{
  "schemaVersion": 1,
  "generatedAt": "2026-07-02T17:31:14.077Z",
  "state": "TN",
  "stateName": "Tennessee",
  "slug": "tennessee",
  "files": {
    "json": "/data/states/tennessee-impact-summary.json",
    "csv": "/data/states/tennessee-hospital-impact-2026-07-02.csv",
    "workbook": "/data/states/tennessee-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": 170,
    "currentPeCount": 17,
    "formerPeCount": 0,
    "peBefore2010Count": 0,
    "closuresAfterPeCount": 0,
    "worseningQualityCount": 0,
    "worseningFinancialCount": 25,
    "unresolvedCount": 20,
    "documentedDebtEventCount": 0,
    "ceoCompensationStructuredCount": 0
  },
  "statusCounts": {
    "verified_independent": 52,
    "corporate_chain": 81,
    "confirmed_pe": 17,
    "signal": 10,
    "unknown": 7,
    "disputed": 3
  },
  "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": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 6580.270063150543,
      "display": "Total liabilities +6580.3%",
      "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": "440102",
      "hospital": "LINCOLN MEDICAL CENTER",
      "city": "FAYETTEVILLE",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -4412.343252219887,
      "display": "Net income -4412.3%",
      "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": "441322",
      "hospital": "HOUSTON COUNTY COMMUNITY HOSPITAL",
      "city": "ERIN",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -1180.026690971947,
      "display": "Net income -1180.0%",
      "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": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 1149.0840126949274,
      "display": "Total liabilities +1149.1%",
      "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": "0007737402",
      "hospital": "KINDRED HOSPITAL - CHATTANOOGA",
      "city": "CHATTANOOGA",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -965.4873079593131,
      "display": "Net income -965.5%",
      "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": "0196784809",
      "hospital": "KNOXVILLE REHABILITATION HOSPITAL",
      "city": "KNOXVILLE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 660.9411103478424,
      "display": "Direct-care contract labor +660.9%",
      "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": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 279.9293713980155,
      "display": "Total liabilities +279.9%",
      "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": "441314",
      "hospital": "LAUDERDALE COMMUNITY HOSPITAL",
      "city": "RIPLEY",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -260.56923903833155,
      "display": "Net income -260.6%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    }
  ],
  "hospitalRows": [
    {
      "hospitalId": "0196784479",
      "ccn": "",
      "hospital": "ARNOLD AFB",
      "city": "ARNOLD AFB",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440048",
      "ccn": "440048",
      "hospital": "BAPTIST MEMORIAL HOSPITAL",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Baptistonline",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0013038017",
      "ccn": "",
      "hospital": "BAPTIST MEMORIAL HOSPITAL - COLLIERVILLE",
      "city": "COLLIERVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Baptistonline",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440048",
      "ccn": "440048",
      "hospital": "BAPTIST MEMORIAL HOSPITAL FOR WOMEN",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Baptistonline",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440016",
      "ccn": "440016",
      "hospital": "BAPTIST MEMORIAL HOSPITAL - CARROLL COUNTY",
      "city": "HUNTINGDON",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Baptistonline",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440130",
      "ccn": "440130",
      "hospital": "BAPTIST MEMORIAL HOSPITAL - UNION CITY",
      "city": "UNION CITY",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Baptistonline",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440131",
      "ccn": "440131",
      "hospital": "BAPTIST MEMORIAL HOSPITAL - TIPTON",
      "city": "COVINGTON",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0016438138",
      "ccn": "443034",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
      "city": "GERMANTOWN",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -12.644527799936506,
      "financialLeadDisplay": "Net income -12.6%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report"
      ],
      "dossierUrl": "/data/dossiers/0016438138.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0016538120",
      "ccn": "",
      "hospital": "BAPTIST MEMORIAL RESTORATIVE CARE HOSPITAL",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Baptistonline",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "441323",
      "ccn": "441323",
      "hospital": "BIG SOUTH FORK MEDICAL CENTER",
      "city": "ONEIDA",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440011",
      "ccn": "440011",
      "hospital": "BLOUNT MEMORIAL HOSPITAL",
      "city": "MARYVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440012",
      "ccn": "440012",
      "hospital": "BRISTOL REGIONAL MEDICAL CENTER",
      "city": "BRISTOL",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440057",
      "ccn": "440057",
      "hospital": "CLAIBORNE MEDICAL CENTER",
      "city": "TAZEWELL",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440059",
      "ccn": "440059",
      "hospital": "COOKEVILLE REGIONAL MEDICAL CENTER",
      "city": "COOKEVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0014637317",
      "ccn": "",
      "hospital": "COPPER BASIN MEDICAL CENTER",
      "city": "COPPERHILL",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440009",
      "ccn": "440009",
      "hospital": "CUMBERLAND MEDICAL CENTER, INC",
      "city": "CROSSVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0001438551",
      "ccn": "",
      "hospital": "CUMBERLAND RIVER HOSPITAL",
      "city": "CELINA",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440159",
      "ccn": "440159",
      "hospital": "DELTA SPECIALTY HOSPITAL",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "443303",
      "ccn": "443303",
      "hospital": "EAST TENNESSEE CHILDREN'S HOSPITAL",
      "city": "KNOXVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0016737404",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CHATTANOOGA",
      "city": "CHATTANOOGA",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Encompass Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0016837067",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF FRANKLIN",
      "city": "FRANKLIN",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Encompass Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0002838104",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MEMPHIS - A PARTNER OF METHODIST HEALTHCARE",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Encompass Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0013438128",
      "ccn": "",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTH MEMPHIS",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Encompass Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "441306",
      "ccn": "441306",
      "hospital": "ERLANGER BLEDSOE",
      "city": "PIKEVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440104",
      "ccn": "440104",
      "hospital": "ERLANGER MEDICAL CENTER",
      "city": "CHATTANOOGA",
      "state": "TN",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 30.91734905638442,
      "financialLeadDisplay": "Direct-care contract labor +30.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440104.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0003037421",
      "ccn": "",
      "hospital": "ERLANGER EAST HOSPITAL - SATELLITE",
      "city": "CHATTANOOGA",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0014437415",
      "ccn": "",
      "hospital": "ERLANGER NORTH HOSPITAL - SATELLITE",
      "city": "CHATTANOOGA",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440110",
      "ccn": "440110",
      "hospital": "FORT LOUDOUN MEDICAL CENTER",
      "city": "LENOIR CITY",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440125",
      "ccn": "440125",
      "hospital": "FORT SANDERS REGIONAL MEDICAL CENTER",
      "city": "KNOXVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440184",
      "ccn": "440184",
      "hospital": "FRANKLIN WOODS COMMUNITY HOSPITAL",
      "city": "JOHNSON CITY",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440050",
      "ccn": "440050",
      "hospital": "GREENEVILLE COMMUNITY HOSPITAL",
      "city": "GREENEVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "441313",
      "ccn": "441313",
      "hospital": "HANCOCK COUNTY HOSPITAL",
      "city": "SNEEDVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Wellmont",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440109",
      "ccn": "440109",
      "hospital": "HARDIN MEDICAL CENTER",
      "city": "SAVANNAH",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440032",
      "ccn": "440032",
      "hospital": "HAWKINS COUNTY MEMORIAL HOSPITAL",
      "city": "ROGERSVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Wellmont",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440238",
      "ccn": "440238",
      "hospital": "HAYWOOD COUNTY COMMUNITY HOSPITAL",
      "city": "BROWNSVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440008",
      "ccn": "440008",
      "hospital": "HENDERSON COUNTY COMMUNITY HOSPITAL",
      "city": "LEXINGTON",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0006538242",
      "ccn": "",
      "hospital": "HENRY COUNTY MEDICAL CENTER",
      "city": "PARIS",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440017",
      "ccn": "440017",
      "hospital": "HOLSTON VALLEY MEDICAL CENTER",
      "city": "KINGSPORT",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Wellmont",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "441322",
      "ccn": "441322",
      "hospital": "HOUSTON COUNTY COMMUNITY HOSPITAL",
      "city": "ERIN",
      "state": "TN",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -1180.026690971947,
      "financialLeadDisplay": "Net income -1180.0%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/441322.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440176",
      "ccn": "440176",
      "hospital": "INDIAN PATH COMMUNITY HOSPITAL",
      "city": "KINGSPORT",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Msha",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440002",
      "ccn": "440002",
      "hospital": "JACKSON - MADISON COUNTY GENERAL HOSPITAL DISTRICT",
      "city": "JACKSON",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Wth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0008338305",
      "ccn": "",
      "hospital": "WEST TENNESSEE HEALTHCARE NORTH HOSPITAL",
      "city": "JACKSON",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0004338556",
      "ccn": "",
      "hospital": "JAMESTOWN TN MEDICAL CENTER, INC",
      "city": "JAMESTOWN",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Tennovaeast",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0000637762",
      "ccn": "",
      "hospital": "JELLICO REGIONAL HOSPITAL, LLC",
      "city": "JELLICO",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440063",
      "ccn": "440063",
      "hospital": "JOHNSON CITY MEDICAL CENTER",
      "city": "JOHNSON CITY",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Msha",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0010437604",
      "ccn": "",
      "hospital": "WOODRIDGE PSYCHIATRIC HOSPITAL",
      "city": "JOHNSON CITY",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Msha",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "441304",
      "ccn": "441304",
      "hospital": "JOHNSON COUNTY COMMUNITY HOSPITAL",
      "city": "MOUNTAIN CITY",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Msha",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0007737402",
      "ccn": "442007",
      "hospital": "KINDRED HOSPITAL - CHATTANOOGA",
      "city": "CHATTANOOGA",
      "state": "TN",
      "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": -965.4873079593131,
      "financialLeadDisplay": "Net income -965.5%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report"
      ],
      "dossierUrl": "/data/dossiers/0007737402.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0196784809",
      "ccn": "443037",
      "hospital": "KNOXVILLE REHABILITATION HOSPITAL",
      "city": "KNOXVILLE",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "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": "Critical",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 660.9411103478424,
      "financialLeadDisplay": "Direct-care contract labor +660.9%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report"
      ],
      "dossierUrl": "/data/dossiers/0196784809.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "441314",
      "ccn": "441314",
      "hospital": "LAUDERDALE COMMUNITY HOSPITAL",
      "city": "RIPLEY",
      "state": "TN",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -260.56923903833155,
      "financialLeadDisplay": "Net income -260.6%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/441314.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440081",
      "ccn": "440081",
      "hospital": "LECONTE MEDICAL CENTER",
      "city": "SEVIERVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440102",
      "ccn": "440102",
      "hospital": "LINCOLN MEDICAL CENTER",
      "city": "FAYETTEVILLE",
      "state": "TN",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -4412.343252219887,
      "financialLeadDisplay": "Net income -4412.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440102.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440187",
      "ccn": "440187",
      "hospital": "LIVINGSTON REGIONAL HOSPITAL",
