{
  "schemaVersion": 1,
  "generatedAt": "2026-07-03T23:19:47.262Z",
  "reviewDate": "2026-07-03",
  "state": "TX",
  "stateName": "Texas",
  "publicationMode": "baseline_review_layer_public_badges_held",
  "proofBoundary": "Hospitals are matched to CMS hospital enrollments and CMS Hospital All Owners where available. EMS rows come from Texas DSHS rosters. ASC rows reconcile Texas HHSC licensure and CMS POS context. These sources verify identity, enrollment, state license, profit/control context, and selected owner rows, but unresolved rows are not labeled as independent, PE-backed, or chain-owned without source-family completion.",
  "publicationPolicy": "This live package publishes the Texas verification baseline and source coverage. It does not approve new public badges or stronger map colors for rows whose manual/web source-family research remains incomplete.",
  "files": {
    "json": "/data/texas-ownership-baseline.json",
    "hospitalCsv": "/data/texas-hospital-ownership-baseline.csv",
    "emsCsv": "/data/texas-ems-ownership-baseline.csv",
    "ascCsv": "/data/texas-asc-ownership-baseline.csv",
    "stateOverlayJson": "/data/states/texas-ownership-baseline.json"
  },
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    "ems": 745,
    "ascs": 822,
    "totalRows": 2365,
    "heldPublicBadges": 2365,
    "publicBadgeApplied": 0,
    "hospitalChecklistRows": 23142,
    "emsChecklistRows": 1490,
    "ascChecklistRows": 2466,
    "hospitalFoundOfficialRows": 3684,
    "hospitalPendingManualRows": 14960,
    "ascUltimateOwnerPendingRows": 0,
    "ascUltimateOwnerBlockedRows": 822
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  "hospital": {
    "sourceCoverage": {
      "schemaVersion": 1,
      "batchId": "texas-statewide-official-baseline",
      "scope": "statewide",
      "generatedAt": "2026-07-03T12:02:18.332Z",
      "reviewer": "Codex Texas official-source pass",
      "records": 798,
      "sourceChecklistRows": 23142,
      "statusCounts": {
        "searched_not_found": 3498,
        "found": 3684,
        "pending_review": 15960
      },
      "familyCounts": {
        "cms_provider_of_services": {
          "searched_not_found": 797,
          "found": 1
        },
        "cms_hospital_enrollments": {
          "found": 798
        },
        "cms_hospital_all_owners": {
          "found": 798
        },
        "cms_hospital_chow": {
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          "found": 62
        },
        "cms_hcris_cost_reports": {
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          "found": 570
        },
        "cms_care_compare": {
          "searched_not_found": 319,
          "found": 479
        },
        "cms_qcor_survey_enforcement": {
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        },
        "joint_commission_quality_check": {
          "pending_review": 798
        },
        "nppes": {
          "found": 798
        },
        "hhs_oig_corporate_integrity": {
          "pending_review": 798
        },
        "hhs_oig_exclusions": {
          "searched_not_found": 796,
          "found": 2
        },
        "state_regulator": {
          "pending_review": 798
        },
        "state_transaction_portals": {
          "pending_review": 798
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        "sec_edgar": {
          "found": 176,
          "searched_not_found": 622
        },
        "ftc_doj_antitrust": {
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        },
        "irs_teos": {
          "pending_review": 798
        },
        "msrb_emma": {
          "pending_review": 798
        },
        "bankruptcy_court": {
          "pending_review": 798
        },
        "nlrb_cases": {
          "pending_review": 798
        },
        "warn_notices": {
          "pending_review": 798
        },
        "sam_gov_entity": {
          "pending_review": 798
        },
        "usa_spending_provider_relief": {
          "pending_review": 798
        },
        "open_payments": {
          "pending_review": 798
        },
        "hospital_or_system_primary": {
          "pending_review": 798
        },
        "faith_affiliation_governance": {
          "pending_review": 798
        },
        "pe_sponsor_primary": {
          "pending_review": 798
        },
        "cms_clinician_affiliations": {
          "pending_review": 798
        },
        "web_pass_ownership": {
          "pending_review": 798
        },
        "web_pass_financial_quality": {
          "pending_review": 798
        }
      },
      "matchedCacheRows": {
        "pos": 1,
        "owners": 13191,
        "chow": 64,
        "hcris": 555,
        "careCompare": 454,
        "leie": 1,
        "nppesQueries": 798,
        "nppesFound": 798,
        "secCompanyIndexRows": 10415,
        "secCompanyMatches": 177,
        "secFetchError": ""
      },
      "publicationPolicy": "Official-cache pass only. Public badge changes remain blocked until manual/web source families are completed and explicitly approved."
    },
    "checklistStatusCounts": {
      "searched_not_found": 3498,
      "found": 3684,
      "blocked": 888,
      "not_applicable": 112,
      "pending_review": 14960
    },
    "statusCounts": {
      "needs_manual_research": 193,
      "unknown": 16,
      "signal": 32,
      "pe_contract": 1,
      "confirmed_pe": 91,
      "corporate_chain": 231,
      "verified_independent": 234
    },
    "records": [
      {
        "recordType": "cms_hospital_enrollment",
        "ccn": "743035",
        "npi": "1487443099",
        "facilityName": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF AMARILLO, LLC",
        "dba": "REHABILITATION HOSPITAL OF AMARILLO",
        "city": "AMARILLO",
        "state": "TX",
        "providerType": "PART A PROVIDER - HOSPITAL",
        "proprietaryNonprofit": "P",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "medium",
        "cmsProofBucket": "cms_investment_firm_owner",
        "cmsOwnerSummary": "VANGUARD GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL)",
        "pespCurrentPe": "",
        "pespParentSystem": "",
        "pespPeFirm": "",
        "officialSourcePassStatus": "official_source_pass_partial_manual_review_pending",
        "pendingSourceFamilies": "",
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          "https://data.cms.gov/sites/default/files/2024-10/Hospital_Data_Guidance.pdf",
          "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"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "recordType": "cms_hospital_enrollment",
        "ccn": "45T209",
        "npi": "1356777502",
        "facilityName": "NORTHWEST TEXAS HEALTHCARE SYSTEM INC",
        "dba": "NORTHWEST HEALTHCARE SYSTEM",
        "city": "AMARILLO",
        "state": "TX",
        "providerType": "PART A PROVIDER - HOSPITAL",
        "proprietaryNonprofit": "P",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "medium",
        "cmsProofBucket": "cms_management_services_owner",
        "cmsOwnerSummary": "UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL)",
        "pespCurrentPe": "",
        "pespParentSystem": "",
        "pespPeFirm": "",
        "officialSourcePassStatus": "official_source_pass_partial_manual_review_pending",
        "pendingSourceFamilies": "",
        "sourceUrls": [
          "https://data.cms.gov/sites/default/files/2024-10/Hospital_Data_Guidance.pdf",
          "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"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "recordType": "cms_hospital_enrollment",
        "ccn": "45S653",
        "npi": "1770310476",
        "facilityName": "BIG SPRING TEXAS HOSPITAL COMPANY LLC",
        "dba": "SCENIC MOUNTAIN MEDICAL CENTER",
        "city": "BIG SPRING",
        "state": "TX",
        "providerType": "PART A PROVIDER - HOSPITAL",
        "proprietaryNonprofit": "P",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "medium",
        "cmsProofBucket": "cms_investment_firm_owner",
        "cmsOwnerSummary": "SECURE HEALTH, INC/CLAIMS NETWORK, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | THE ESTATE OF PETER SCHORR (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | GTAM ONSHORE BLOCKER 2 LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | GOLDENTREE DISTRESSED FUND III (CAYMAN) CARRY LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | GOLDENTREE DISTRESSED ONSHORE MASTER FUND III LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | GOLDENTREE SELECT OFFSHORE INTERMEDIATE FUND LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST)",
        "pespCurrentPe": "",
        "pespParentSystem": "",
        "pespPeFirm": "",
        "officialSourcePassStatus": "official_source_pass_partial_manual_review_pending",
        "pendingSourceFamilies": "",
        "sourceUrls": [
          "https://data.cms.gov/sites/default/files/2024-10/Hospital_Data_Guidance.pdf",
          "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"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "recordType": "cms_hospital_enrollment",
        "ccn": "673065",
        "npi": "1932573417",
        "facilityName": "ST. JOSEPH ENCOMPASS HEALTH REHABILITATION HOSPITAL LLC",
        "dba": "CHI ST. JOSEPH HEALTH REHABILITATION HOSPITAL, AN AFFILIATE OF ENCOMPA",
        "city": "BRYAN",
        "state": "TX",
        "providerType": "PART A PROVIDER - HOSPITAL",
        "proprietaryNonprofit": "P",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "medium",
        "cmsProofBucket": "cms_investment_firm_owner",
        "cmsOwnerSummary": "VANGUARD GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL)",
        "pespCurrentPe": "",
        "pespParentSystem": "",
        "pespPeFirm": "",
        "officialSourcePassStatus": "official_source_pass_partial_manual_review_pending",
        "pendingSourceFamilies": "",
        "sourceUrls": [
          "https://data.cms.gov/sites/default/files/2024-10/Hospital_Data_Guidance.pdf",
          "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"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "recordType": "cms_hospital_enrollment",
        "ccn": "45Z342",
        "npi": "1801087630",
        "facilityName": "MITCHELL COUNTY HOSPITAL DISTRICT",
        "dba": "",
        "city": "COLORADO CITY",
        "state": "TX",
        "providerType": "PART A PROVIDER - CRITICAL ACCESS HOSPITAL",
        "proprietaryNonprofit": "N",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "medium",
        "cmsProofBucket": "cms_management_services_owner",
        "cmsOwnerSummary": "RURAL HOSPITAL MANAGEMENT (OPERATIONAL/MANAGERIAL CONTROL)",
        "pespCurrentPe": "",
        "pespParentSystem": "",
        "pespPeFirm": "",
        "officialSourcePassStatus": "official_source_pass_partial_manual_review_pending",
