -53.0%",
      "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": "340155",
      "hospital": "DUKE REGIONAL HOSPITAL",
      "city": "DURHAM",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -49.68689395994735,
      "display": "Net income -49.7%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "340130",
      "hospital": "ATRIUM HEALTH UNION",
      "city": "MONROE",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 48.57446634601067,
      "display": "Total liabilities +48.6%",
      "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": "340171",
      "hospital": "NOVANT HEALTH MATTHEWS MEDICAL CENTER",
      "city": "MATTHEWS",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -45.343069146490144,
      "display": "Net income -45.3%",
      "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": "0010728752",
      "hospital": "MISSION HOSPITAL MCDOWELL",
      "city": "MARION",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 45.17138688832503,
      "display": "Total liabilities +45.2%",
      "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": "0009027293",
      "hospital": "LEXINGTON MEDICAL CENTER",
      "city": "LEXINGTON",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 43.3041769501577,
      "display": "Operating expense +43.3%",
      "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": "341303",
      "hospital": "FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL",
      "city": "TROY",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 43.00652607408303,
      "display": "Operating expense +43.0%",
      "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": "340116",
      "hospital": "FRYE REGIONAL MEDICAL CENTER",
      "city": "HICKORY",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 42.24003781989031,
      "display": "Total liabilities +42.2%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "340027",
      "hospital": "UNC LENOIR HEALTH CARE",
      "city": "KINSTON",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 41.72274452084036,
      "display": "Direct-care contract labor +41.7%",
      "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": "0006127611",
      "hospital": "DUKE RALEIGH HOSPITAL",
      "city": "RALEIGH",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -41.31775334489017,
      "display": "Net income -41.3%",
      "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": "340114",
      "hospital": "REX HOSPITAL",
      "city": "RALEIGH",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -38.74398011496039,
      "display": "Net income -38.7%",
      "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": "340004",
      "hospital": "HIGH POINT REGIONAL HEALTH",
      "city": "HIGH POINT",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 38.171036531505095,
      "display": "Operating expense +38.2%",
      "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": "341327",
      "hospital": "J. ARTHUR DOSHER MEMORIAL HOSPITAL",
      "city": "SOUTHPORT",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 37.07675649877509,
      "display": "Operating expense +37.1%",
      "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": "340168",
      "hospital": "THE WILMINGTON TREATMENT CENTER, LLC",
      "city": "WILMINGTON",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 36.99039216207534,
      "display": "Operating expense +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": "341317",
      "hospital": "LIFEBRITE COMMUNITY HOSPITAL OF STOKES",
      "city": "DANBURY",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 36.09284511893151,
      "display": "Total liabilities +36.1%",
      "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": "340131",
      "hospital": "CAROLINAEAST MEDICAL CENTER",
      "city": "NEW BERN",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -34.86203271182392,
      "display": "Net income -34.9%",
      "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": "340021",
      "hospital": "ATRIUM HEALTH CLEVELAND",
      "city": "SHELBY",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -32.954829640764395,
      "display": "Net income -33.0%",
      "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": "340107",
      "hospital": "VIDANT EDGECOMBE HOSPITAL",
      "city": "TARBORO",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -32.21515429864289,
      "display": "Net income -32.2%",
      "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": "340060",
      "hospital": "UNC ROCKINGHAM HOSPITAL",
      "city": "EDEN",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -31.10900554662465,
      "display": "Net income -31.1%",
      "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": "340024",
      "hospital": "SAMPSON REGIONAL MEDICAL CENTER",
      "city": "CLINTON",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -31.068761310113384,
      "display": "Net income -31.1%",
      "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": "340069",
      "hospital": "WAKEMED",
      "city": "RALEIGH",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 28.562760415209574,
      "display": "Total liabilities +28.6%",
      "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": "340039",
      "hospital": "IREDELL MEMORIAL HOSPITAL, INCORPORATED",
      "city": "STATESVILLE",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 27.64815220120741,
      "display": "Total liabilities +27.6%",
      "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": "340084",