      "city": "LIVINGSTON",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "ScionHealth",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 36.885611147773965,
      "financialLeadDisplay": "Operating expense +36.9%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440187.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "441305",
      "ccn": "441305",
      "hospital": "MACON COMMUNITY HOSPITAL",
      "city": "LAFAYETTE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "441309",
      "ccn": "441309",
      "hospital": "MARSHALL MEDICAL CENTER",
      "city": "LEWISBURG",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440073",
      "ccn": "440073",
      "hospital": "MAURY REGIONAL HOSPITAL",
      "city": "COLUMBIA",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440091",
      "ccn": "440091",
      "hospital": "MEMORIAL HEALTH CARE SYSTEM - AND HIXSON",
      "city": "CHATTANOOGA",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0007237343",
      "ccn": "",
      "hospital": "CHI MEMORIAL HOSPITAL HIXSON",
      "city": "HIXSON",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "CommonSpirit Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0009138104",
      "ccn": "",
      "hospital": "METHODIST HEALTHCARE - MEMPHIS HOSPITALS",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0009038103",
      "ccn": "",
      "hospital": "LE BONHEUR CHILDREN'S HOSPITAL",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Methodisthealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0009438116",
      "ccn": "",
      "hospital": "METHODIST HOSPITAL - SOUTH",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Methodisthealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0009238138",
      "ccn": "",
      "hospital": "METHODIST LE BONHEUR GERMANTOWN",
      "city": "GERMANTOWN",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Methodisthealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784816",
      "ccn": "",
      "hospital": "METHODIST NORTH HOSPITAL",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Unknown",
      "publicStatus": "unknown",
      "publicStatusLabel": "Unknown",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440034",
      "ccn": "440034",
      "hospital": "METHODIST MEDICAL CENTER OF OAK RIDGE",
      "city": "OAK RIDGE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0002137208",
      "ccn": "",
      "hospital": "METROPOLITAN NASHVILLE GENERAL HOSPITAL",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0014137814",
      "ccn": "",
      "hospital": "MORRISTOWN - HAMBLEN HEALTHCARE SYSTEM",
      "city": "MORRISTOWN",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440156",
      "ccn": "440156",
      "hospital": "PARKRIDGE MEDICAL CENTER, INC",
      "city": "CHATTANOOGA",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0007437412",
      "ccn": "",
      "hospital": "PARKRIDGE EAST HOSPITAL",
      "city": "CHATTANOOGA",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0001693721",
      "ccn": "",
      "hospital": "PARKRIDGE VALLEY HOSPITAL - ADULT AND SENIOR",
      "city": "CHATTANOOGA",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0007537421",
      "ccn": "",
      "hospital": "PARKRIDGE VALLEY HOSPITAL - CHILD AND ADOLES",
      "city": "CHATTANOOGA",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0014537343",
      "ccn": "",
      "hospital": "PARKRIDGE WEST HOSPITAL",
      "city": "JASPER",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440173",
      "ccn": "440173",
      "hospital": "PARKWEST MEDICAL CENTER",
      "city": "KNOXVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0017037777",
      "ccn": "",
      "hospital": "PENINSULA HOSPITAL",
      "city": "LOUISVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0005537096",
      "ccn": "",
      "hospital": "PERRY COMMUNITY HOSPITAL",
      "city": "LINDEN",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0010337601",
      "ccn": "",
      "hospital": "QUILLEN REHABILITATION HOSPITAL - A JOINT VENTURE OF BALLAD HEALTH",
      "city": "JOHNSON CITY",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440152",
      "ccn": "440152",
      "hospital": "REGIONAL ONE HEALTH",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440152",
      "ccn": "440152",
      "hospital": "REGIONAL ONE HEALTH EXTENDED CARE HOSPITAL",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0011437660",
      "ccn": "",
      "hospital": "REHABILITATION HOSPITAL OF KINGSPORT - A JOINT VENTURE OF BALLAD",
      "city": "KINGSPORT",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "441310",
      "ccn": "441310",
      "hospital": "RHEA MEDICAL CENTER",
      "city": "DAYTON",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0011237030",
      "ccn": "",
      "hospital": "RIVERVIEW REGIONAL MEDICAL CENTER",
      "city": "CARTHAGE",
      "state": "TN",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/"
      ],
      "dossierUrl": "/data/dossiers/0011237030.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440031",
      "ccn": "440031",
      "hospital": "ROANE MEDICAL CENTER",
      "city": "HARRIMAN",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0000000081",
      "ccn": "",
      "hospital": "SAINT FRANCIS HOSPITAL",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0016638133",
      "ccn": "",
      "hospital": "SAINT FRANCIS HOSPITAL - BARTLETT",
      "city": "BARTLETT",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0012437166",
      "ccn": "",
      "hospital": "SAINT THOMAS DEKALB HOSPITAL, LLC",
      "city": "SMITHVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Sthealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "441300",
      "ccn": "441300",
      "hospital": "SAINT THOMAS HICKMAN HOSPITAL",
      "city": "CENTERVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Sthealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440192",
      "ccn": "440192",
      "hospital": "SAINT THOMAS HIGHLANDS HOSPITAL, LLC",
      "city": "SPARTA",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Sthealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0013137203",
      "ccn": "",
      "hospital": "SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784824",
      "ccn": "443038",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 111.25041256753485,
      "financialLeadDisplay": "Operating expense +111.3%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 5,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report"
      ],
      "dossierUrl": "/data/dossiers/0196784824.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440151",
      "ccn": "440151",
      "hospital": "SAINT THOMAS RIVER PARK HOSPITAL, LLC",
      "city": "MC MINNVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Sthealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440053",
      "ccn": "440053",
      "hospital": "SAINT THOMAS RUTHERFORD HOSPITAL",
      "city": "MURFREESBORO",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Sthealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440200",
      "ccn": "440200",
      "hospital": "SAINT THOMAS STONES RIVER HOSPITAL, LLC",
      "city": "WOODBURY",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Sthealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0002337205",
      "ccn": "",
      "hospital": "SAINT THOMAS WEST HOSPITAL",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0017337203",
      "ccn": "",
      "hospital": "SAINT THOMAS MIDTOWN HOSPITAL",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Sthealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0017438119",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - MEMPHIS",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Select Medical",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0002937203",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - NASHVILLE",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Select Medical",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0017537849",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - NORTH KNOXVILLE",
      "city": "POWELL",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Select Medical",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784826",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - KNOXVILLE",
      "city": "KNOXVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Select Medical",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0017637620",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - TRICITIES, INC",
      "city": "BRISTOL",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Select Medical",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0007637403",
      "ccn": "",
      "hospital": "SISKIN HOSPITAL FOR PHYSICAL REHABILITATION",
      "city": "CHATTANOOGA",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440175",
      "ccn": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -38.89348955214546,
      "financialLeadDisplay": "Net income -38.9%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440175.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440020",
      "ccn": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
      "city": "PULASKI",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -58.19064079719178,
      "financialLeadDisplay": "Net income -58.2%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440020.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440058",
      "ccn": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "city": "WINCHESTER",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Net income",
      "financialLeadPercentChange": -20.18415231160689,
      "financialLeadDisplay": "Net income -20.2%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440058.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0012637375",
      "ccn": "",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM",
      "city": "SEWANEE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0009738105",
      "ccn": "",
      "hospital": "ST. JOSEPH HOSPITAL",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "443302",
      "ccn": "443302",
      "hospital": "ST. JUDE CHILDREN'S RESEARCH HOSPITAL",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440068",
      "ccn": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
      "city": "ATHENS",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "November 2018",
      "acquisitionYear": 2018,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Direct-care contract labor",
      "financialLeadPercentChange": 5.518719244751361,
      "financialLeadDisplay": "Direct-care contract labor +5.5%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440068.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0014737331",
      "ccn": "",
      "hospital": "STARR REGIONAL MEDICAL CENTER ETOWAH",
      "city": "ETOWAH",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0009937066",
      "ccn": "",
      "hospital": "SUMNER REGIONAL MEDICAL CENTER",
      "city": "GALLATIN",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Unknown",
      "publicStatus": "disputed",
      "publicStatusLabel": "Disputed",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/"
      ],
      "dossierUrl": "/data/dossiers/0009937066.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440084",
      "ccn": "440084",
      "hospital": "SWEETWATER HOSPITAL ASSOCIATION",
      "city": "SWEETWATER",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440018",
      "ccn": "440018",
      "hospital": "SYCAMORE SHOALS HOSPITAL",
      "city": "ELIZABETHTON",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Msha",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440035",
      "ccn": "440035",
      "hospital": "TENNOVA HEALTHCARE - CLARKSVILLE",
      "city": "CLARKSVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Tennovamiddle",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0000000083",
      "ccn": "",
      "hospital": "TENNOVA HEALTHCARE - CLEVELAND",
      "city": "CLEVELAND",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0000537312",
      "ccn": "",
      "hospital": "TENNOVA HEALTHCARE - CLEVELAND WESTSIDE",
      "city": "CLEVELAND",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Tennovaeast",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440056",
      "ccn": "440056",
      "hospital": "TENNOVA HEALTHCARE - JEFFERSON MEMORIAL HOSPITAL",
      "city": "JEFFERSON CITY",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Tennovaeast",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440033",
      "ccn": "440033",
      "hospital": "TENNOVA HEALTHCARE - LAFOLLETTE MEDICAL CENTER",
      "city": "LAFOLLETTE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Tennovaeast",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440153",
      "ccn": "440153",
      "hospital": "TENNOVA HEALTHCARE - NEWPORT MEDICAL CENTER",
      "city": "NEWPORT",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Tennovaeast",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0013937849",
      "ccn": "",
      "hospital": "TENNOVA HEALTHCARE - NORTH KNOXVILLE",
      "city": "POWELL",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0004137920",
      "ccn": "",
      "hospital": "THE UNIVERSITY OF TENNESSEE MEDICAL CENTER",
      "city": "KNOXVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0017837185",
      "ccn": "",
      "hospital": "THREE RIVERS HOSPITAL",
      "city": "WAVERLY",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440779",
      "ccn": "440779",
      "hospital": "TRISTAR ASHLAND CITY MEDICAL CENTER",
      "city": "ASHLAND CITY",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440161",
      "ccn": "440161",
      "hospital": "TRISTAR CENTENNIAL MEDICAL CENTER",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440194",
      "ccn": "440194",
      "hospital": "TRISTAR HENDERSONVILLE MEDICAL CENTER",
      "city": "HENDERSONVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0002637148",
      "ccn": "",
      "hospital": "TRISTAR PORTLAND MEDICAL PARK",