        "pendingSourceFamilies": "",
        "sourceUrls": [
          "https://data.cms.gov/sites/default/files/2024-10/Hospital_Data_Guidance.pdf",
          "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"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "recordType": "cms_hospital_enrollment",
        "ccn": "45Z393",
        "npi": "1114435260",
        "facilityName": "MID COAST MEDICAL CENTER CROCKETT INC",
        "dba": "CROCKETT MEDICAL CENTER",
        "city": "CROCKETT",
        "state": "TX",
        "providerType": "PART A PROVIDER - CRITICAL ACCESS HOSPITAL",
        "proprietaryNonprofit": "D",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "medium",
        "cmsProofBucket": "cms_management_services_owner",
        "cmsOwnerSummary": "MID COAST HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL)",
        "pespCurrentPe": "",
        "pespParentSystem": "",
        "pespPeFirm": "",
        "officialSourcePassStatus": "official_source_pass_partial_manual_review_pending",
        "pendingSourceFamilies": "",
        "sourceUrls": [
          "https://data.cms.gov/sites/default/files/2024-10/Hospital_Data_Guidance.pdf",
          "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"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "recordType": "cms_hospital_enrollment",
        "ccn": "451393",
        "npi": "1114435260",
        "facilityName": "MID COAST MEDICAL CENTER CROCKETT INC",
        "dba": "CROCKETT MEDICAL CENTER",
        "city": "CROCKETT",
        "state": "TX",
        "providerType": "PART A PROVIDER - CRITICAL ACCESS HOSPITAL",
        "proprietaryNonprofit": "D",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "medium",
        "cmsProofBucket": "cms_management_services_owner",
        "cmsOwnerSummary": "MID COAST HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL)",
        "pespCurrentPe": "",
        "pespParentSystem": "",
        "pespPeFirm": "",
        "officialSourcePassStatus": "official_source_pass_partial_manual_review_pending",
        "pendingSourceFamilies": "",
        "sourceUrls": [
          "https://data.cms.gov/sites/default/files/2024-10/Hospital_Data_Guidance.pdf",
          "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"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "recordType": "cms_hospital_enrollment",
        "ccn": "45T119",
        "npi": "1962492660",
        "facilityName": "MCALLEN HOSPITALS L P",
        "dba": "SOUTH TEXAS HEALTH SYSTEM",
        "city": "EDINBURG",
        "state": "TX",
        "providerType": "PART A PROVIDER - HOSPITAL",
        "proprietaryNonprofit": "P",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "medium",
        "cmsProofBucket": "cms_management_services_owner",
        "cmsOwnerSummary": "UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL)",
        "pespCurrentPe": "",
        "pespParentSystem": "",
        "pespPeFirm": "",
        "officialSourcePassStatus": "official_source_pass_partial_manual_review_pending",
        "pendingSourceFamilies": "",
        "sourceUrls": [
          "https://data.cms.gov/sites/default/files/2024-10/Hospital_Data_Guidance.pdf",
          "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"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "recordType": "cms_hospital_enrollment",
        "ccn": "743030",
        "npi": "1417795188",
        "facilityName": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HOUSTON, LLC",
        "dba": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HOUSTON AT THE MEDICAL CEN",
        "city": "HOUSTON",
        "state": "TX",
        "providerType": "PART A PROVIDER - HOSPITAL",
        "proprietaryNonprofit": "P",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "medium",
        "cmsProofBucket": "cms_investment_firm_owner",
        "cmsOwnerSummary": "BLACKROCK INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | VANGUARD GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL)",
        "pespCurrentPe": "",
        "pespParentSystem": "",
        "pespPeFirm": "",
        "officialSourcePassStatus": "official_source_pass_partial_manual_review_pending",
        "pendingSourceFamilies": "",
        "sourceUrls": [
          "https://data.cms.gov/sites/default/files/2024-10/Hospital_Data_Guidance.pdf",
          "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"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "recordType": "cms_hospital_enrollment",
        "ccn": "673070",
        "npi": "1154893675",
        "facilityName": "SOUTH PLAINS REHABILITATION HOSPITAL LLC",
        "dba": "SOUTH PLAINS REHABILITATION HOSPITAL AN AFFILIATE OF UMC AND ENCOMPASS",
        "city": "LUBBOCK",
        "state": "TX",
        "providerType": "PART A PROVIDER - HOSPITAL",
        "proprietaryNonprofit": "P",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "medium",
        "cmsProofBucket": "cms_investment_firm_owner",
        "cmsOwnerSummary": "VANGUARD GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST) | ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL)",
        "pespCurrentPe": "",
        "pespParentSystem": "",
        "pespPeFirm": "",
        "officialSourcePassStatus": "official_source_pass_partial_manual_review_pending",
        "pendingSourceFamilies": "",
        "sourceUrls": [
          "https://data.cms.gov/sites/default/files/2024-10/Hospital_Data_Guidance.pdf",
          "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"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "recordType": "cms_hospital_enrollment",
        "ccn": "670322",
        "npi": "1184057309",
        "facilityName": "STAR MEDICAL CENTER LLC",
        "dba": "LEGENT SURGICAL HOSPITAL PLANO",
        "city": "PLANO",
        "state": "TX",
        "providerType": "PART A PROVIDER - HOSPITAL",
        "proprietaryNonprofit": "P",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "medium",
        "cmsProofBucket": "cms_management_services_owner",
        "cmsOwnerSummary": "STAR MEDICAL CENTER LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST)",
        "pespCurrentPe": "",
        "pespParentSystem": "",
        "pespPeFirm": "",
        "officialSourcePassStatus": "official_source_pass_partial_manual_review_pending",
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        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
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          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "cmsProofBucket": "cms_investment_firm_owner",
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          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "recordType": "cms_hospital_enrollment",
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        "state": "TX",
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        "proprietaryNonprofit": "P",
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          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "recordType": "cms_hospital_enrollment",
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        "state": "TX",
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        "proprietaryNonprofit": "P",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "context",
        "cmsProofBucket": "cms_owner_rows_no_pe_flag",
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          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "context",
        "cmsProofBucket": "cms_owner_rows_no_pe_flag",
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          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "state": "TX",
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        "proprietaryNonprofit": "P",
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        "evidenceStrength": "context",
        "cmsProofBucket": "cms_owner_rows_no_pe_flag",
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          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "state": "TX",
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        "evidenceStrength": "context",
        "cmsProofBucket": "cms_owner_rows_no_pe_flag",
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          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "evidenceStrength": "context",
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        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "needs_manual_research",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "providerType": "PART A PROVIDER - HOSPITAL",
        "proprietaryNonprofit": "P",
        "recommendedBadge": "needs_manual_research",
        "evidenceStrength": "context",
        "cmsProofBucket": "cms_owner_rows_no_pe_flag",
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          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "evidenceStrength": "context",
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        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "state": "TX",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
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        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
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        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Texas hospital batch texas-ownership-2026-07-03-001 source-family statuses completed 2026-07-03; public badge changes remain blocked. Official-cache pass logged; manual/web source families remain before any public badge change. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
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        "classificationDepth": "baseline",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
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        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "researchIncomplete": true,
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        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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          "https://pestakeholder.org/private-equity-hospital-tracker/"
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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          "https://pestakeholder.org/private-equity-hospital-tracker/"
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        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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          "https://pestakeholder.org/private-equity-hospital-tracker/"
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
          "https://pestakeholder.org/private-equity-hospital-tracker/"
        ],
        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
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          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