      "hospital": "ATRIUM HEALTH ANSON",
      "city": "WADESBORO",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 27.532287945538194,
      "display": "Direct-care contract labor +27.5%",
      "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": "341318",
      "hospital": "VIDANT CHOWAN HOSPITAL",
      "city": "EDENTON",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 27.524671341758594,
      "display": "Operating expense +27.5%",
      "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": "340049",
      "hospital": "NORTH CAROLINA SPECIALTY HOSPITAL",
      "city": "DURHAM",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 27.336773818861122,
      "display": "Total liabilities +27.3%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "341324",
      "hospital": "THE OUTER BANKS HOSPITAL, INC",
      "city": "NAGS HEAD",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 26.98810593281013,
      "display": "Operating expense +27.0%",
      "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": "340090",
      "hospital": "JOHNSTON HEALTH",
      "city": "SMITHFIELD",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 26.382479856752074,
      "display": "Operating expense +26.4%",
      "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": "340142",
      "hospital": "CARTERET GENERAL HOSPITAL",
      "city": "MOREHEAD CITY",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 26.279125792651282,
      "display": "Total liabilities +26.3%",
      "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": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
      "city": "RUTHERFORDTON",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 26.12684104395133,
      "display": "Operating expense +26.1%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-SALEM",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 25.85547906115904,
      "display": "Direct-care contract labor +25.9%",
      "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": "341325",
      "hospital": "ASHE MEMORIAL HOSPITAL, INC",
      "city": "JEFFERSON",
      "status": "Critical",
      "leadMetric": "Patient days",
      "percentChange": -25.277008310249304,
      "display": "Patient days -25.3%",
      "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": "340042",
      "hospital": "ONSLOW MEMORIAL HOSPITAL, INC",
      "city": "JACKSONVILLE",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 23.51981029388557,
      "display": "Operating expense +23.5%",
      "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": "340016",
      "hospital": "HARRIS REGIONAL HOSPITAL",
      "city": "SYLVA",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 17.59028892424836,
      "display": "Total liabilities +17.6%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "344007",
      "hospital": "OLD VINEYARD YOUTH SERVICES",
      "city": "WINSTON-SALEM",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 10.657739929324524,
      "display": "Operating expense +10.7%",
      "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": "0004028813",
      "hospital": "CAREPARTNERS REHABILITATION HOSPITAL",
      "city": "ASHEVILLE",
      "status": "Declining",
      "leadMetric": "Beds",
      "percentChange": -5.405405405405405,
      "display": "Beds -5.4%",
      "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": "0196785506",
      "hospital": "CAREPARTNERS REHABILITATION HOSPITAL",
      "city": "ASHEVILLE",
      "status": "Declining",
      "leadMetric": "Beds",
      "percentChange": -5.405405405405405,
      "display": "Beds -5.4%",
      "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": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 5.2650175354575275,
      "display": "Operating expense +5.3%",
      "baselineType": "acquisition_anchor",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    }
  ],
  "compensationRows": [
    {
      "hospitalId": "0196784535",
      "hospital": "LINDEN OAKS MEDICAL HOME",
      "city": "CAMERON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000000013",
      "hospital": "NAVAL MEDICAL CENTER CAMP LEJEUNE",
      "city": "CAMP LEJEUNE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000000037",
      "hospital": "WOMACK ARMY MEDICAL CENTER",
      "city": "FORT BRAGG",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002328719",
      "hospital": "CIHA HOSPITAL",
      "city": "CHEROKEE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340047",
      "hospital": "NORTH CAROLINA BAPTIST HOSPITAL",
      "city": "WINSTON-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": "340027",
      "hospital": "UNC LENOIR HEALTH CARE",
      "city": "KINSTON",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0006927549",
      "hospital": "FRANKLIN MEDICAL CENTER",
      "city": "LOUISBURG",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340023",
      "hospital": "ADVENTHEALTH HENDERSONVILLE",
      "city": "HENDERSONVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340183",
      "hospital": "NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER",
      "city": "HUNTERSVILLE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0010328722",
      "hospital": "ST. LUKE'S HOSPITAL",
      "city": "COLUMBUS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0011127514",
      "hospital": "UNIVERSITY OF NORTH CAROLINA HOSPITALS",
      "city": "CHAPEL HILL",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340127",
      "hospital": "GRANVILLE HEALTH SYSTEM",