      "city": "PORTLAND",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440046",
      "ccn": "440046",
      "hospital": "TRISTAR HORIZON MEDICAL CENTER",
      "city": "DICKSON",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440065",
      "ccn": "440065",
      "hospital": "TRISTAR NORTHCREST MEDICAL CENTER",
      "city": "SPRINGFIELD",
      "state": "TN",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 56.49680451708867,
      "financialLeadDisplay": "Total liabilities +56.5%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440065.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440006",
      "ccn": "440006",
      "hospital": "TRISTAR SKYLINE MEDICAL CENTER",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0002537115",
      "ccn": "",
      "hospital": "TRISTAR SKYLINE MADISON CAMPUS",
      "city": "MADISON",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440197",
      "ccn": "440197",
      "hospital": "TRISTAR SOUTHERN HILLS MEDICAL CENTER",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440227",
      "ccn": "440227",
      "hospital": "TRISTAR STONECREST MEDICAL CENTER",
      "city": "SMYRNA",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440150",
      "ccn": "440150",
      "hospital": "TRISTAR SUMMIT MEDICAL CENTER",
      "city": "HERMITAGE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "HCA Healthcare",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0010037074",
      "ccn": "",
      "hospital": "TROUSDALE MEDICAL CENTER",
      "city": "HARTSVILLE",
      "state": "TN",
      "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": 2,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/"
      ],
      "dossierUrl": "/data/dossiers/0010037074.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440231",
      "ccn": "440231",
      "hospital": "TRUSTPOINT HOSPITAL",
      "city": "MURFREESBORO",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0195337650",
      "ccn": "",
      "hospital": "UNICOI COUNTY HOSPITAL",
      "city": "ERWIN",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Balladhealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440007",
      "ccn": "440007",
      "hospital": "UNITY MEDICAL CENTER",
      "city": "MANCHESTER",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440137",
      "ccn": "440137",
      "hospital": "VANDERBILT BEDFORD HOSPITAL",
      "city": "SHELBYVILLE",
      "state": "TN",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Beds",
      "financialLeadPercentChange": -51.02040816326531,
      "financialLeadDisplay": "Beds -51.0%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440137.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "0018037212",
      "ccn": "",
      "hospital": "VANDERBILT STALLWORTH REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440144",
      "ccn": "440144",
      "hospital": "VANDERBILT TULLAHOMA - HARTON HOSPITAL",
      "city": "TULLAHOMA",
      "state": "TN",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 9.827469320528358,
      "financialLeadDisplay": "Total liabilities +9.8%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440144.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440039",
      "ccn": "440039",
      "hospital": "VANDERBILT UNIVERSITY MEDICAL CENTER",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Tier 2",
      "overallStatus": "Declining",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 12.394464325424707,
      "financialLeadDisplay": "Total liabilities +12.4%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440039.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440193",
      "ccn": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL",
      "city": "LEBANON",
      "state": "TN",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Tennovamiddle",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 75.57449983071174,
      "financialLeadDisplay": "Total liabilities +75.6%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440193.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440193",
      "ccn": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL - SATELLITE",
      "city": "LEBANON",
      "state": "TN",
      "tier": "Tier 2",
      "overallStatus": "Critical",
      "publicStatus": "signal",
      "publicStatusLabel": "Watch signal",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Tennovamiddle",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 75.57449983071174,
      "financialLeadDisplay": "Total liabilities +75.6%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/440193.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "440780",
      "ccn": "440780",
      "hospital": "WAYNE MEDICAL CENTER",
      "city": "WAYNESBORO",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "441320",
      "ccn": "441320",
      "hospital": "WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL",
      "city": "BOLIVAR",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Wth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "441316",
      "ccn": "441316",
      "hospital": "WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL",
      "city": "CAMDEN",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Wth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0016438024",
      "ccn": "",
      "hospital": "WEST TENNESSEE HEALTHCARE DYERSBURG HOSPITAL",
      "city": "DYERSBURG",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440060",
      "ccn": "440060",
      "hospital": "WEST TENNESSEE HEALTHCARE MILAN HOSPITAL",
      "city": "MILAN",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0013538237",
      "ccn": "",
      "hospital": "WEST TENNESSEE HEALTHCARE REHABILITATION HOSPITAL CANE CREEK - A",
      "city": "MARTIN",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0018138301",
      "ccn": "",
      "hospital": "WEST TENNESSEE HEALTHCARE REHABILITATION HOSPITAL JACKSON - A PAR",
      "city": "JACKSON",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0011038237",
      "ccn": "",
      "hospital": "WEST TENNESSEE HEALTHCARE VOLUNTEER HOSPITAL",
      "city": "MARTIN",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "440029",
      "ccn": "440029",
      "hospital": "WILLIAMSON MEDICAL CENTER",
      "city": "FRANKLIN",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "44013F",
      "ccn": "44013F",
      "hospital": "MEMPHIS VA MEDICAL CENTER",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0013537212",
      "ccn": "",
      "hospital": "NASHVILLE VA MEDICAL CENTER",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0014537684",
      "ccn": "",
      "hospital": "JAMES H. QUILLEN DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "city": "MOUNTAIN HOME",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784912",
      "ccn": "",
      "hospital": "REHABILITATION HOSPITAL OF KNOX COUNTY - DOWNTOWN",
      "city": "KNOXVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Unknown",
      "publicStatus": "unknown",
      "publicStatusLabel": "Unknown",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0013637934",
      "ccn": "",
      "hospital": "TENNOVA HEALTHCARE - TURKEY CREEK MEDICAL CENTER",
      "city": "KNOXVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0013337129",
      "ccn": "",
      "hospital": "VA MEDICAL CENTER - ALVIN C. YORK CAMPUS",
      "city": "MURFREESBORO",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196785383",
      "ccn": "",
      "hospital": "SELECT SPECIALITY HOSPITAL-NASHVILLE WES",
      "city": "NASHVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Unknown",
      "publicStatus": "unknown",
      "publicStatusLabel": "Unknown",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784982",
      "ccn": "",
      "hospital": "PATRICIA NEAL REHABILITATION HOSPITAL",
      "city": "KNOXVILLE",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Unknown",
      "publicStatus": "unknown",
      "publicStatusLabel": "Unknown",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784983",
      "ccn": "",
      "hospital": "SELECT SPECIALITY HOSPITAL-WEST TENNESSEE, LLC",
      "city": "JACKSON",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Unknown",
      "publicStatus": "unknown",
      "publicStatusLabel": "Unknown",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784984",
      "ccn": "",
      "hospital": "SELECT SPECIALTY HOSPITAL - KNOXVILLE",
      "city": "KNOXVILLE",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Select Medical",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196784985",
      "ccn": "",
      "hospital": "ASCENSION SAINT THOMAS WESTLAWN",
      "city": "MURFREESBORO",
      "state": "TN",
      "tier": "Tier 3",
      "overallStatus": "Mixed",
      "publicStatus": "corporate_chain",
      "publicStatusLabel": "Corporate chain",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "Ascension",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196785552",
      "ccn": "",
      "hospital": "LE BONHEUR CHILDREN'S HOSPITAL- JACKSON",
      "city": "JACKSON",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Unknown",
      "publicStatus": "unknown",
      "publicStatusLabel": "Unknown",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0196785551",
      "ccn": "",
      "hospital": "METHODIST NORTH",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Independent/Unresolved",
      "overallStatus": "Unknown",
      "publicStatus": "unknown",
      "publicStatusLabel": "Unknown",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "pe-tracker-444027",
      "ccn": "444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Patient Square Capital",
      "parentSystem": "Summit Behavioral Healthcare",
      "formerOperator": "",
      "acquisitionDate": "January 2022",
      "acquisitionYear": 2022,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 1149.0840126949274,
      "financialLeadDisplay": "Total liabilities +1149.1%",
      "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-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-444027.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-44T187",
      "ccn": "044187",
      "hospital": "JACK M ROE REHABILITATION UNIT",
      "city": "LIVINGSTON",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Mixed",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "ScionHealth",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-44T187.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-444023",
      "ccn": "444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "city": "JACKSON",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Critical",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Ridgemont Equity Partners",
      "parentSystem": "Perimeter Healthcare",
      "formerOperator": "",
      "acquisitionDate": "October 2016",
      "acquisitionYear": 2016,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Critical",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 67.30636674615644,
      "financialLeadDisplay": "Total liabilities +67.3%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-444023.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-44T058",
      "ccn": "044058",
      "hospital": "SOUTHERN TENNESSEE MEDICAL CTR",
      "city": "WINCHESTER",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Mixed",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "parentSystem": "LifePoint Health",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 4,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-44T058.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-444019",
      "ccn": "444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Mitchell Family Office",
      "parentSystem": "American Health Partners",
      "formerOperator": "",
      "acquisitionDate": "April 2021",
      "acquisitionYear": 2021,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 6580.270063150543,
      "financialLeadDisplay": "Total liabilities +6580.3%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-444019.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-444021",
      "ccn": "444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Mitchell Family Office",
      "parentSystem": "American Health Partners",
      "formerOperator": "",
      "acquisitionDate": "April 2021",
      "acquisitionYear": 2021,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 279.9293713980155,
      "financialLeadDisplay": "Total liabilities +279.9%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-444021.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-444005",
      "ccn": "444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Mitchell Family Office",
      "parentSystem": "American Health Partners",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Operating expense",
      "financialLeadPercentChange": 7.7041616774317605,
      "financialLeadDisplay": "Operating expense +7.7%",
      "financialBaselineType": "earliest_latest_no_acquisition_date",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-444005.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    },
    {
      "hospitalId": "pe-tracker-444024",
      "ccn": "444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "state": "TN",
      "tier": "Tier 1",
      "overallStatus": "Declining",
      "publicStatus": "confirmed_pe",
      "publicStatusLabel": "Confirmed PE",
      "relationshipType": "ownership",
      "peFirm": "Mitchell Family Office",
      "parentSystem": "American Health Partners",
      "formerOperator": "",
      "acquisitionDate": "April 2021",
      "acquisitionYear": 2021,
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Declining",
      "financialLeadMetric": "Total liabilities",
      "financialLeadPercentChange": 238.09991448511764,
      "financialLeadDisplay": "Total liabilities +238.1%",
      "financialBaselineType": "earliest_latest_no_pre_acquisition_period",
      "financialSourceIds": [
        "source-cms-hcris"
      ],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 6,