          "https://pestakeholder.org/private-equity-hospital-tracker/"
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        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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          "https://pestakeholder.org/private-equity-hospital-tracker/"
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        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
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        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "reviewNotes": "Triage only. Do not publish stronger badge without full source-family review or explicit approval gate. Statewide official-cache baseline logged; manual/web source families remain before any public badge change.",
        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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      {
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          "https://pestakeholder.org/private-equity-hospital-tracker/"
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        "classificationDepth": "baseline",
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        "classificationDepth": "baseline",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
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        "classificationDepth": "baseline",
        "baselineClassification": "confirmed_pe",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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        "classificationDepth": "baseline",
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        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
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          "https://www.dshs.texas.gov/dshs-ems-trauma-systems/open-records-requests",
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          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderextendedroster.xlsx"
        ],
        "reviewNotes": "",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
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        "providerName": "",
        "dba": "",
        "city": "FLORESVILLE",
        "county": "WILSON",
        "licenseStatus": "Current",
        "entityType": "",
        "officialControlContext": "government_or_public",
        "sourceConfirmedControlCategory": "",
        "baselineClassification": "government_or_public",
        "chainClassification": "",
        "currentPeStatus": "",
        "historicalPeContext": "",
        "sourceUrls": [
          "https://www.dshs.texas.gov/dshs-ems-trauma-systems/open-records-requests",
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        ],
        "reviewNotes": "",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "licenseNumber": "105009",
        "providerName": "",
        "dba": "WIMBERLEY EMS",
        "city": "WIMBERLEY",
        "county": "HAYS",
        "licenseStatus": "Current",
        "entityType": "",
        "officialControlContext": "nonprofit_or_volunteer",
        "sourceConfirmedControlCategory": "",
        "baselineClassification": "nonprofit_or_volunteer",
        "chainClassification": "",
        "currentPeStatus": "",
        "historicalPeContext": "",
        "sourceUrls": [
          "https://www.dshs.texas.gov/dshs-ems-trauma-systems/open-records-requests",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderroster.xlsx",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderextendedroster.xlsx"
        ],
        "reviewNotes": "",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
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        "providerName": "",
        "dba": "",
        "city": "WEBSTER",
        "county": "HARRIS",
        "licenseStatus": "Current",
        "entityType": "",
        "officialControlContext": "private_for_profit",
        "sourceConfirmedControlCategory": "",
        "baselineClassification": "private_for_profit",
        "chainClassification": "",
        "currentPeStatus": "",
        "historicalPeContext": "",
        "sourceUrls": [
          "https://www.dshs.texas.gov/dshs-ems-trauma-systems/open-records-requests",
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          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderextendedroster.xlsx"
        ],
        "reviewNotes": "",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "licenseNumber": "248001",
        "providerName": "",
        "dba": "",
        "city": "KERMIT",
        "county": "WINKLER",
        "licenseStatus": "Current",
        "entityType": "",
        "officialControlContext": "government_or_public",
        "sourceConfirmedControlCategory": "",
        "baselineClassification": "government_or_public",
        "chainClassification": "",
        "currentPeStatus": "",
        "historicalPeContext": "",
        "sourceUrls": [
          "https://www.dshs.texas.gov/dshs-ems-trauma-systems/open-records-requests",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderroster.xlsx",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderextendedroster.xlsx"
        ],
        "reviewNotes": "",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "licenseNumber": "036003",
        "providerName": "",
        "dba": "",
        "city": "WINNIE",
        "county": "CHAMBERS",
        "licenseStatus": "Current",
        "entityType": "",
        "officialControlContext": "nonprofit_or_volunteer",
        "sourceConfirmedControlCategory": "",
        "baselineClassification": "nonprofit_or_volunteer",
        "chainClassification": "",
        "currentPeStatus": "",
        "historicalPeContext": "",
        "sourceUrls": [
          "https://www.dshs.texas.gov/dshs-ems-trauma-systems/open-records-requests",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderroster.xlsx",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderextendedroster.xlsx"
        ],
        "reviewNotes": "",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "licenseNumber": "249008",
        "providerName": "",
        "dba": "",
        "city": "DECATUR",
        "county": "WISE",
        "licenseStatus": "Current",
        "entityType": "",
        "officialControlContext": "government_or_public",
        "sourceConfirmedControlCategory": "",
        "baselineClassification": "government_or_public",
        "chainClassification": "",
        "currentPeStatus": "",
        "historicalPeContext": "",
        "sourceUrls": [
          "https://www.dshs.texas.gov/dshs-ems-trauma-systems/open-records-requests",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderroster.xlsx",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderextendedroster.xlsx"
        ],
        "reviewNotes": "",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "licenseNumber": "062008",
        "providerName": "",
        "dba": "",
        "city": "YORKTOWN",
        "county": "DE WITT",
        "licenseStatus": "Current",
        "entityType": "",
        "officialControlContext": "nonprofit_or_volunteer",
        "sourceConfirmedControlCategory": "",
        "baselineClassification": "nonprofit_or_volunteer",
        "chainClassification": "",
        "currentPeStatus": "",
        "historicalPeContext": "",
        "sourceUrls": [
          "https://www.dshs.texas.gov/dshs-ems-trauma-systems/open-records-requests",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderroster.xlsx",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderextendedroster.xlsx"
        ],
        "reviewNotes": "",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "licenseNumber": "800110",
        "providerName": "",
        "dba": "ZAP EMERGENCY MEDICAL SERVICES",
        "city": "HOUSTON",
        "county": "HARRIS",
        "licenseStatus": "Current",
        "entityType": "",
        "officialControlContext": "private_for_profit",
        "sourceConfirmedControlCategory": "",
        "baselineClassification": "private_for_profit",
        "chainClassification": "",
        "currentPeStatus": "",
        "historicalPeContext": "",
        "sourceUrls": [
          "https://www.dshs.texas.gov/dshs-ems-trauma-systems/open-records-requests",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderroster.xlsx",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderextendedroster.xlsx"
        ],
        "reviewNotes": "",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "licenseNumber": "253003",
        "providerName": "",
        "dba": "",
        "city": "ZAPATA",
        "county": "ZAPATA",
        "licenseStatus": "Current",
        "entityType": "",
        "officialControlContext": "government_or_public",
        "sourceConfirmedControlCategory": "",
        "baselineClassification": "government_or_public",
        "chainClassification": "",
        "currentPeStatus": "",
        "historicalPeContext": "",
        "sourceUrls": [
          "https://www.dshs.texas.gov/dshs-ems-trauma-systems/open-records-requests",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderroster.xlsx",
          "https://www.dshs.texas.gov/sites/default/files/emstraumasystems/Compliance/files/emsproviderextendedroster.xlsx"
        ],
        "reviewNotes": "",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      }
    ]
  },
  "asc": {
    "sourceCoverage": {
      "generatedAt": "2026-07-03T14:33:56.587240+00:00",
      "reviewDate": "2026-07-03",
      "status": "official_state_and_cms_inventories_reconciled_ownership_research_pending",
      "cmsPosInputRows": 658,
      "hhscCurrentRosterRows": 642,
      "reconciledQueueRows": 822,
      "matchCounts": {
        "cms_only": 180,
        "exact_ccn": 441,
        "exact_normalized_name": 42,
        "state_only": 159
      },
      "stateSourceDate": "5/28/2026",
      "stateSourcePublishedAt": "Fri, 05 Jun 2026 18:07:42 GMT",
      "sourceUrls": {
        "hhscPage": "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
        "hhscWorkbook": "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
        "cmsPos": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system"
      },
      "cachedSource": "research/cache/texas/asc-directory-2026-05-28-official-xlsx-render.md",
      "cachedSourceSha256": "1e20d9a515a859b942f02d804c144216af0b3f4ece3cefe73b76b30d116390ca",
      "retrievalNote": "Direct HHSC XLSX retrieval returned HTTP 403. The official XLSX was rendered through Jina Reader; all 642 license rows were parsed, while each raw rendered row is retained for audit.",
      "proofBoundary": "HHSC/CMS verify facility identity and profit/proprietary context; ultimate ownership and badges remain pending.",
      "publicationPolicy": "Private research queue only. No public badge or map changes are approved by this import."