      "city": "OXFORD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340098",
      "hospital": "ATRIUM HEALTH PINEVILLE",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784165",
      "hospital": "CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "city": "RALEIGH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0004728203",
      "hospital": "CAROLINAS REHABILITATION",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340107",
      "hospital": "VIDANT EDGECOMBE HOSPITAL",
      "city": "TARBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0178127610",
      "hospital": "UNC HOSPITALS AT WAKEBROOK",
      "city": "RALEIGH",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340020",
      "hospital": "CENTRAL CAROLINA HOSPITAL",
      "city": "SANFORD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340109",
      "hospital": "SENTARA ALBEMARLE MEDICAL CENTER",
      "city": "ELIZABETH CITY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340060",
      "hospital": "UNC ROCKINGHAM HOSPITAL",
      "city": "EDEN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341326",
      "hospital": "ANGEL MEDICAL CENTER",
      "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": "0000827401",
      "hospital": "CONE HEALTH",
      "city": "GREENSBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340070",
      "hospital": "ALAMANCE REGIONAL MEDICAL CENTER",
      "city": "BURLINGTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341329",
      "hospital": "BLUE RIDGE REGIONAL HOSPITAL",
      "city": "SPRUCE PINE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0011828659",
      "hospital": "WILKES MEDICAL CENTER",
      "city": "NORTH WILKESBORO",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0003227983",
      "hospital": "VIDANT BERTIE HOSPITAL",
      "city": "WINDSOR",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0008028301",
      "hospital": "HIGHSMITH - RAINEY SPECIALTY HOSPITAL",
      "city": "FAYETTEVILLE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-cape-fear-valley-administration",
      "sourceUrl": "https://www.capefearvalley.com/administration",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340171",
      "hospital": "NOVANT HEALTH MATTHEWS MEDICAL CENTER",
      "city": "MATTHEWS",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784729",
      "hospital": "FIRSTHEALTH MOORE REG. HOSP. AND PINEHURST TREATMENT",
      "city": "PINEHURST",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340115",
      "hospital": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - HOKE CAMPUS",
      "city": "PINEHURST",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341317",
      "hospital": "LIFEBRITE COMMUNITY HOSPITAL OF STOKES",
      "city": "DANBURY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340028",
      "hospital": "CAPE FEAR VALLEY MEDICAL CENTER",
      "city": "FAYETTEVILLE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-cape-fear-valley-administration",
      "sourceUrl": "https://www.capefearvalley.com/administration",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340126",
      "hospital": "WILSON MEDICAL CENTER",
      "city": "WILSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0008828117",
      "hospital": "LAKE NORMAN REGIONAL MEDICAL CENTER",
      "city": "MOORESVILLE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-chs-kevin-hammons-leadership",
      "sourceUrl": "https://www.chs.net/company-overview/leadership/kevin-hammons",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340097",
      "hospital": "HUGH CHATHAM MEMORIAL HOSPITAL, INC",
      "city": "ELKIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341316",
      "hospital": "HIGHLANDS - CASHIERS HOSPITAL",
      "city": "HIGHLANDS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340173",
      "hospital": "WAKEMED CARY HOSPITAL",
      "city": "CARY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "344016",
      "hospital": "BRYNN MARR HOSPITAL",
      "city": "JACKSONVILLE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-uhs-marc-miller-leadership",
      "sourceUrl": "https://uhs.com/about-universal-health-services/leadership/marc-d-miller/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340148",
      "hospital": "NOVANT HEALTH MEDICAL PARK HOSPITAL",
      "city": "WINSTON-SALEM",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340053",
      "hospital": "NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341325",
      "hospital": "ASHE MEMORIAL HOSPITAL, INC",
      "city": "JEFFERSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340131",
      "hospital": "CAROLINAEAST MEDICAL CENTER",
      "city": "NEW BERN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340021",
      "hospital": "ATRIUM HEALTH CLEVELAND",
      "city": "SHELBY",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0172728451",
      "hospital": "CAROLINA DUNES BEHAVIORAL HEALTH",
      "city": "LELAND",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-acadia-ceo-8k-2026",
      "sourceUrl": "https://www.sec.gov/edgar/browse/?CIK=1520697",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340085",
      "hospital": "NOVANT HEALTH THOMASVILLE MEDICAL CENTER",
      "city": "THOMASVILLE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340188",
      "hospital": "CAPE FEAR VALLEY HOKE HOSPITAL",
      "city": "RAEFORD",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-cape-fear-valley-administration",