      "evidenceState": "source_backed",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ],
      "sourceUrls": [
        "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "dossierUrl": "/data/dossiers/pe-tracker-444024.json",
      "note": "State row is derived from the existing source-backed public hospital dossier."
    }
  ],
  "metricTrendRows": [
    {
      "hospitalId": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
      "city": "GERMANTOWN",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 9824321,
      "afterValue": 8582082,
      "percentChange": -12.644527799936506,
      "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": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
      "city": "GERMANTOWN",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 14869189,
      "afterValue": 11725269,
      "percentChange": -21.14385660172858,
      "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": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
      "city": "GERMANTOWN",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
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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": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION 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"
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
      "city": "GERMANTOWN",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
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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": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
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      "metric": "patient_days",
      "label": "Patient days",
      "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": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
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      "metric": "discharges",
      "label": "Discharges",
      "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": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
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      "metric": "operating_expense",
      "label": "Operating expense",
      "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": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
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      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "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": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
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      "metric": "total_assets",
      "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": "440104",
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      "metric": "net_income",
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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": "440104",
      "hospital": "ERLANGER MEDICAL CENTER",
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      "metric": "total_liabilities",
      "label": "Total liabilities",
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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": "440104",
      "hospital": "ERLANGER MEDICAL CENTER",
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      "metric": "contract_labor_direct_patient_care",
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      "baselineType": "earliest_latest_no_acquisition_date",
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "440104",
      "hospital": "ERLANGER MEDICAL CENTER",
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      "metric": "fte_employees",
      "label": "Payroll employees",
      "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": "440104",
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      "metric": "beds",
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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": "440104",
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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": "440104",
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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": "440104",
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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": "440104",
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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": "440104",
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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."
    },
    {
      "hospitalId": "441322",
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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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    },
    {
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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": "441322",
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "0007737402",
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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": "0007737402",
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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": "0007737402",
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      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
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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": "0007737402",
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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": "0007737402",
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      "metric": "total_assets",
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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 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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      "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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      "afterValue": 1611,
      "percentChange": 26.95035460992908,
      "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": "440187",
      "hospital": "LIVINGSTON REGIONAL HOSPITAL",
      "city": "LIVINGSTON",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2022",
      "afterPeriod": "02/29/2024",
      "beforeValue": 39732919,
      "afterValue": 54388649,
      "percentChange": 36.885611147773965,
      "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": "440187",
      "hospital": "LIVINGSTON REGIONAL HOSPITAL",
      "city": "LIVINGSTON",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2021",
      "afterPeriod": "02/29/2024",
      "beforeValue": 37771641,
      "afterValue": 51766567,
      "percentChange": 37.05141113673086,
      "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": "440187",
      "hospital": "LIVINGSTON REGIONAL HOSPITAL",
      "city": "LIVINGSTON",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "02/28/2021",
      "afterPeriod": "02/29/2024",
      "beforeValue": 14112063,
      "afterValue": 24430215,
      "percentChange": 73.11583005262943,
      "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": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2022",
      "afterPeriod": "12/31/2023",
      "beforeValue": -3011136,
      "afterValue": 2357475,
      "percentChange": 178.2918805394376,
      "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": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2022",
      "afterPeriod": "12/31/2023",
      "beforeValue": 18771681,
      "afterValue": 18393100,
      "percentChange": -2.0167666390665815,
      "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": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2022",
      "afterPeriod": "12/31/2023",
      "beforeValue": 1165245,
      "afterValue": 1344834,
      "percentChange": 15.41212363065278,
      "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": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2022",
      "afterPeriod": "12/31/2023",
      "beforeValue": 53.7,
      "afterValue": 66.7,
      "percentChange": 24.20856610800745,
      "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": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2022",
      "afterPeriod": "12/31/2023",
      "beforeValue": 40,
      "afterValue": 40,
      "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": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2022",
      "afterPeriod": "12/31/2023",
      "beforeValue": 2314,
      "afterValue": 9107,
      "percentChange": 293.5609334485739,
      "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": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2022",
      "afterPeriod": "12/31/2023",
      "beforeValue": 217,
      "afterValue": 794,
      "percentChange": 265.89861751152074,
      "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": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2022",
      "afterPeriod": "12/31/2023",
      "beforeValue": 7110957,
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      "percentChange": 111.25041256753485,
      "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": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2022",
      "afterPeriod": "12/31/2023",
      "beforeValue": 4099451,
      "afterValue": 17347249,
      "percentChange": 323.16029634212,
      "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": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2022",
      "afterPeriod": "12/31/2023",
      "beforeValue": 24934719,
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      "percentChange": 1.9923104006104901,
      "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": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 4701013,
      "afterValue": 2872625,
      "percentChange": -38.89348955214546,
      "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": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": -65861840,
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      "percentChange": 2.5046627910790225,
      "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": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2017-11-30",
      "afterPeriod": "2023-11-30",
      "beforeValue": 3300,
      "afterValue": 21425,
      "percentChange": 549.2424242424242,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 261.95,
      "afterValue": 257.41,
      "percentChange": -1.733155182286682,
      "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": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 89,
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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": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
      "beforeValue": 7142,
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      "percentChange": -18.118174180901708,
      "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": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
      "afterPeriod": "11/30/2023",
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      "percentChange": 9.244883556810162,
      "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": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "11/30/2021",
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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": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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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": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
      "city": "PULASKI",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
      "city": "PULASKI",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
      "city": "PULASKI",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "baselineType": "acquisition_anchor",
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      "sourceIds": [
        "source-cms-hcris"
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      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
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      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
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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": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
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      "metric": "beds",
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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": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
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      "metric": "patient_days",
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      "baselineType": "earliest_latest_no_pre_acquisition_period",
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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": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
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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"
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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": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
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      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
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      "label": "Net patient revenue",
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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": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
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      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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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": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "city": "WINCHESTER",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
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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": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "city": "WINCHESTER",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "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."