    },
    "checklistStatusCounts": {
      "found": 1305,
      "blocked": 822,
      "searched_not_found": 339
    },
    "matchCounts": {
      "found": 483,
      "state_only": 159,
      "searched_not_found_or_scope_difference": 180
    },
    "ownershipResearchStatusCounts": {
      "source_family_review_complete_ultimate_owner_unresolved": 822
    },
    "records": [
      {
        "texasLicenseNumber": "000353",
        "ccn": "45C0001085",
        "facilityName": "ABILENE CATARACT & REFRACTIVE ",
        "city": "ABILENE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130397",
        "ccn": "45C0001664",
        "facilityName": "ABILENE CENTER FOR ORTHOPEDIC AND MULTISPECIALTY S",
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        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000301",
        "ccn": "45C0001181",
        "facilityName": "ABILENE ENDOSCOPY CTR",
        "city": "ABILENE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130000",
        "ccn": "45C0001493",
        "facilityName": "ABILENE SURGERY CENTER, LLC",
        "city": "ABILENE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130269",
        "ccn": "45C0001590",
        "facilityName": "ABILENE WHITE ROCK SURGERY CENTER",
        "city": "ABILENE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130720",
        "ccn": "",
        "facilityName": "ABSOLUTE SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130330",
        "ccn": "45C0001282",
        "facilityName": "ACPS THE SURGICENTRE",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130694",
        "ccn": "45C0001323",
        "facilityName": "ACUTE AND CHRONIC PAIN MANAGEMENT CENTER PA",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008375",
        "ccn": "45C0001432",
        "facilityName": "ADC ENDOSCOPY SPECIALISTS",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130311",
        "ccn": "45C0001609",
        "facilityName": "ADVANCED CARDIOVASCULAR & SURGERY CENTER AT METHOD",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130638",
        "ccn": "",
        "facilityName": "ADVANCED CRENSHAW ASC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130663",
        "ccn": "45C0001537",
        "facilityName": "ADVANCED PAIN MANAGEMENT SPECIALISTS OF BAYTOWN ",
        "city": "BAYTOWN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130668",
        "ccn": "45C0451293",
        "facilityName": "Advanced Surgery Center of El Paso  ",
        "city": "El Paso",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130216",
        "ccn": "45C0001580",
        "facilityName": "ADVANCED SURGERY CENTER OF SAN ANTONIO LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130370",
        "ccn": "45C0001644",
        "facilityName": "ADVANCED SURGICAL CARE OF BOERNE LLC",
        "city": "BOERNE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130540",
        "ccn": "45C0001737",
        "facilityName": "ADVANCED SURGICAL CENTER - AUSTIN",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130627",
        "ccn": "45C0451266",
        "facilityName": "ADVANCED SURGICAL CENTER - KILLEEN",
        "city": "KILLEEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130304",
        "ccn": "45C0001634",
        "facilityName": "ADVANCED SURGICAL CENTER LLC",
        "city": "DUNCANVILLE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130404",
        "ccn": "45C0001670",
        "facilityName": "ADVANCED SURGICAL CENTER-AMARILLO",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130009",
        "ccn": "45C0001497",
        "facilityName": "ADVANCED SURGICAL CENTER-ROUND ROCK. ",
        "city": "ROUND ROCK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130656",
        "ccn": "45C0001743",
        "facilityName": "ADVANCEDCARE SURGERY CENTER PLLC",
        "city": "ENNIS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130643",
        "ccn": "",
        "facilityName": "AIRLINE SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130728",
        "ccn": "",
        "facilityName": "AIRWAY OUTPATIENT SURGICAL CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001263",
        "facilityName": "ALAMO HEIGHTS SURGERY CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130680",
        "ccn": "45C0001360",
        "facilityName": "ALLEN SURGICAL CENTER LLC",
        "city": "ALLEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130451",
        "ccn": "45C0001709",
        "facilityName": "ALPHA SURGICAL CENTER",
        "city": "TOMBALL",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130703",
        "ccn": "",
        "facilityName": "ALPHA SURGICAL CENTER CREEKSIDE",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130756",
        "ccn": "",
        "facilityName": "ALPHA SURGICAL CENTER SUGARLAND LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130666",
        "ccn": "",
        "facilityName": "AMANDA AND J DAVID WILLIAMS SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "006946",
        "ccn": "45C0001127",
        "facilityName": "AMARILLO CATARACT & EYE SURGERY",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130091",
        "ccn": "45C0001535",
        "facilityName": "AMARILLO COLONOSCOPY CENTER, LP",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007790",
        "ccn": "45C0001302",
        "facilityName": "AMARILLO ENDOSCOPY CENTER",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001150",
        "facilityName": "AMBULATORY ENDOSCOPY CLINIC OF DALLAS",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130208",
        "ccn": "45C0001569",
        "facilityName": "AMBULATORY SURGERY CENTER OF KILLEEN LLC",
        "city": "KILLEEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001573",
        "facilityName": "AMBULATORY SURGICAL INSTITUTE OF DALLAS LLC",
        "city": "ADDISON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130435",
        "ccn": "45C0001059",
        "facilityName": "AMERICAN SURGERY CENTERS",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130751",
        "ccn": "",
        "facilityName": "ARC SURGERY CENTER NORTH",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130048",
        "ccn": "",
        "facilityName": "ASC CENTER FOR CHANGE LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130483",
        "ccn": "45C0001706",
        "facilityName": "ASCENT SURGERY CENTER",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130494",
        "ccn": "45C0001261",
        "facilityName": "ASJ RIDGEMONT",
        "city": "ABILENE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001439",
        "facilityName": "ASP OF DICKINSON LLP",
        "city": "DICKINSON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001514",
        "facilityName": "ASP WORTHAM SURGERY CENTER, LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130244",
        "ccn": "45C0001581",
        "facilityName": "AUA SURGICAL CENTER LLC",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130375",
        "ccn": "45C0001655",
        "facilityName": "AUSTIN ACCESS CARE",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001378",
        "facilityName": "AUSTIN DIAGNOSTIC CLINIC AMBUL SURGICAL CTR",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130412",
        "ccn": "45C0001288",
        "facilityName": "AUSTIN ENDOSCOPY CENTER ",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130413",
        "ccn": "45C0001295",
        "facilityName": "AUSTIN ENDOSCOPY CENTER ",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130453",
        "ccn": "45C0001688",
        "facilityName": "AUSTIN ENDOSCOPY CENTER",
        "city": "BEE CAVE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130595",
        "ccn": "45C0451257",
        "facilityName": "Austin Endoscopy Center ",
        "city": "Leander",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130561",
        "ccn": "45C0001271",
        "facilityName": "AUSTIN EYE LASER AND SURGICENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130293",
        "ccn": "",
        "facilityName": "AUSTIN FERTILITY SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130379",
        "ccn": "45C0001554",
        "facilityName": "AUSTIN MIDTOWN AMBULATORY SURGERY CENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130531",
        "ccn": "45C0001740",
        "facilityName": "AXIS SURGERY CENTER LLC",
        "city": "SOUTHLAKE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130622",
        "ccn": "45C0451261",
        "facilityName": "AZURA SURGERY CENTER EL PASO ",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130357",
        "ccn": "45C0001635",
        "facilityName": "AZURA SURGERY CENTER HOUSTON",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130373",
        "ccn": "45C0001643",
        "facilityName": "AZURA SURGERY CENTER STAR",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000265",
        "ccn": "45C0001004",
        "facilityName": "BAILEY SQUARE SURGICAL CENTER ",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130490",
        "ccn": "45C0001240",
        "facilityName": "BAPTIST BEAUMONT SURGICAL AFFILIATES",
        "city": "BEAUMONT",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008178",
        "ccn": "",
        "facilityName": "BASSETT SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130176",
        "ccn": "45C0001194",
        "facilityName": "BAY AREA ENDOSCOPY",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130134",
        "ccn": "45C0001453",
        "facilityName": "BAY AREA HOUSTON ENDOSCOPY CENTER",
        "city": "WEBSTER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000315",
        "ccn": "45C0001012",
        "facilityName": "BAY AREA SURGICARE CENTER",
        "city": "WEBSTER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008136",
        "ccn": "45C0001377",
        "facilityName": "BAYLOR AMBULATORY ENDOSCOPY CENTER",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001490",