      "sourceUrl": "https://www.capefearvalley.com/administration",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002027835",
      "hospital": "VIDANT MEDICAL CENTER",
      "city": "GREENVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341318",
      "hospital": "VIDANT CHOWAN HOSPITAL",
      "city": "EDENTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340141",
      "hospital": "NEW HANOVER REGIONAL MEDICAL CENTER",
      "city": "WILMINGTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0006028687",
      "hospital": "DAVIS REGIONAL MEDICAL CENTER",
      "city": "STATESVILLE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-chs-kevin-hammons-leadership",
      "sourceUrl": "https://www.chs.net/company-overview/leadership/kevin-hammons",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0007228655",
      "hospital": "CAROLINAS HEALTHCARE SYSTEM BLUE RIDGE",
      "city": "MORGANTON",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340030",
      "hospital": "DUKE UNIVERSITY HOSPITAL",
      "city": "DURHAM",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340084",
      "hospital": "ATRIUM HEALTH ANSON",
      "city": "WADESBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341320",
      "hospital": "ALLEGHANY MEMORIAL HOSPITAL",
      "city": "SPARTA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000000128",
      "hospital": "NOVANT HEALTH BRUNSWICK MEDICAL CENTER",
      "city": "BOLIVIA",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0008627406",
      "hospital": "KINDRED HOSPITAL - GREENSBORO",
      "city": "GREENSBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0001027804",
      "hospital": "NASH GENERAL HOSPITAL",
      "city": "ROCKY MOUNT",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0184927103",
      "hospital": "NOVANT HEALTH REHABILITATION HOSPITAL",
      "city": "WINSTON-SALEM",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009027293",
      "hospital": "LEXINGTON MEDICAL CENTER",
      "city": "LEXINGTON",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0007427870",
      "hospital": "VIDANT NORTH HOSPITAL",
      "city": "ROANOKE RAPIDS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340032",
      "hospital": "CAROMONT REGIONAL MEDICAL CENTER",
      "city": "GASTONIA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341319",
      "hospital": "TRANSYLVANIA REGIONAL HOSPITAL",
      "city": "BREVARD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "city": "CLYDE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0011727533",
      "hospital": "WAYNE UNC HEALTHCARE",
      "city": "GOLDSBORO",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0004828012",
      "hospital": "CAROLINAS REHABILITATION MT. HOLLY",
      "city": "BELMONT",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
      "city": "RUTHERFORDTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340050",
      "hospital": "SOUTHEASTERN REGIONAL MEDICAL CENTER",
      "city": "LUMBERTON",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340069",
      "hospital": "WAKEMED",
      "city": "RALEIGH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0010428002",
      "hospital": "ATRIUM HEALTH STANLY",
      "city": "ALBEMARLE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0168327610",
      "hospital": "HOLLY HILL HOSPITAL, LLC",
      "city": "RALEIGH",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-uhs-marc-miller-leadership",
      "sourceUrl": "https://uhs.com/about-universal-health-services/leadership/marc-d-miller/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000427892",
      "hospital": "MARTIN GENERAL HOSPITAL",
      "city": "WILLIAMSTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340042",
      "hospital": "ONSLOW MEMORIAL HOSPITAL, INC",
      "city": "JACKSONVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340041",
      "hospital": "CALDWELL MEMORIAL HOSPITAL, INC",
      "city": "LENOIR",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0177827006",
      "hospital": "DAVIE MEDICAL CENTER",
      "city": "BERMUDA RUN",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340014",
      "hospital": "NOVANT HEALTH FORSYTH MEDICAL CENTER",
      "city": "WINSTON-SALEM",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340051",
      "hospital": "WATAUGA MEDICAL CENTER, INC",
      "city": "BOONE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0006127611",
      "hospital": "DUKE RALEIGH HOSPITAL",
      "city": "RALEIGH",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-duke-health-craig-albanese",
      "sourceUrl": "https://corporate.dukehealth.org/news/duke-names-health-system-chief-executive-officer",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340142",
      "hospital": "CARTERET GENERAL HOSPITAL",
      "city": "MOREHEAD CITY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "344007",
      "hospital": "OLD VINEYARD YOUTH SERVICES",
      "city": "WINSTON-SALEM",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-uhs-marc-miller-leadership",
      "sourceUrl": "https://uhs.com/about-universal-health-services/leadership/marc-d-miller/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340123",
      "hospital": "RANDOLPH HOSPITAL, INC",
      "city": "ASHEBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340155",
      "hospital": "DUKE REGIONAL HOSPITAL",
      "city": "DURHAM",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340049",
      "hospital": "NORTH CAROLINA SPECIALTY HOSPITAL",
      "city": "DURHAM",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341328",