    },
    {
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      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "city": "WINCHESTER",
      "metric": "contract_labor_direct_patient_care",
      "label": "Direct-care contract labor",
      "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": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "city": "WINCHESTER",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
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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": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "city": "WINCHESTER",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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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": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "city": "WINCHESTER",
      "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": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
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      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "percentChange": 18.667186282151206,
      "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": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "city": "WINCHESTER",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
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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": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "city": "WINCHESTER",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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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": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
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      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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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": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
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      "metric": "net_income",
      "label": "Net income",
      "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": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
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      "metric": "total_liabilities",
      "label": "Total liabilities",
      "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": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
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      "metric": "contract_labor_direct_patient_care",
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      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
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      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "09/30/2021",
      "afterPeriod": "09/30/2023",
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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": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
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      "metric": "beds",
      "label": "Beds",
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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": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
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      "metric": "patient_days",
      "label": "Patient days",
      "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": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
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      "metric": "discharges",
      "label": "Discharges",
      "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": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
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      "metric": "operating_expense",
      "label": "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": "440068",
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      "label": "Net patient revenue",
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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": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
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      "label": "Total assets",
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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": "440065",
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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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      "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": [
        "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": "440065",
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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."
    },
    {
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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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    },
    {
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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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      "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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    },
    {
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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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      "sourceIds": [
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
    {
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    },
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    },
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    },
    {
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      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No documented acquisition date is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL - SATELLITE",
      "city": "LEBANON",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
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      "beforeValue": 1096.21,
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      "percentChange": -25.447678820663928,
      "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": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL - SATELLITE",
      "city": "LEBANON",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 107,
      "afterValue": 117,
      "percentChange": 9.345794392523365,
      "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": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL - SATELLITE",
      "city": "LEBANON",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 24780,
      "afterValue": 25403,
      "percentChange": 2.514124293785311,
      "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": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL - SATELLITE",
      "city": "LEBANON",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 4835,
      "afterValue": 7289,
      "percentChange": 50.75491209927612,
      "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": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL - SATELLITE",
      "city": "LEBANON",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 142497240,
      "afterValue": 180602967,
      "percentChange": 26.7413789909194,
      "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": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL - SATELLITE",
      "city": "LEBANON",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": 121793523,
      "afterValue": 172629167,
      "percentChange": 41.73920151730893,
      "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": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL - SATELLITE",
      "city": "LEBANON",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "06/30/2022",
      "afterPeriod": "06/30/2024",
      "beforeValue": -3345435,
      "afterValue": 57720413,
      "percentChange": 1825.3485122263623,
      "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": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": -413967,
      "afterValue": 1447817,
      "percentChange": 449.7421292035355,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 1151326,
      "afterValue": 14381029,
      "percentChange": 1149.0840126949274,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 134.59,
      "afterValue": 147.31,
      "percentChange": 9.450925031577382,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 72,
      "afterValue": 72,
      "percentChange": 0,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 19141,
      "afterValue": 22877,
      "percentChange": 19.518311477979207,
      "direction": "better",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
      "beforeValue": 2536,
      "afterValue": 2633,
      "percentChange": 3.8249211356466875,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
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      "afterValue": 18312615,
      "percentChange": 17.53743090366831,
      "direction": "worse",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
      "afterPeriod": "2023-12-31",
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      "percentChange": 28.462123911056715,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "acquisition_anchor",
      "beforePeriod": "2021-12-31",
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      "beforeValue": 16547250,
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      "percentChange": 3.3476619982172267,
      "direction": "flat",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "Closest compatible pre-acquisition HCRIS period compared with latest post-acquisition period."
    },
    {
      "hospitalId": "pe-tracker-444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
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      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2019",
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      "percentChange": -24.3422674060382,
      "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": "pe-tracker-444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "city": "JACKSON",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2019",
      "afterPeriod": "12/31/2021",
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      "percentChange": 67.30636674615644,
      "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": "pe-tracker-444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "city": "JACKSON",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "afterPeriod": "12/31/2021",
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      "afterValue": 47,
      "percentChange": -29.280770388203425,
      "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": "pe-tracker-444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "city": "JACKSON",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2019",
      "afterPeriod": "12/31/2021",
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      "afterValue": 40,
      "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": "pe-tracker-444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "city": "JACKSON",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "afterPeriod": "12/31/2021",
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      "percentChange": -7.07059477487493,
      "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": "pe-tracker-444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "city": "JACKSON",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "afterPeriod": "12/31/2021",
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      "percentChange": -5.930807248764415,
      "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": "pe-tracker-444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "city": "JACKSON",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2019",
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      "percentChange": 0.10567458751303128,
      "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": "pe-tracker-444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "city": "JACKSON",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "percentChange": -7.5426766386980315,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "pe-tracker-444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "city": "JACKSON",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "percentChange": -17.8778692560935,
      "direction": "down",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    },
    {
      "hospitalId": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "afterValue": 48191,
      "percentChange": 107.94773307121805,
      "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": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "percentChange": 6580.270063150543,
      "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": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
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      "afterValue": 41.49,
      "percentChange": 20.5403834979663,
      "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": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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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": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "percentChange": 52.398439293091585,
      "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": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "percentChange": 63.81322957198443,
      "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": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "percentChange": 18.972620886159792,
      "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": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "percentChange": 47.38026781738432,
      "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": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "percentChange": 163.33749971228968,
      "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": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
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      "afterValue": 91357,
      "percentChange": 157.7149535662392,
      "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": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 1346480,
      "afterValue": 5115673,
      "percentChange": 279.9293713980155,
      "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": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 31.68,
      "afterValue": 39.08,
      "percentChange": 23.358585858585855,
      "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": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 16,
      "afterValue": 16,
      "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": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 4022,
      "afterValue": 5254,
      "percentChange": 30.63152660367976,
      "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": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 306,
      "afterValue": 374,
      "percentChange": 22.22222222222222,
      "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": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 4491795,
      "afterValue": 5156426,
      "percentChange": 14.796556833070076,
      "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": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 3737742,
      "afterValue": 4929250,
      "percentChange": 31.877748651458553,
      "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": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": -1809025,
      "afterValue": 2436207,
      "percentChange": 234.6696148477771,
      "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": "pe-tracker-444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 598828,
      "afterValue": 817419,
      "percentChange": 36.50313612589925,
      "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": "pe-tracker-444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 577617,
      "afterValue": -5256973,
      "percentChange": -1010.1139682523195,
      "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": "pe-tracker-444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 30.64,
      "afterValue": 32.4,
      "percentChange": 5.74412532637075,
      "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": "pe-tracker-444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 16,
      "afterValue": 16,
      "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": "pe-tracker-444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 3470,
      "afterValue": 4607,
      "percentChange": 32.76657060518732,
      "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": "pe-tracker-444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 269,
      "afterValue": 317,
      "percentChange": 17.843866171003718,
      "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": "pe-tracker-444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 3661216,
      "afterValue": 3943282,
      "percentChange": 7.7041616774317605,
      "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": "pe-tracker-444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 3535262,
      "afterValue": 4771459,
      "percentChange": 34.967620504505746,
      "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": "pe-tracker-444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_acquisition_date",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 5439073,
      "afterValue": 932468,
      "percentChange": -82.8561227253247,
      "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": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "metric": "net_income",
      "label": "Net income",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": -262171,
      "afterValue": 45108,
      "percentChange": 117.20556430726509,
      "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": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "metric": "total_liabilities",
      "label": "Total liabilities",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 362510,
      "afterValue": 1225646,
      "percentChange": 238.09991448511764,
      "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": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "metric": "fte_employees",
      "label": "Payroll employees",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 32.93,
      "afterValue": 37.01,
      "percentChange": 12.389918007895531,
      "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": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "metric": "beds",
      "label": "Beds",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 17,
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      "percentChange": -5.88235294117647,
      "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": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "metric": "patient_days",
      "label": "Patient days",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 4173,
      "afterValue": 4841,
      "percentChange": 16.007668344116944,
      "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": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "metric": "discharges",
      "label": "Discharges",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 271,
      "afterValue": 315,
      "percentChange": 16.236162361623617,
      "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": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "metric": "operating_expense",
      "label": "Operating expense",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 4082902,
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      "percentChange": 2.59043690002846,
      "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": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "metric": "net_patient_revenue",
      "label": "Net patient revenue",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 3680902,
      "afterValue": 4237487,
      "percentChange": 15.120886130627763,
      "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": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "metric": "total_assets",
      "label": "Total assets",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "beforePeriod": "12/31/2021",
      "afterPeriod": "12/31/2023",
      "beforeValue": 303172,
      "afterValue": 1593425,
      "percentChange": 425.5844866940219,
      "direction": "up",
      "sourceIds": [
        "source-cms-hcris"
      ],
      "note": "No compatible pre-acquisition HCRIS period is present in this public dossier; shown as earliest-to-latest context only."