        "facilityName": "BAYLOR COLLEGE OF MEDICINE ASC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130458",
        "ccn": "",
        "facilityName": "BAYLOR SCOTT & WHITE ORTHOPEDIC SURGERY CENTER - WACO",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130696",
        "ccn": "",
        "facilityName": "BAYLOR SCOTT & WHITE OUTPATIENT SURGERY CENTER - COLLEGE STATION",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130173",
        "ccn": "",
        "facilityName": "BAYLOR SCOTT & WHITE SURGERY CENTER WAXAHACHIE",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130191",
        "ccn": "",
        "facilityName": "BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - FORT WORTH",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130257",
        "ccn": "",
        "facilityName": "BAYLOR SCOTT & WHITE SURGICAL HOSPITAL AT SHERMAN - OUTPATIENT",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130750",
        "ccn": "",
        "facilityName": "BAYLOR SCOTT & WHITE SURGICARE AT WEATHERFORD LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008585",
        "ccn": "45C0001355",
        "facilityName": "BAYLOR SCOTT & WHITE SURGICARE-PLANO",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008239",
        "ccn": "",
        "facilityName": "BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130698",
        "ccn": "",
        "facilityName": "BAYLOR SCOTT & WHITE THE HEART HOSPITAL - FORT WORTH",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130387",
        "ccn": "45C0001657",
        "facilityName": "BAYLOR SCOTT AND WHITE SPORTS SURGERY CENTER",
        "city": "FRISCO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130695",
        "ccn": "45C0001039",
        "facilityName": "BAYLOR SCOTT AND WHITE SURGICARE",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008203",
        "ccn": "45C0001396",
        "facilityName": "BAYLOR SCOTT AND WHITE SURGICARE AT CENTENNIAL",
        "city": "FRISCO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130386",
        "ccn": "45C0001656",
        "facilityName": "BAYLOR SCOTT AND WHITE SURGICARE AT PLANO ALLIANCE",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001191",
        "facilityName": "BAYLOR SCOTT AND WHITE SURGICARE BEDFORD",
        "city": "BEDFORD",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007914",
        "ccn": "45C0001318",
        "facilityName": "BAYLOR SCOTT AND WHITE SURGICARE CARROLLTON",
        "city": "CARROLLTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007012",
        "ccn": "45C0001257",
        "facilityName": "BAYLOR  SCOTT AND WHITE SURGICARE DENTON",
        "city": "DENTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130258",
        "ccn": "45C0001133",
        "facilityName": "BAYLOR SCOTT AND WHITE SURGICARE  NORTH DALLAS",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008192",
        "ccn": "45C0001393",
        "facilityName": "BAYLOR SCOTT AND WHITE SURGICARE NORTH GARLAND ",
        "city": "GARLAND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008555",
        "ccn": "45C0001196",
        "facilityName": "BAYLOR SCOTT AND WHITE SURGICARE OAKMONT",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130619",
        "ccn": "45C0001301",
        "facilityName": "BAYLOR SCOTT AND WHITE SURGICARE SOUTHLAKE",
        "city": "Southlake",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130596",
        "ccn": "45C0001730",
        "facilityName": "Baylor Scott and White Surgicare Waxahachie LLC",
        "city": "WAXAHACHIE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001487",
        "facilityName": "BAYLOR SURGICARE AT ENNIS LLC",
        "city": "ENNIS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130267",
        "ccn": "45C0001357",
        "facilityName": "BAYLOR SURGICARE AT FORT WORTH",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008512",
        "ccn": "45C0001091",
        "facilityName": "BAYLOR SURGICARE AT GARLAND",
        "city": "GARLAND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130006",
        "ccn": "45C0001471",
        "facilityName": "BAYLOR SURGICARE AT GRANBURY",
        "city": "GRANBURY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001373",
        "facilityName": "BAYLOR SURGICARE AT HEATH",
        "city": "HEATH",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001311",
        "facilityName": "BAYLOR SURGICARE AT LEWISVILLE",
        "city": "LEWISVILLE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130056",
        "ccn": "45C0001486",
        "facilityName": "BAYLOR SURGICARE AT MANSFIELD LLC",
        "city": "MANSFIELD",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001043",
        "facilityName": "BAYLOR SURGICARE AT NORTHEAST FORT WORTH",
        "city": "HURST",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001214",
        "facilityName": "BAYLOR SURGICARE  AT PLANO PARKWAY LLC",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001595",
        "facilityName": "BAYTOWN ENDOSCOPY CENTER, LLC",
        "city": "BAYTOWN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001599",
        "facilityName": "BAYTOWN HEART & VASCULAR SURGERY CENTER",
        "city": "BAYTOWN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130214",
        "ccn": "45C0001582",
        "facilityName": "BEAR CREEK SURGERY CENTER LLC",
        "city": "KELLER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130323",
        "ccn": "45C0001612",
        "facilityName": "BEAUMONT HEART & VASCULAR SURGERY CENTER",
        "city": "BEAUMONT",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130380",
        "ccn": "",
        "facilityName": "BELEZA SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130032",
        "ccn": "45C0001510",
        "facilityName": "BELTLINE SURGERY CENTER LLC",
        "city": "SUNNYVALE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001587",
        "facilityName": "BINZ SURGERY CENTER, LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001361",
        "facilityName": "BLUE STAR SURGERY CENTER LLC",
        "city": "IRVING",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130233",
        "ccn": "45C0001616",
        "facilityName": "Bluebonnet Surgery Pavilion LLC",
        "city": "WAXAHACHIE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000157",
        "ccn": "45C0001058",
        "facilityName": "BRAZOSPORT EYE INSTITUTE",
        "city": "LAKE JACKSON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008161",
        "ccn": "45C0001381",
        "facilityName": "BRECKENRIDGE SURGERY CENTER",
        "city": "RICHARDSON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130455",
        "ccn": "45C0001692",
        "facilityName": "BROWNSVILLE SURGERY CENTER",
        "city": "BROWNSVILLE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130633",
        "ccn": "",
        "facilityName": "BSLMC AMBULATORY SURGERY CENTER LOCATED AT O'QUINN MEDICAL TOWER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008592",
        "ccn": "45C0001466",
        "facilityName": "CALLOWAY CREEK SURGERY CENTER ",
        "city": "NORTH RICHLAND HILLS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007960",
        "ccn": "45C0001336",
        "facilityName": "CAPLAN SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130297",
        "ccn": "45C0001602",
        "facilityName": "CAPLAN SURGERY CENTER",
        "city": "KATY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130479",
        "ccn": "",
        "facilityName": "CAPSTONE SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451242",
        "facilityName": "CARDIAC AMBULATORY SURGERY CENTER OF CORPUS CHRIST",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451285",
        "facilityName": "CARDIOVASCULAR INSTITUTE OF AMARILLO",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130510",
        "ccn": "45C0001211",
        "facilityName": "CAREOS",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130130",
        "ccn": "",
        "facilityName": "CASTLE HILLS SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130333",
        "ccn": "45C0001648",
        "facilityName": "CASTLE HILLS SURGICARE LLC",
        "city": "CARROLLTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130631",
        "ccn": "45C0451296",
        "facilityName": "CASTLE SURGERY CENTER",
        "city": "SOUTHLAKE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007864",
        "ccn": "45C0001310",
        "facilityName": "CATARACT AND SURGICAL CTR OF LUBBOCK",
        "city": "LUBBOCK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007870",
        "ccn": "45C0001032",
        "facilityName": "CATARACT CENTER OF EAST TEXAS",
        "city": "TYLER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130294",
        "ccn": "45C0001610",
        "facilityName": "CCA ASC LLC",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130677",
        "ccn": "",
        "facilityName": "CCRM AUSTIN LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130394",
        "ccn": "",
        "facilityName": "CCRM DALLAS FORT WORTH",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130079",
        "ccn": "45C0001517",
        "facilityName": "CEDAR PARK SURGERY CENTER LLC",
        "city": "CEDAR PARK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451302",
        "facilityName": "CEDARWOOD SURGICAL CENTER LLC",
        "city": "COPPELL",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001206",
        "facilityName": "CENTER FOR ASSISTED REPRODUCTI",
        "city": "BEDFORD",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007127",
        "ccn": "",
        "facilityName": "CENTER FOR ASSISTED REPRODUCTION",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000272",
        "ccn": "45C0001158",
        "facilityName": "CENTER FOR SIGHT,THE",
        "city": "LUFKIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130248",
        "ccn": "45C0001585",