      "hospital": "ERLANGER MURPHY MEDICAL CENTER",
      "city": "MURPHY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340120",
      "hospital": "VIDANT DUPLIN HOSPITAL",
      "city": "KENANSVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784246",
      "hospital": "VERITAS COLLABORATIVE, LLC",
      "city": "DURHAM",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "344029",
      "hospital": "GOOD HOPE HOSPITAL, INC",
      "city": "ERWIN",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-cape-fear-valley-administration",
      "sourceUrl": "https://www.capefearvalley.com/administration",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340116",
      "hospital": "FRYE REGIONAL MEDICAL CENTER",
      "city": "HICKORY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0003028801",
      "hospital": "ASHEVILLE SPECIALTY HOSPITAL",
      "city": "ASHEVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0010728752",
      "hospital": "MISSION HOSPITAL MCDOWELL",
      "city": "MARION",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340145",
      "hospital": "ATRIUM HEALTH LINCOLN",
      "city": "LINCOLNTON",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341323",
      "hospital": "CHARLES A. CANNON JR. MEMORIAL HOSPITAL, INCORPORATED",
      "city": "LINVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340114",
      "hospital": "REX HOSPITAL",
      "city": "RALEIGH",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0010628713",
      "hospital": "SWAIN COMMUNITY HOSPITAL",
      "city": "BRYSON CITY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341311",
      "hospital": "CHATHAM HOSPITAL, INC",
      "city": "SILER CITY",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341324",
      "hospital": "THE OUTER BANKS HOSPITAL, INC",
      "city": "NAGS HEAD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0014528025",
      "hospital": "CAROLINAS REHABILITATION - NORTHEAST",
      "city": "CONCORD",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340068",
      "hospital": "COLUMBUS REGIONAL HEALTHCARE SYSTEM",
      "city": "WHITEVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340008",
      "hospital": "SCOTLAND MEMORIAL HOSPITAL",
      "city": "LAURINBURG",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340099",
      "hospital": "VIDANT ROANOKE - CHOWAN HOSPITAL",
      "city": "AHOSKIE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0176828211",
      "hospital": "CAROLINAS MEDICAL CENTER - CENTER FOR MENTAL HEALTH",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341315",
      "hospital": "CAPE FEAR VALLEY - BLADEN COUNTY HOSPITAL",
      "city": "ELIZABETHTOWN",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-cape-fear-valley-administration",
      "sourceUrl": "https://www.capefearvalley.com/administration",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341307",
      "hospital": "PENDER MEMORIAL HOSPITAL, INC",
      "city": "BURGAW",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340002",
      "hospital": "MISSION HOSPITAL",
      "city": "ASHEVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340090",
      "hospital": "JOHNSTON HEALTH",
      "city": "SMITHFIELD",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784258",
      "hospital": "FELLOWSHIP HALL",
      "city": "GREENSBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341303",
      "hospital": "FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL",
      "city": "TROY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340039",
      "hospital": "IREDELL MEMORIAL HOSPITAL, INCORPORATED",
      "city": "STATESVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000327536",
      "hospital": "MARIA PARHAM HEALTH",
      "city": "HENDERSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340130",
      "hospital": "ATRIUM HEALTH UNION",
      "city": "MONROE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340004",
      "hospital": "HIGH POINT REGIONAL HEALTH",
      "city": "HIGH POINT",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340024",
      "hospital": "SAMPSON REGIONAL MEDICAL CENTER",
      "city": "CLINTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340015",
      "hospital": "NOVANT HEALTH ROWAN MEDICAL CENTER",
      "city": "SALISBURY",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0178727705",
      "hospital": "VERITAS COLLABORATIVE - NORTH CAROLINA, LLC",
      "city": "DURHAM",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
      "city": "ROXBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002727320",
      "hospital": "ANNIE PENN HOSPITAL",
      "city": "REIDSVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0003127889",
      "hospital": "VIDANT BEAUFORT HOSPITAL",
      "city": "WASHINGTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340016",
      "hospital": "HARRIS REGIONAL HOSPITAL",
      "city": "SYLVA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0004028813",
      "hospital": "CAREPARTNERS REHABILITATION HOSPITAL",
      "city": "ASHEVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000228791",
      "hospital": "MARGARET R. PARDEE MEMORIAL HOSPITAL",
      "city": "HENDERSONVILLE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0003328335",
      "hospital": "BETSY JOHNSON HOSPITAL",
      "city": "DUNN",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-cape-fear-valley-administration",
      "sourceUrl": "https://www.capefearvalley.com/administration",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340143",