    }
  ],
  "documentedDebtEvents": [],
  "financialStressSignals": [
    {
      "hospitalId": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 6580.270063150543,
      "display": "Total liabilities +6580.3%",
      "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": "440102",
      "hospital": "LINCOLN MEDICAL CENTER",
      "city": "FAYETTEVILLE",
      "status": "Critical",
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      "percentChange": -4412.343252219887,
      "display": "Net income -4412.3%",
      "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": "441322",
      "hospital": "HOUSTON COUNTY COMMUNITY HOSPITAL",
      "city": "ERIN",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -1180.026690971947,
      "display": "Net income -1180.0%",
      "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": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 1149.0840126949274,
      "display": "Total liabilities +1149.1%",
      "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": "0007737402",
      "hospital": "KINDRED HOSPITAL - CHATTANOOGA",
      "city": "CHATTANOOGA",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -965.4873079593131,
      "display": "Net income -965.5%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "0196784809",
      "hospital": "KNOXVILLE REHABILITATION HOSPITAL",
      "city": "KNOXVILLE",
      "status": "Critical",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 660.9411103478424,
      "display": "Direct-care contract labor +660.9%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 279.9293713980155,
      "display": "Total liabilities +279.9%",
      "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": "441314",
      "hospital": "LAUDERDALE COMMUNITY HOSPITAL",
      "city": "RIPLEY",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -260.56923903833155,
      "display": "Net income -260.6%",
      "baselineType": "earliest_latest_no_acquisition_date",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 238.09991448511764,
      "display": "Total liabilities +238.1%",
      "baselineType": "earliest_latest_no_pre_acquisition_period",
      "sourceIds": [
        "source-cms-hcris"
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      "note": "Financial stress signal from HCRIS trend fields. This is not a documented debt-extraction claim and is not causal evidence."
    },
    {
      "hospitalId": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 111.25041256753485,
      "display": "Operating expense +111.3%",
      "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": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL",
      "city": "LEBANON",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 75.57449983071174,
      "display": "Total liabilities +75.6%",
      "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": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL - SATELLITE",
      "city": "LEBANON",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 75.57449983071174,
      "display": "Total liabilities +75.6%",
      "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": "pe-tracker-444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "city": "JACKSON",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 67.30636674615644,
      "display": "Total liabilities +67.3%",
      "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": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
      "city": "PULASKI",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -58.19064079719178,
      "display": "Net income -58.2%",
      "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": "440065",
      "hospital": "TRISTAR NORTHCREST MEDICAL CENTER",
      "city": "SPRINGFIELD",
      "status": "Critical",
      "leadMetric": "Total liabilities",
      "percentChange": 56.49680451708867,
      "display": "Total liabilities +56.5%",
      "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": "440137",
      "hospital": "VANDERBILT BEDFORD HOSPITAL",
      "city": "SHELBYVILLE",
      "status": "Declining",
      "leadMetric": "Beds",
      "percentChange": -51.02040816326531,
      "display": "Beds -51.0%",
      "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": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "status": "Critical",
      "leadMetric": "Net income",
      "percentChange": -38.89348955214546,
      "display": "Net income -38.9%",
      "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": "440187",
      "hospital": "LIVINGSTON REGIONAL HOSPITAL",
      "city": "LIVINGSTON",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 36.885611147773965,
      "display": "Operating expense +36.9%",
      "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": "440104",
      "hospital": "ERLANGER MEDICAL CENTER",
      "city": "CHATTANOOGA",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 30.91734905638442,
      "display": "Direct-care contract labor +30.9%",
      "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": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "city": "WINCHESTER",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -20.18415231160689,
      "display": "Net income -20.2%",
      "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": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
      "city": "GERMANTOWN",
      "status": "Declining",
      "leadMetric": "Net income",
      "percentChange": -12.644527799936506,
      "display": "Net income -12.6%",
      "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": "440039",
      "hospital": "VANDERBILT UNIVERSITY MEDICAL CENTER",
      "city": "NASHVILLE",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 12.394464325424707,
      "display": "Total liabilities +12.4%",
      "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": "440144",
      "hospital": "VANDERBILT TULLAHOMA - HARTON HOSPITAL",
      "city": "TULLAHOMA",
      "status": "Declining",
      "leadMetric": "Total liabilities",
      "percentChange": 9.827469320528358,
      "display": "Total liabilities +9.8%",
      "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": "pe-tracker-444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "status": "Declining",
      "leadMetric": "Operating expense",
      "percentChange": 7.7041616774317605,
      "display": "Operating expense +7.7%",
      "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": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
      "city": "ATHENS",
      "status": "Declining",
      "leadMetric": "Direct-care contract labor",
      "percentChange": 5.518719244751361,
      "display": "Direct-care contract labor +5.5%",
      "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."
    }
  ],
  "compensationRows": [
    {
      "hospitalId": "0196784479",
      "hospital": "ARNOLD AFB",
      "city": "ARNOLD AFB",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440048",
      "hospital": "BAPTIST MEMORIAL HOSPITAL",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0013038017",
      "hospital": "BAPTIST MEMORIAL HOSPITAL - COLLIERVILLE",
      "city": "COLLIERVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440048",
      "hospital": "BAPTIST MEMORIAL HOSPITAL FOR WOMEN",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440016",
      "hospital": "BAPTIST MEMORIAL HOSPITAL - CARROLL COUNTY",
      "city": "HUNTINGDON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440130",
      "hospital": "BAPTIST MEMORIAL HOSPITAL - UNION CITY",
      "city": "UNION 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": "440131",
      "hospital": "BAPTIST MEMORIAL HOSPITAL - TIPTON",
      "city": "COVINGTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0016438138",
      "hospital": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
      "city": "GERMANTOWN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0016538120",
      "hospital": "BAPTIST MEMORIAL RESTORATIVE CARE HOSPITAL",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "441323",
      "hospital": "BIG SOUTH FORK MEDICAL CENTER",
      "city": "ONEIDA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440011",
      "hospital": "BLOUNT MEMORIAL HOSPITAL",
      "city": "MARYVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440012",
      "hospital": "BRISTOL REGIONAL MEDICAL CENTER",
      "city": "BRISTOL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440057",
      "hospital": "CLAIBORNE MEDICAL CENTER",
      "city": "TAZEWELL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440059",
      "hospital": "COOKEVILLE REGIONAL MEDICAL CENTER",
      "city": "COOKEVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0014637317",
      "hospital": "COPPER BASIN MEDICAL CENTER",
      "city": "COPPERHILL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440009",
      "hospital": "CUMBERLAND MEDICAL CENTER, INC",
      "city": "CROSSVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0001438551",
      "hospital": "CUMBERLAND RIVER HOSPITAL",
      "city": "CELINA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440159",
      "hospital": "DELTA SPECIALTY HOSPITAL",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "443303",
      "hospital": "EAST TENNESSEE CHILDREN'S HOSPITAL",
      "city": "KNOXVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0016737404",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CHATTANOOGA",
      "city": "CHATTANOOGA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0016837067",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF FRANKLIN",
      "city": "FRANKLIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002838104",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MEMPHIS - A PARTNER OF METHODIST HEALTHCARE",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0013438128",
      "hospital": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTH MEMPHIS",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "441306",
      "hospital": "ERLANGER BLEDSOE",
      "city": "PIKEVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440104",
      "hospital": "ERLANGER MEDICAL CENTER",
      "city": "CHATTANOOGA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0003037421",
      "hospital": "ERLANGER EAST HOSPITAL - SATELLITE",
      "city": "CHATTANOOGA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0014437415",
      "hospital": "ERLANGER NORTH HOSPITAL - SATELLITE",
      "city": "CHATTANOOGA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440110",
      "hospital": "FORT LOUDOUN MEDICAL CENTER",
      "city": "LENOIR 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": "440125",
      "hospital": "FORT SANDERS REGIONAL MEDICAL CENTER",
      "city": "KNOXVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440184",
      "hospital": "FRANKLIN WOODS COMMUNITY HOSPITAL",
      "city": "JOHNSON 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": "440050",
      "hospital": "GREENEVILLE COMMUNITY HOSPITAL",
      "city": "GREENEVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "441313",
      "hospital": "HANCOCK COUNTY HOSPITAL",
      "city": "SNEEDVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440109",
      "hospital": "HARDIN MEDICAL CENTER",
      "city": "SAVANNAH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440032",