        "facilityName": "CENTER FOR SPECIALTY SURGERY OF AUSTIN",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130116",
        "ccn": "45C0001262",
        "facilityName": "CENTRAL PARK SURGERY CENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008380",
        "ccn": "45C0001437",
        "facilityName": "Central Park Surgery Center Llc",
        "city": "ARLINGTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130129",
        "ccn": "45C0001036",
        "facilityName": "CENTRAL TEXAS DAY SURGERY CENTER",
        "city": "KILLEEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007156",
        "ccn": "45C0001265",
        "facilityName": "CENTRAL TEXAS ENDOSCOPY CENTER",
        "city": "BRYAN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001319",
        "facilityName": "CENTRE FOR AMBULATORY SURGERY,",
        "city": "SHERMAN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130436",
        "ccn": "45C0001525",
        "facilityName": "CENTRUM SURGERY CENTER LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130227",
        "ccn": "",
        "facilityName": "CHI ST LUKES HEALTH BAYLOR MEDICAL CENTER AMB SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130103",
        "ccn": "45C0451307",
        "facilityName": "CHILDREN 1ST DENTAL & SURGERY CENTER",
        "city": "GRAND PRAIRIE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130188",
        "ccn": "45C0451314",
        "facilityName": "Children 1st Dental & Surgery Center",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001175",
        "facilityName": "CHILDREN 1ST DENTAL & SURGERY CENTER LLC",
        "city": "MESQUITE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007908",
        "ccn": "",
        "facilityName": "CHILDRENS PAVILION SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130496",
        "ccn": "45C0001714",
        "facilityName": "CHOICE CARE SURGERY CENTER",
        "city": "MIDLAND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130368",
        "ccn": "",
        "facilityName": "CHRISTUS GOOD SHEPHERD AMBULATORY SURGICAL CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451300",
        "facilityName": "CHRISTUS HEART CENTER ",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451303",
        "facilityName": "Christus Heart Center",
        "city": "Corpus Christi",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130247",
        "ccn": "",
        "facilityName": "CHRISTUS MOTHER FRANCES HOSPITAL - TYLER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130614",
        "ccn": "",
        "facilityName": "CHRISTUS MOTHER FRANCES HOSPITAL OUTPATIENT CATH LAB",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130708",
        "ccn": "45C0451323",
        "facilityName": "Christus Orthopedic San Antonio Surgery Center ",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130285",
        "ccn": "45C0001226",
        "facilityName": "CHRISTUS PHYSICIANS SURGERY CENTER- SAN MARCOS",
        "city": "SAN MARCOS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001450",
        "facilityName": "CHRISTUS SANTA ROSA HOSPITAL ALAMO HEIGHTS",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130014",
        "ccn": "45C0001365",
        "facilityName": "CHRISTUS SANTA ROSA OUTPATIENT SURGERY CENTER NEW",
        "city": "NEW BRAUNFELS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130430",
        "ccn": "45C0001402",
        "facilityName": "CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008396",
        "ccn": "45C0001440",
        "facilityName": "CHRISTUS SANTA ROSA PHYSICIANS ASC STONE OAK",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001250",
        "facilityName": "CHRISTUS SPOHN SURGICARE OF CORPUS CHRISTI",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130624",
        "ccn": "45C0001245",
        "facilityName": "CHRISTUS SPOHN TEXAS ORTHOPEDIC CENTER OF EXCELLENCE",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130749",
        "ccn": "",
        "facilityName": "CHRISTUS SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130411",
        "ccn": "45C0001619",
        "facilityName": "CHRISTUS SURGERY CENTER OLYMPIA HLLS",
        "city": "UNIVERSAL CITY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130615",
        "ccn": "",
        "facilityName": "CHRISTUS SURGICAL HOSPITAL-OUTPATIENT CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130689",
        "ccn": "45C0451308",
        "facilityName": "Cibolo Creek Surgery Center",
        "city": "Schertz",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130469",
        "ccn": "45C0001702",
        "facilityName": "CIGARROA INTERVENTIONAL INSTITUTE",
        "city": "LAREDO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008142",
        "ccn": "45C0001376",
        "facilityName": "CITY VIEW SURGERY CENTER",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001316",
        "facilityName": "CLEAR FORK SURGERY CENTER",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130086",
        "ccn": "45C0001414",
        "facilityName": "CLEARVIEW SURGERY CENTER",
        "city": "SOUTHLAKE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130290",
        "ccn": "45C0001601",
        "facilityName": "CLEBURNE ENDOSCOPY CENTER LLC",
        "city": "CLEBURNE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001230",
        "facilityName": "CLINIC FOR SPECIAL SURGERY,THE",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000147",
        "ccn": "45C0001040",
        "facilityName": "COASTAL BEND ASC",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130525",
        "ccn": "45C0001727",
        "facilityName": "COASTAL CARDIOVASCULAR CENTER",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130309",
        "ccn": "45C0001613",
        "facilityName": "COLLEGE PARK HEART & VASCULAR SURGERY CENTER",
        "city": "SHENANDOAH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130419",
        "ccn": "45C0001679",
        "facilityName": "COMFORT SURGERY CENTER OF SAN ANTONIO, LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001499",
        "facilityName": "COMPLETE HEALTHCARE SURGERY",
        "city": "JASPER",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130406",
        "ccn": "45C0001683",
        "facilityName": "COMPLETE SURGERY HOUSTON NORTHWEST LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001731",
        "facilityName": "COMPLETE SURGERY MESQUITE",
        "city": "MESQUITE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130472",
        "ccn": "45C0001398",
        "facilityName": "Cook Childrens Pediatric Surgery Center",
        "city": "PROSPER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130385",
        "ccn": "45C0001660",
        "facilityName": "COOK CHILDRENS SURGERY CENTER LLC",
        "city": "HURST",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130672",
        "ccn": "45C0001662",
        "facilityName": "COPPELL SURGERY CENTER",
        "city": "COPPELL",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008573",
        "ccn": "45C0001470",
        "facilityName": "CORPUS CHRISTI ENDOSCOPY CENTER",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130758",
        "ccn": "",
        "facilityName": "COSMOPOLITAN WELLNESS GROUP",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130250",
        "ccn": "45C0001441",
        "facilityName": "COVENANT HIGH PLAINS SURGERY CENTER",
        "city": "LUBBOCK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130251",
        "ccn": "45C0001045",
        "facilityName": "COVENANT SURGICENTER, LTD",
        "city": "LUBBOCK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001534",
        "facilityName": "CREEKSIDE SURGERY CENTER",
        "city": "THE WOODLANDS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001641",
        "facilityName": "CREEKSIDE SURGERY CENTER",
        "city": "THE WOODLANDS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001614",
        "facilityName": "CRENSHAW AMBULATORY SURGICAL CENTER LLC",
        "city": "PASADENA",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007788",
        "ccn": "45C0001294",
        "facilityName": "CROSS TIMBERS SURGERY CENTER LLC",
        "city": "ARLINGTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130570",
        "ccn": "45C0451254",
        "facilityName": "Crossroads Surgery Center",
        "city": "VICTORIA",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001608",
        "facilityName": "CRYSTAL OUTPATIENT SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001156",
        "facilityName": "CRYSTAL OUTPATIENT SURGERY CTR",
        "city": "LAKE JACKSON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007157",
        "ccn": "45C0001160",
        "facilityName": "CY-FAIR SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130591",
        "ccn": "",
        "facilityName": "CYPRESS SURGICARE",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008679",
        "ccn": "45C0001495",
        "facilityName": "DALLAS DAY SURGERY OF TEXAS NORTH LTD",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130598",
        "ccn": "45C0001400",
        "facilityName": "Dallas Endoscopy Center Ltd",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130022",
        "ccn": "",
        "facilityName": "DALLAS IVF SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130629",
        "ccn": "45C0451272",
        "facilityName": "DALLAS JOINT AND SPINE CENTER LLC",
        "city": "ADDISON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130377",
        "ccn": "45C0001658",
        "facilityName": "DALLAS NEPHROLOGY ASSOCIATES VASCULAR CENTER DALLA",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130356",
        "ccn": "45C0001645",
        "facilityName": "DALLAS NEPHROLOGY ASSOCIATES VASCULAR CENTER DALLAS",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130485",
        "ccn": "45C0001728",
        "facilityName": "DALLAS PROCEDURE CENTER LLC",
        "city": "LEWISVILLE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000188",