      "hospital": "CATAWBA VALLEY MEDICAL CENTER",
      "city": "HICKORY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340190",
      "hospital": "NOVANT HEALTH MINT HILL MEDICAL CENTER",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340003",
      "hospital": "NORTHERN REGIONAL HOSPITAL",
      "city": "MOUNT AIRY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340166",
      "hospital": "ATRIUM HEALTH UNIVERSITY CITY",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0014728217",
      "hospital": "CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0004328025",
      "hospital": "ATRIUM HEALTH CABARRUS",
      "city": "CONCORD",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "341327",
      "hospital": "J. ARTHUR DOSHER MEMORIAL HOSPITAL",
      "city": "SOUTHPORT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0006728379",
      "hospital": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - RICHMOND",
      "city": "ROCKINGHAM",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0011527962",
      "hospital": "WASHINGTON REGIONAL MEDICAL CENTER",
      "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": "0008127055",
      "hospital": "YADKIN VALLEY COMMUNITY HOSPITAL",
      "city": "YADKINVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0008928805",
      "hospital": "CHARLES GEORGE DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "city": "ASHEVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009028144",
      "hospital": "W.G. - BILL - HEFNER SALISBURY DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "city": "SALISBURY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "34012F",
      "hospital": "DURHAM VA MEDICAL CENTER",
      "city": "DURHAM",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009228207",
      "hospital": "NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0014628376",
      "hospital": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - HOKE CAMPUS",
      "city": "RAEFORD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0015127401",
      "hospital": "SELECT SPECIALTY HOSPITAL - GREENSBORO",
      "city": "GREENSBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0011228690",
      "hospital": "CAROLINAS HEALTHCARE SYSTEM BLUE RIDGE - VALDESE",
      "city": "VALDESE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0176627403",
      "hospital": "BEHAVIORAL HEALTH HOSPITAL",
      "city": "GREENSBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0181228719",
      "hospital": "UNITY HEALING CENTER",
      "city": "CHEROKEE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0004228207",
      "hospital": "CAROLINAS MEDICAL CENTER-MERCY",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0012227403",
      "hospital": "WESLEY LONG COMMUNITY HOSPITAL",
      "city": "GREENSBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000000127",
      "hospital": "NEW HANOVER REGIONAL MEDICAL CENTER ORTHOPEDIC HOSPITAL",
      "city": "WILMINGTON",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0012127614",
      "hospital": "WAKEMED NORTH",
      "city": "RALEIGH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000000126",
      "hospital": "KERNERSVILLE MEDICAL CENTER-ER",
      "city": "KERNERSVILLE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0008528301",
      "hospital": "VA MEDICAL CENTER - FAYETTEVILLE",
      "city": "FAYETTEVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009127804",
      "hospital": "LIFECARE HOSPITALS OF NORTH CAROLINA",
      "city": "ROCKY MOUNT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340168",
      "hospital": "THE WILMINGTON TREATMENT CENTER, LLC",
      "city": "WILMINGTON",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-acadia-ceo-8k-2026",
      "sourceUrl": "https://www.sec.gov/edgar/browse/?CIK=1520697",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785350",
      "hospital": "SELECT SPECIALTY HOSPITAL - DURHAM",
      "city": "DURHAM",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785351",
      "hospital": "CAROLINAS MEDICAL CENTER/CENTER FOR MENTAL HEALTH",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-advocate-atrium-leadership",
      "sourceUrl": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "340195",
      "hospital": "NOVANT HEALTH BALLANTYNE MEDICAL CENTER",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-novant-carl-armato-leadership",
      "sourceUrl": "https://www.novanthealth.org/about/company/our-leadership/carl-s-armato/",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "344034",
      "hospital": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
      "city": "LINVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785354",
      "hospital": "UNC HOSPITALS YOUTH BEHAVIORAL HEALTH",
      "city": "BUTNER",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-unc-health-leadership",
      "sourceUrl": "https://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785355",
      "hospital": "DAVIS REGIONAL PSYCHIATRIC HOSPITAL",
      "city": "STATESVILLE",
      "leaderName": "unknown_not_public",
      "title": "CEO/leader source present, amount not extracted",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "source-chs-kevin-hammons-leadership",
      "sourceUrl": "https://www.chs.net/company-overview/leadership/kevin-hammons",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "344035",
      "hospital": "RALEIGH OAKS BEHAVIORAL HEALTH",
      "city": "GARNER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785506",