      "hospital": "HAWKINS COUNTY MEMORIAL HOSPITAL",
      "city": "ROGERSVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440238",
      "hospital": "HAYWOOD COUNTY COMMUNITY HOSPITAL",
      "city": "BROWNSVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440008",
      "hospital": "HENDERSON COUNTY COMMUNITY HOSPITAL",
      "city": "LEXINGTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0006538242",
      "hospital": "HENRY COUNTY MEDICAL CENTER",
      "city": "PARIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440017",
      "hospital": "HOLSTON VALLEY MEDICAL CENTER",
      "city": "KINGSPORT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "441322",
      "hospital": "HOUSTON COUNTY COMMUNITY HOSPITAL",
      "city": "ERIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440176",
      "hospital": "INDIAN PATH COMMUNITY HOSPITAL",
      "city": "KINGSPORT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440002",
      "hospital": "JACKSON - MADISON COUNTY GENERAL HOSPITAL DISTRICT",
      "city": "JACKSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0008338305",
      "hospital": "WEST TENNESSEE HEALTHCARE NORTH HOSPITAL",
      "city": "JACKSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0004338556",
      "hospital": "JAMESTOWN TN MEDICAL CENTER, INC",
      "city": "JAMESTOWN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000637762",
      "hospital": "JELLICO REGIONAL HOSPITAL, LLC",
      "city": "JELLICO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440063",
      "hospital": "JOHNSON CITY MEDICAL CENTER",
      "city": "JOHNSON 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": "0010437604",
      "hospital": "WOODRIDGE PSYCHIATRIC HOSPITAL",
      "city": "JOHNSON 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": "441304",
      "hospital": "JOHNSON COUNTY COMMUNITY HOSPITAL",
      "city": "MOUNTAIN 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": "0007737402",
      "hospital": "KINDRED HOSPITAL - CHATTANOOGA",
      "city": "CHATTANOOGA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784809",
      "hospital": "KNOXVILLE REHABILITATION HOSPITAL",
      "city": "KNOXVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "441314",
      "hospital": "LAUDERDALE COMMUNITY HOSPITAL",
      "city": "RIPLEY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440081",
      "hospital": "LECONTE MEDICAL CENTER",
      "city": "SEVIERVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440102",
      "hospital": "LINCOLN MEDICAL CENTER",
      "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": "440187",
      "hospital": "LIVINGSTON REGIONAL HOSPITAL",
      "city": "LIVINGSTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "441305",
      "hospital": "MACON COMMUNITY HOSPITAL",
      "city": "LAFAYETTE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "441309",
      "hospital": "MARSHALL MEDICAL CENTER",
      "city": "LEWISBURG",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440073",
      "hospital": "MAURY REGIONAL HOSPITAL",
      "city": "COLUMBIA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440091",
      "hospital": "MEMORIAL HEALTH CARE SYSTEM - AND HIXSON",
      "city": "CHATTANOOGA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0007237343",
      "hospital": "CHI MEMORIAL HOSPITAL HIXSON",
      "city": "HIXSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009138104",
      "hospital": "METHODIST HEALTHCARE - MEMPHIS HOSPITALS",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009038103",
      "hospital": "LE BONHEUR CHILDREN'S HOSPITAL",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009438116",
      "hospital": "METHODIST HOSPITAL - SOUTH",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009238138",
      "hospital": "METHODIST LE BONHEUR GERMANTOWN",
      "city": "GERMANTOWN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784816",
      "hospital": "METHODIST NORTH HOSPITAL",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440034",
      "hospital": "METHODIST MEDICAL CENTER OF OAK RIDGE",
      "city": "OAK RIDGE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002137208",
      "hospital": "METROPOLITAN NASHVILLE GENERAL HOSPITAL",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0014137814",
      "hospital": "MORRISTOWN - HAMBLEN HEALTHCARE SYSTEM",
      "city": "MORRISTOWN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440156",
      "hospital": "PARKRIDGE MEDICAL CENTER, INC",
      "city": "CHATTANOOGA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0007437412",
      "hospital": "PARKRIDGE EAST HOSPITAL",
      "city": "CHATTANOOGA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0001693721",
      "hospital": "PARKRIDGE VALLEY HOSPITAL - ADULT AND SENIOR",
      "city": "CHATTANOOGA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0007537421",
      "hospital": "PARKRIDGE VALLEY HOSPITAL - CHILD AND ADOLES",
      "city": "CHATTANOOGA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0014537343",
      "hospital": "PARKRIDGE WEST HOSPITAL",
      "city": "JASPER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440173",
      "hospital": "PARKWEST MEDICAL CENTER",
      "city": "KNOXVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0017037777",
      "hospital": "PENINSULA HOSPITAL",
      "city": "LOUISVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0005537096",
      "hospital": "PERRY COMMUNITY HOSPITAL",
      "city": "LINDEN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0010337601",
      "hospital": "QUILLEN REHABILITATION HOSPITAL - A JOINT VENTURE OF BALLAD HEALTH",
      "city": "JOHNSON 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": "440152",
      "hospital": "REGIONAL ONE HEALTH",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440152",
      "hospital": "REGIONAL ONE HEALTH EXTENDED CARE HOSPITAL",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0011437660",
      "hospital": "REHABILITATION HOSPITAL OF KINGSPORT - A JOINT VENTURE OF BALLAD",
      "city": "KINGSPORT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "441310",
      "hospital": "RHEA MEDICAL CENTER",
      "city": "DAYTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0011237030",
      "hospital": "RIVERVIEW REGIONAL MEDICAL CENTER",
      "city": "CARTHAGE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440031",
      "hospital": "ROANE MEDICAL CENTER",
      "city": "HARRIMAN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000000081",
      "hospital": "SAINT FRANCIS HOSPITAL",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0016638133",
      "hospital": "SAINT FRANCIS HOSPITAL - BARTLETT",
      "city": "BARTLETT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0012437166",
      "hospital": "SAINT THOMAS DEKALB HOSPITAL, LLC",
      "city": "SMITHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "441300",
      "hospital": "SAINT THOMAS HICKMAN HOSPITAL",
      "city": "CENTERVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440192",
      "hospital": "SAINT THOMAS HIGHLANDS HOSPITAL, LLC",
      "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": "0013137203",
      "hospital": "SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784824",
      "hospital": "SAINT THOMAS REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440151",
      "hospital": "SAINT THOMAS RIVER PARK HOSPITAL, LLC",
      "city": "MC MINNVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440053",
      "hospital": "SAINT THOMAS RUTHERFORD HOSPITAL",
      "city": "MURFREESBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440200",
      "hospital": "SAINT THOMAS STONES RIVER HOSPITAL, LLC",
      "city": "WOODBURY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002337205",
      "hospital": "SAINT THOMAS WEST HOSPITAL",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0017337203",
      "hospital": "SAINT THOMAS MIDTOWN HOSPITAL",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0017438119",
      "hospital": "SELECT SPECIALTY HOSPITAL - MEMPHIS",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002937203",
      "hospital": "SELECT SPECIALTY HOSPITAL - NASHVILLE",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0017537849",
      "hospital": "SELECT SPECIALTY HOSPITAL - NORTH KNOXVILLE",
      "city": "POWELL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784826",
      "hospital": "SELECT SPECIALTY HOSPITAL - KNOXVILLE",
      "city": "KNOXVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0017637620",
      "hospital": "SELECT SPECIALTY HOSPITAL - TRICITIES, INC",
      "city": "BRISTOL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0007637403",
      "hospital": "SISKIN HOSPITAL FOR PHYSICAL REHABILITATION",
      "city": "CHATTANOOGA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "city": "LAWRENCEBURG",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
      "city": "PULASKI",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "city": "WINCHESTER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0012637375",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM",
      "city": "SEWANEE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009738105",
      "hospital": "ST. JOSEPH HOSPITAL",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "443302",
      "hospital": "ST. JUDE CHILDREN'S RESEARCH HOSPITAL",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
      "city": "ATHENS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0014737331",
      "hospital": "STARR REGIONAL MEDICAL CENTER ETOWAH",
      "city": "ETOWAH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0009937066",
      "hospital": "SUMNER REGIONAL MEDICAL CENTER",
      "city": "GALLATIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440084",
      "hospital": "SWEETWATER HOSPITAL ASSOCIATION",
      "city": "SWEETWATER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440018",
      "hospital": "SYCAMORE SHOALS HOSPITAL",
      "city": "ELIZABETHTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440035",
      "hospital": "TENNOVA HEALTHCARE - CLARKSVILLE",
      "city": "CLARKSVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000000083",
      "hospital": "TENNOVA HEALTHCARE - CLEVELAND",
      "city": "CLEVELAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000537312",
      "hospital": "TENNOVA HEALTHCARE - CLEVELAND WESTSIDE",
      "city": "CLEVELAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440056",
      "hospital": "TENNOVA HEALTHCARE - JEFFERSON MEMORIAL HOSPITAL",
      "city": "JEFFERSON 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": "440033",
      "hospital": "TENNOVA HEALTHCARE - LAFOLLETTE MEDICAL CENTER",
      "city": "LAFOLLETTE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440153",
      "hospital": "TENNOVA HEALTHCARE - NEWPORT MEDICAL CENTER",
      "city": "NEWPORT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0013937849",
      "hospital": "TENNOVA HEALTHCARE - NORTH KNOXVILLE",
      "city": "POWELL",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0004137920",
      "hospital": "THE UNIVERSITY OF TENNESSEE MEDICAL CENTER",
      "city": "KNOXVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0017837185",
      "hospital": "THREE RIVERS HOSPITAL",