        "ccn": "45C0001082",
        "facilityName": "DALLAS SURGI CENTER",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007141",
        "ccn": "45C0001272",
        "facilityName": "DAYTIME OUTPATIENT SURGERY CENTER",
        "city": "BENBROOK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001013",
        "facilityName": "DEHAVEN SURGICAL CENTER",
        "city": "TYLER",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130136",
        "ccn": "45C0001328",
        "facilityName": "DERMATOLOGY SURGERY CENTER",
        "city": "TYLER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130738",
        "ccn": "",
        "facilityName": "DESERT PASS SURGICAL CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130303",
        "ccn": "45C0001604",
        "facilityName": "DFW CHILDRENS SURGERY CENTER LLC",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130713",
        "ccn": "45C0451332",
        "facilityName": "DFW SURGICAL PARTNERS NORTH DALLAS",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130607",
        "ccn": "45C0451258",
        "facilityName": "Dialysis Access Center Corpus Christi Asc Llc",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130729",
        "ccn": "",
        "facilityName": "DIALYSIS ACCESS SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130757",
        "ccn": "",
        "facilityName": "DIALYSIS ASSOCIATES VASCULAR ACCESS CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130120",
        "ccn": "",
        "facilityName": "DIGESTIVE DISEASE CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001717",
        "facilityName": "DIGESTIVE HEALTH CENTER OF ALLEN",
        "city": "ALLEN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130460",
        "ccn": "45C0001239",
        "facilityName": "DIGESTIVE HEALTH CENTER OF DALLAS",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130501",
        "ccn": "45C0001333",
        "facilityName": "DIGESTIVE HEALTH CENTER OF PLANO",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130167",
        "ccn": "45C0001333",
        "facilityName": "DIGESTIVE HEALTH CENTER OF PLANO",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130254",
        "ccn": "",
        "facilityName": "DOCTORS HOSPITAL AT RENAISSANCE LTD OUTPATIENT SURGICAL CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001415",
        "facilityName": "DOCTORS SURGERY CENTER AT HUGULEY",
        "city": "BURLESON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000295",
        "ccn": "45C0001169",
        "facilityName": "DOCTORS SURGERY CENTER INC",
        "city": "NACOGDOCHES",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001009",
        "facilityName": "DOCTORS SURGICENTER",
        "city": "PASADENA",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130415",
        "ccn": "45C0001077",
        "facilityName": "DOCTORS UNITED SURGERY CENTER",
        "city": "PASADENA",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130108",
        "ccn": "",
        "facilityName": "DODSON SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130429",
        "ccn": "45C0001690",
        "facilityName": "DOMAIN SURGICAL, LLC ",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451280",
        "facilityName": "DOVE POINTE ASC LLC",
        "city": "MCALLEN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130613",
        "ccn": "45C0001249",
        "facilityName": "DOVE POINTE SURGERY CENTER",
        "city": "MCALLEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001192",
        "facilityName": "EAST SIDE SURGERY CENTER, INC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001097",
        "facilityName": "EAST TEXAS EYE ASSOCIATES SURG",
        "city": "LUFKIN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000210",
        "ccn": "45C0001577",
        "facilityName": "EAST TEXAS EYE ASSOCIATES SURGERY CENTER",
        "city": "LUFKIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130522",
        "ccn": "45C0451240",
        "facilityName": "East Texas Surgery Center",
        "city": "Sulphur Springs",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130186",
        "ccn": "45C0001626",
        "facilityName": "EHI SURGERY CENTER AUSTIN",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008549",
        "ccn": "45C0001465",
        "facilityName": "EL PASO CENTER FOR GASTROINTESTINAL ENDOSCOPY",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008139",
        "ccn": "45C0001374",
        "facilityName": "EL PASO DAY SURGERY",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001000",
        "facilityName": "EL PASO SURGICAL CENTERS, LP",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001126",
        "facilityName": "EL PASO SURGICAL CENTERS, LP",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000166",
        "ccn": "45C0001065",
        "facilityName": "ELM PLACE ASC",
        "city": "ABILENE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130482",
        "ccn": "",
        "facilityName": "ENDEAVOR CLINICAL TRIALS LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001146",
        "facilityName": "ENDOSCOPY CENTER",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007784",
        "ccn": "45C0001291",
        "facilityName": "ENDOSCOPY CENTER AT CENTRAL PA",
        "city": "BEDFORD",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007963",
        "ccn": "45C0001339",
        "facilityName": "ENDOSCOPY CENTER AT MEDPOINT",
        "city": "MCALLEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007032",
        "ccn": "45C0001255",
        "facilityName": "ENDOSCOPY CENTER AT REDBIRD SQ",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000404",
        "ccn": "45C0001242",
        "facilityName": "ENDOSCOPY CENTER OF EL PASO",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008336",
        "ccn": "45C0001435",
        "facilityName": "ENDOSCOPY  CENTER OF TEXARKANA, THE",
        "city": "TEXARKANA",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001379",
        "facilityName": "ENDOSCOPY CENTER OF TYLER",
        "city": "TYLER",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007865",
        "ccn": "45C0001313",
        "facilityName": "ENDOSCOPY CENTER,THE",
        "city": "LAKE JACKSON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008331",
        "ccn": "45C0001170",
        "facilityName": "ENDOSCOPY CTR OF SOUTHEAST TEX",
        "city": "BEAUMONT",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130740",
        "ccn": "",
        "facilityName": "EVEREST SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001555",
        "facilityName": "EXECUTIVE SURGERY CENTER LLC",
        "city": "TOMBALL",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130359",
        "ccn": "45C0001637",
        "facilityName": "EYE 35 ASC LLC",
        "city": "SCHERTZ",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130351",
        "ccn": "45C0001632",
        "facilityName": "EYE SURGERY CENTER OF EAST TEXAS",
        "city": "TYLER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130201",
        "ccn": "45C0001563",
        "facilityName": "EYE SURGERY CENTER OF NORTH DALLAS",
        "city": "CARROLLTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130590",
        "ccn": "",
        "facilityName": "FAITH AMBULATORY SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001538",
        "facilityName": "FAITH SURGICAL CENTER",
        "city": "THE COLONY",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130518",
        "ccn": "45C0001721",
        "facilityName": "FALCONHEAD SURGERY CENTER LLC ",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008259",
        "ccn": "45C0001409",
        "facilityName": "FANNIN SURGICARE",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130523",
        "ccn": "45C0001726",
        "facilityName": "First Choice Ambulatory Surgical Center LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001329",
        "facilityName": "FIRST STREET SURGICAL CENTER",
        "city": "BELLAIRE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001504",
        "facilityName": "FIRST SURGERY SUITES LLC",
        "city": "SULPHUR SPRINGS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001411",
        "facilityName": "FIRST SURGICAL WOODLANDS LP",
        "city": "SPRING",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008750",
        "ccn": "45C0001276",
        "facilityName": "FISH POND SURGERY CENTER LLC",
        "city": "WACO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001312",
        "facilityName": "FORT BEND SURGERY CENTER INC",
        "city": "SUGAR LAND",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130307",
        "ccn": "",
        "facilityName": "FORT BEND SURGERY CENTER OF OAKBEND HEALTH SYSTEM",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008397",
        "ccn": "45C0001180",
        "facilityName": "FORT WORTH ENDOSCOPY CTR",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001155",
        "facilityName": "FOUNDATION WEST SURGICAL CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001571",
        "facilityName": "FRISCO AMBULATORY SURGERY CENTER",
        "city": "FRISCO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130422",
        "ccn": "",
        "facilityName": "FRISCO FIRST SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130589",
        "ccn": "",
        "facilityName": "FRISCO SURGICAL CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130555",
        "ccn": "45C0451262",
        "facilityName": "FW SPECIALTY SURGICARE LLC",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130563",
        "ccn": "45C0001345",
        "facilityName": "GAB ENDOSCOPY CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130192",
        "ccn": "45C0001567",
        "facilityName": "GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO - NE",
        "city": "LIVE OAK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130325",