      "hospital": "CAREPARTNERS REHABILITATION HOSPITAL",
      "city": "ASHEVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "pe-tracker-341305",
      "hospital": "DLP SWAIN COUNTY HOSPITAL LLC",
      "city": "BRYSON CITY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "pe-tracker-34T132",
      "hospital": "MARIA PARHAM HEALTHCARE ASSOCIATION INC",
      "city": "HENDERSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "pe-tracker-344031",
      "hospital": "STRATEGIC BEHAVIORAL CENTER-CHARLOTTE",
      "city": "CHARLOTTE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "pe-tracker-344030",
      "hospital": "STRATEGIC BEHAVIORAL CENTER-LELAND",
      "city": "LELAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_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": [
    {
      "hospitalId": "0003028801",
      "hospital": "ASHEVILLE SPECIALTY HOSPITAL",
      "city": "ASHEVILLE",
      "peFirm": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "closureDate": "2024",
      "sourceIds": [
        "source-cms-care-compare",
        "source-cms-hospital-all-owners",
        "source-cms-hospital-chow",
        "source-cms-hospital-enrollments",
        "source-hca-mission-acquisition",
        "source-mission-health-contact-hospital-list",
        "source-mission-health-history-system-list",
        "source-mission-health-locations",
        "source-pe-tracker-no-current-pe",
        "source-asheville-specialty-closure-nchn",
        "source-hifld-hospitals",
        "source-nc-baseline-queue",
        "source-nc-dhsr-hospital-license-data",
        "source-cms-hcris",
        "source-sec-hca-proxy-2026",
        "source-sec-hca-10k-2025",
        "source-hospital-universe-0003028801",
        "source-pesp-hospital-tracker",
        "source-pehw-state-template-completion-2026-07-02"
      ],
      "sourceUrls": [
        "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://investor.hcahealthcare.com/news/news-details/2019/HCA-Healthcare-Completes-Purchase-of-Mission-Health/default.aspx",
        "https://www.missionhealth.org/contact-us",
        "https://www.missionhealth.org/about-us/our-history",
        "https://www.missionhealth.org/locations",
        "research/imports/pe-hospital-tracker-2026-04-03.csv",
        "https://www.northcarolinahealthnews.org/2024/11/30/mission-health-permanently-shutters-asheville-specialty-hospital/",
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "/data/releases/release-2026-06-24-nc-baseline.json",
        "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526106142/d939252ddef14a.htm",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm",
        "https://healthcarewatch.xyz/data/hospitals.json",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "/data/releases/release-2026-07-02-state-template-complete-001.json"
      ],
      "note": "Closure after documented PE acquisition or PE-context event; this does not by itself prove causation."
    }
  ],
  "timelineRows": [
    {
      "date": "2024",
      "hospitalId": "0003028801",
      "hospital": "ASHEVILLE SPECIALTY HOSPITAL",
      "eventType": "closure",
      "title": "ASHEVILLE SPECIALTY HOSPITAL closure",
      "summary": "Closure after documented PE acquisition or PE-context event; this does not by itself prove causation.",
      "sourceIds": [
        "source-cms-care-compare",
        "source-cms-hospital-all-owners",
        "source-cms-hospital-chow",
        "source-cms-hospital-enrollments",
        "source-hca-mission-acquisition",
        "source-mission-health-contact-hospital-list",
        "source-mission-health-history-system-list",
        "source-mission-health-locations",
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        "source-asheville-specialty-closure-nchn",
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        "source-hospital-universe-0003028801",
        "source-pesp-hospital-tracker",
        "source-pehw-state-template-completion-2026-07-02"
      ]
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    {
      "date": "",
      "hospitalId": "0003028801",
      "hospital": "ASHEVILLE SPECIALTY HOSPITAL",
      "eventType": "documented_financial_event",
      "title": "Hospital universe / existing map location record",
      "summary": "Facility identity and map coordinates already present in the hospital universe.",
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        "source-hospital-universe-0003028801"
      ]
    },
    {
      "date": "April 15, 2020",
      "hospitalId": "340002",
      "hospital": "MISSION HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "MISSION HOSPITAL acquisition/control event",
      "summary": "Blackstone / TeamHealth",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
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        "source-onex-scp",
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        "source-pehw-state-template-completion-2026-07-02"
      ]
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      "date": "August 2017",
      "hospitalId": "340049",
      "hospital": "NORTH CAROLINA SPECIALTY HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "NORTH CAROLINA SPECIALTY HOSPITAL acquisition/control event",
      "summary": "Bain Capital / Surgery Partners",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ]
    },
    {
      "date": "December 2021",
      "hospitalId": "0008627406",
      "hospital": "KINDRED HOSPITAL - GREENSBORO",
      "eventType": "acquisition_or_control_event",