      "city": "WAVERLY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440779",
      "hospital": "TRISTAR ASHLAND CITY MEDICAL CENTER",
      "city": "ASHLAND 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": "440161",
      "hospital": "TRISTAR CENTENNIAL MEDICAL CENTER",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440194",
      "hospital": "TRISTAR HENDERSONVILLE MEDICAL CENTER",
      "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": "0002637148",
      "hospital": "TRISTAR PORTLAND MEDICAL PARK",
      "city": "PORTLAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440046",
      "hospital": "TRISTAR HORIZON MEDICAL CENTER",
      "city": "DICKSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440065",
      "hospital": "TRISTAR NORTHCREST MEDICAL CENTER",
      "city": "SPRINGFIELD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440006",
      "hospital": "TRISTAR SKYLINE MEDICAL CENTER",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0002537115",
      "hospital": "TRISTAR SKYLINE MADISON CAMPUS",
      "city": "MADISON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440197",
      "hospital": "TRISTAR SOUTHERN HILLS MEDICAL CENTER",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440227",
      "hospital": "TRISTAR STONECREST MEDICAL CENTER",
      "city": "SMYRNA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440150",
      "hospital": "TRISTAR SUMMIT MEDICAL CENTER",
      "city": "HERMITAGE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0010037074",
      "hospital": "TROUSDALE MEDICAL CENTER",
      "city": "HARTSVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440231",
      "hospital": "TRUSTPOINT HOSPITAL",
      "city": "MURFREESBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0195337650",
      "hospital": "UNICOI COUNTY HOSPITAL",
      "city": "ERWIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440007",
      "hospital": "UNITY MEDICAL CENTER",
      "city": "MANCHESTER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440137",
      "hospital": "VANDERBILT BEDFORD HOSPITAL",
      "city": "SHELBYVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0018037212",
      "hospital": "VANDERBILT STALLWORTH REHABILITATION HOSPITAL",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440144",
      "hospital": "VANDERBILT TULLAHOMA - HARTON HOSPITAL",
      "city": "TULLAHOMA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440039",
      "hospital": "VANDERBILT UNIVERSITY MEDICAL CENTER",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL",
      "city": "LEBANON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440193",
      "hospital": "VANDERBILT WILSON COUNTY HOSPITAL - SATELLITE",
      "city": "LEBANON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440780",
      "hospital": "WAYNE MEDICAL CENTER",
      "city": "WAYNESBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "441320",
      "hospital": "WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL",
      "city": "BOLIVAR",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "441316",
      "hospital": "WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL",
      "city": "CAMDEN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0016438024",
      "hospital": "WEST TENNESSEE HEALTHCARE DYERSBURG HOSPITAL",
      "city": "DYERSBURG",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440060",
      "hospital": "WEST TENNESSEE HEALTHCARE MILAN HOSPITAL",
      "city": "MILAN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0013538237",
      "hospital": "WEST TENNESSEE HEALTHCARE REHABILITATION HOSPITAL CANE CREEK - A",
      "city": "MARTIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0018138301",
      "hospital": "WEST TENNESSEE HEALTHCARE REHABILITATION HOSPITAL JACKSON - A PAR",
      "city": "JACKSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0011038237",
      "hospital": "WEST TENNESSEE HEALTHCARE VOLUNTEER HOSPITAL",
      "city": "MARTIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "440029",
      "hospital": "WILLIAMSON 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": "44013F",
      "hospital": "MEMPHIS VA MEDICAL CENTER",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0013537212",
      "hospital": "NASHVILLE VA MEDICAL CENTER",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0014537684",
      "hospital": "JAMES H. QUILLEN DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "city": "MOUNTAIN HOME",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784912",
      "hospital": "REHABILITATION HOSPITAL OF KNOX COUNTY - DOWNTOWN",
      "city": "KNOXVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0013637934",
      "hospital": "TENNOVA HEALTHCARE - TURKEY CREEK MEDICAL CENTER",
      "city": "KNOXVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0013337129",
      "hospital": "VA MEDICAL CENTER - ALVIN C. YORK CAMPUS",
      "city": "MURFREESBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785383",
      "hospital": "SELECT SPECIALITY HOSPITAL-NASHVILLE WES",
      "city": "NASHVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784982",
      "hospital": "PATRICIA NEAL REHABILITATION HOSPITAL",
      "city": "KNOXVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784983",
      "hospital": "SELECT SPECIALITY HOSPITAL-WEST TENNESSEE, LLC",
      "city": "JACKSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784984",
      "hospital": "SELECT SPECIALTY HOSPITAL - KNOXVILLE",
      "city": "KNOXVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196784985",
      "hospital": "ASCENSION SAINT THOMAS WESTLAWN",
      "city": "MURFREESBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785552",
      "hospital": "LE BONHEUR CHILDREN'S HOSPITAL- JACKSON",
      "city": "JACKSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0196785551",
      "hospital": "METHODIST NORTH",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "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-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "city": "KINGSPORT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "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-44T187",
      "hospital": "JACK M ROE REHABILITATION UNIT",
      "city": "LIVINGSTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "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-444023",
      "hospital": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "city": "JACKSON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "pe-tracker-44T058",
      "hospital": "SOUTHERN TENNESSEE MEDICAL CTR",
      "city": "WINCHESTER",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "city": "CLARKSVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "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-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "city": "COLUMBIA",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "pe-tracker-444005",
      "hospital": "UNITY PSYCHIATRIC CARE-MARTIN",
      "city": "MARTIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "city": "MEMPHIS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    }
  ],
  "closureRows": [],
  "timelineRows": [
    {
      "date": "April 2021",
      "hospitalId": "pe-tracker-444019",
      "hospital": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "eventType": "acquisition_or_control_event",
      "title": "UNITY PSYCHIATRIC CARE-CLARKSVILLE acquisition/control event",
      "summary": "Mitchell Family Office / American Health 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"
      ]
    },
    {
      "date": "April 2021",
      "hospitalId": "pe-tracker-444021",
      "hospital": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "eventType": "acquisition_or_control_event",
      "title": "UNITY PSYCHIATRIC CARE-COLUMBIA acquisition/control event",
      "summary": "Mitchell Family Office / American Health 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"
      ]
    },
    {
      "date": "April 2021",
      "hospitalId": "pe-tracker-444024",
      "hospital": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "eventType": "acquisition_or_control_event",
      "title": "UNITY PSYCHIATRIC CARE-MEMPHIS acquisition/control event",
      "summary": "Mitchell Family Office / American Health 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"
      ]
    },
    {
      "date": "December 2021",
      "hospitalId": "0007737402",
      "hospital": "KINDRED HOSPITAL - CHATTANOOGA",
      "eventType": "acquisition_or_control_event",
      "title": "KINDRED HOSPITAL - CHATTANOOGA acquisition/control event",
      "summary": "Apollo Global Management / ScionHealth",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris"
      ]
    },
    {
      "date": "January 2022",
      "hospitalId": "pe-tracker-444027",
      "hospital": "CREEKSIDE BEHAVIORAL HEALTH",
      "eventType": "acquisition_or_control_event",
      "title": "CREEKSIDE 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"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "440187",
      "hospital": "LIVINGSTON REGIONAL HOSPITAL",
      "eventType": "acquisition_or_control_event",
      "title": "LIVINGSTON REGIONAL HOSPITAL acquisition/control event",
      "summary": "Apollo Global Management / ScionHealth",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "0011237030",
      "hospital": "RIVERVIEW REGIONAL MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "RIVERVIEW REGIONAL MEDICAL CENTER acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "440175",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "eventType": "acquisition_or_control_event",
      "title": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "440020",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
      "eventType": "acquisition_or_control_event",
      "title": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI acquisition/control event",
      "summary": "Apollo Global Management / LifePoint Health",
      "sourceIds": [
        "source-hifld-hospitals",
        "source-pesp-hospital-tracker",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-cms-hcris",
        "source-cms-care-compare"
      ]
    },
    {
      "date": "November 2018",
      "hospitalId": "440058",
      "hospital": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "eventType": "acquisition_or_control_event",
      "title": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER acquisition/control event",
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      "date": "November 2018",
      "hospitalId": "440068",
      "hospital": "STARR REGIONAL MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "STARR REGIONAL MEDICAL CENTER acquisition/control event",
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      "date": "November 2018",
      "hospitalId": "0010037074",
      "hospital": "TROUSDALE MEDICAL CENTER",
      "eventType": "acquisition_or_control_event",
      "title": "TROUSDALE MEDICAL CENTER acquisition/control event",
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      "eventType": "acquisition_or_control_event",
      "title": "PERIMETER BEHAVIORAL CENTER OF JACKSON acquisition/control event",
      "summary": "Ridgemont Equity Partners / Perimeter Healthcare",
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}