      "title": "KINDRED HOSPITAL - GREENSBORO acquisition/control event",
      "summary": "Apollo Global Management / ScionHealth",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-pehw-state-template-completion-2026-07-02"
      ]
    },
    {
      "date": "December 2021",
      "hospitalId": "344035",
      "hospital": "RALEIGH OAKS BEHAVIORAL HEALTH",
      "eventType": "acquisition_or_control_event",
      "title": "RALEIGH OAKS BEHAVIORAL HEALTH acquisition/control event",
      "summary": "Patient Square Capital / Summit Behavioral Healthcare",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ]
    },
    {
      "date": "December 2021",
      "hospitalId": "pe-tracker-344031",
      "hospital": "STRATEGIC BEHAVIORAL CENTER-CHARLOTTE",
      "eventType": "acquisition_or_control_event",
      "title": "STRATEGIC BEHAVIORAL CENTER-CHARLOTTE acquisition/control event",
      "summary": "Patient Square Capital / Summit Behavioral Healthcare",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-pehw-state-template-completion-2026-07-02"
      ]
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    {
      "date": "December 2021",
      "hospitalId": "pe-tracker-344030",
      "hospital": "STRATEGIC BEHAVIORAL CENTER-LELAND",
      "eventType": "acquisition_or_control_event",
      "title": "STRATEGIC BEHAVIORAL CENTER-LELAND acquisition/control event",
      "summary": "Patient Square Capital / Summit Behavioral Healthcare",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ]
    },
    {
      "date": "February 2023",
      "hospitalId": "344032",
      "hospital": "TRIANGLE SPRINGS",
      "eventType": "acquisition_or_control_event",
      "title": "TRIANGLE SPRINGS acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
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    },
    {
      "date": "May 2020",
      "hospitalId": "0000427892",
      "hospital": "MARTIN GENERAL HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "MARTIN GENERAL HOSPITAL acquisition/control event",
      "summary": "GoldenTree Asset Management, Davidson Kempner / Quorum Health Corporation",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-pehw-state-template-completion-2026-07-02"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "340020",
      "hospital": "CENTRAL CAROLINA HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "CENTRAL CAROLINA HOSPITAL acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "340126",
      "hospital": "WILSON MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "WILSON MEDICAL CENTER acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "340030",
      "hospital": "DUKE UNIVERSITY HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "DUKE UNIVERSITY HOSPITAL acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "340184",
      "hospital": "HAYWOOD REGIONAL MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "HAYWOOD REGIONAL MEDICAL CENTER acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "340013",
      "hospital": "RUTHERFORD REGIONAL MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "RUTHERFORD REGIONAL MEDICAL CENTER acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
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        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "340155",
      "hospital": "DUKE REGIONAL HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "DUKE REGIONAL HOSPITAL acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
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        "source-cms-care-compare",
        "source-pehw-state-template-completion-2026-07-02"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "340116",
      "hospital": "FRYE REGIONAL MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "FRYE REGIONAL MEDICAL CENTER acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
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    },
    {
      "date": "November 2018",
      "hospitalId": "0000327536",
      "hospital": "MARIA PARHAM HEALTH",
      "eventType": "acquisition_or_control_event",
      "title": "MARIA PARHAM HEALTH acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
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        "source-pehw-state-template-completion-2026-07-02"
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      "date": "November 2018",
      "hospitalId": "340159",
      "hospital": "PERSON MEMORIAL HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "PERSON MEMORIAL HOSPITAL acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
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      ]
    },
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      "date": "November 2018",
      "hospitalId": "340016",
      "hospital": "HARRIS REGIONAL HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "HARRIS REGIONAL HOSPITAL acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
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        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
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      "date": "November 2018",
      "hospitalId": "pe-tracker-341305",
      "hospital": "DLP SWAIN COUNTY HOSPITAL LLC",
      "eventType": "acquisition_or_control_event",
      "title": "DLP SWAIN COUNTY HOSPITAL LLC acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
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        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
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}