        "ccn": "45C0001139",
        "facilityName": "GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO MEDICA",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130139",
        "ccn": "45C0001477",
        "facilityName": "GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO STONE",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001168",
        "facilityName": "GASTROINTESTINAL ENDOSCOPY CENTER",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001605",
        "facilityName": "GASTROTEXAS SURGERY, LLC",
        "city": "KATY",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130473",
        "ccn": "45C0001708",
        "facilityName": "GATEWAY SURGICAL CENTER LLC",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130632",
        "ccn": "45C0451268",
        "facilityName": "Gelman Vision Surgery Center LLC",
        "city": "McAllen ",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130641",
        "ccn": "45C0451275",
        "facilityName": "GEORGETOWN SURGERY CENTER",
        "city": "GEORGETOWN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130586",
        "ccn": "45C0451327",
        "facilityName": "GLENEAGLES SURGERY CENTER LLC",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130699",
        "ccn": "",
        "facilityName": "GOLDEN OAK SURGICAL CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001164",
        "facilityName": "GOOD SHEPHERD ASC",
        "city": "LONGVIEW",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130521",
        "ccn": "",
        "facilityName": "GRACE AMBULATORY SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130005",
        "ccn": "",
        "facilityName": "GRACE SURGICAL HOSPITAL",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000239",
        "ccn": "45C0001061",
        "facilityName": "GRAMERCY OUTPATIENT SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130556",
        "ccn": "45C0001739",
        "facilityName": "GRAND OAKS SURGERY CENTER",
        "city": "SPRING",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130636",
        "ccn": "45C0451278",
        "facilityName": "Grand Parkway Surgery Center",
        "city": "Sugar Land",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130639",
        "ccn": "",
        "facilityName": "GULF COAST PROCEDURE CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451283",
        "facilityName": "Gulf Coast Procedure Center LLC",
        "city": "Houston",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130474",
        "ccn": "45C0001707",
        "facilityName": "GULF COAST SURGERY CENTER",
        "city": "PORT ARTHUR",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001724",
        "facilityName": "GULFSTREAM SURGICAL FORT WORTH LLC",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130717",
        "ccn": "45C0451326",
        "facilityName": "H-Town Surgery Center, LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130054",
        "ccn": "45C0001025",
        "facilityName": "HARLINGEN SURGICAL CENTER, LLC",
        "city": "HARLINGEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130135",
        "ccn": "45C0001544",
        "facilityName": "HAYS SURGERY CENTER LLC",
        "city": "KYLE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130011",
        "ccn": "45C0001498",
        "facilityName": "HEA  SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130440",
        "ccn": "45C0001684",
        "facilityName": "HEART AND VASCULAR SURGERY CENTER OF FORT WORTH",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001067",
        "facilityName": "HEART OF TEXAS OUTPATIENT CATARACT",
        "city": "BROWNWOOD",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130314",
        "ccn": "45C0001611",
        "facilityName": "HEART OF TEXAS SURGERY CENTER PLLC",
        "city": "WOODWAY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130718",
        "ccn": "45C0001225",
        "facilityName": "HEATON LASER AND SURGERY CENTER",
        "city": "TYLER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000355",
        "ccn": "45C0001215",
        "facilityName": "HEIGHTS SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001639",
        "facilityName": "HENDRICK SURGERY CENTER LLC",
        "city": "BROWNWOOD",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130505",
        "ccn": "",
        "facilityName": "HENDRICK SURGERY CENTER SOUTH",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001399",
        "facilityName": "HERITAGE PARK SURGERY CENTER 1",
        "city": "SHERMAN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000253",
        "ccn": "45C0001092",
        "facilityName": "HERITAGE SURGERY CENTER",
        "city": "MCKINNEY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130739",
        "ccn": "",
        "facilityName": "HIGH PLAINS SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000351",
        "ccn": "45C0001210",
        "facilityName": "HIGHLAND PARK PLASTIC SURGERY ",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001233",
        "facilityName": "HILL COUNTRY MEMORIAL SURGERY CENTER LLC",
        "city": "MARBLE FALLS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130554",
        "ccn": "45C0001412",
        "facilityName": "HILL COUNTRY SURGERY CENTER LLP",
        "city": "CEDAR PARK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130328",
        "ccn": "45C0001530",
        "facilityName": "HMU SURGICAL CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130746",
        "ccn": "",
        "facilityName": "HOPE AMBULATORY SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130513",
        "ccn": "",
        "facilityName": "HORIZON SURGERY CENTER PLLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130506",
        "ccn": "",
        "facilityName": "HOURGLASS OR SERVICES LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130546",
        "ccn": "45C0001518",
        "facilityName": "HOUSTON CHILDREN'S DENTAL CENTER, LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130142",
        "ccn": "",
        "facilityName": "HOUSTON METHODIST BAYTOWN HOSPITAL AMBULATORY SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130640",
        "ccn": "",
        "facilityName": "HOUSTON METHODIST DIGESTIVE HEALTH CENTER AT SUGAR LAND",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130177",
        "ccn": "",
        "facilityName": "HOUSTON METHODIST SURGERY CENTER - NASSAU BAY",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451305",
        "facilityName": "Houston Methodist Surgery Center- Bellaire",
        "city": "Bellaire",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008623",
        "ccn": "",
        "facilityName": "HOUSTON METHODIST WILLOWBROOK HOSPITAL OUTPATIENT SURGERY DEPT",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001017",
        "facilityName": "HOUSTON PHYSICIANS SURGERY CENTER",
        "city": "DICKINSON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130732",
        "ccn": "",
        "facilityName": "HOUSTON PREMIER SURGERY CENTER AT LNHSH",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001691",
        "facilityName": "HOUSTON PREMIER SURGERY CENTER IN THE VILLAGES",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130667",
        "ccn": "45C0001372",
        "facilityName": "HOUSTON SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130226",
        "ccn": "45C0001372",
        "facilityName": "HOUSTON SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000111",
        "ccn": "45C0001030",
        "facilityName": "HOWARD A. TOBIN MD, PA",
        "city": "ABILENE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130007",
        "ccn": "45C0001137",
        "facilityName": "HOWERTON SURGICAL CENTER, LLC",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130655",
        "ccn": "45C0451286",
        "facilityName": "Hub City Surgery Center",
        "city": "Lubbock",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130329",
        "ccn": "45C0001624",
        "facilityName": "Huebner Ambulatory Surgery Center, LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130096",
        "ccn": "45C0001528",
        "facilityName": "HUMBLE KINGWOOD ENDOSCOPY CENTER",
        "city": "HUMBLE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130371",
        "ccn": "45C0001673",
        "facilityName": "Humble Vascular Surgical Center LLC",
        "city": "HUMBLE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130735",
        "ccn": "",
        "facilityName": "HUNTSVILLE SURGICAL PARTNERS LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008677",
        "ccn": "45C0001481",
        "facilityName": "HYDE PARK SURGERY CENTER, LP",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001557",
        "facilityName": "IHEART ASC DENTON LLC",
        "city": "DENTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001558",
        "facilityName": "IHEART SOUTH DALLAS",
        "city": "DUNCANVILLE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001572",
        "facilityName": "IMPERIAL SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001712",
        "facilityName": "INNOVATIONS SURGERY CENTER LP",
        "city": "PALESTINE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001483",
        "facilityName": "INNOVATIVE BACK CARE CENTER, LP",
        "city": "SUGAR LAND",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130439",
        "ccn": "45C0001685",
        "facilityName": "INOV8 SURGICAL",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130538",
        "ccn": "45C0001736",
        "facilityName": "IRVING SPECIALISTS SURGICAL CENTER, LLC",
        "city": "IRVING",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130687",
        "ccn": "45C0451299",
        "facilityName": "iSurg of Spring, LLC",
        "city": "Spring",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130089",
        "ccn": "",
        "facilityName": "JPS SURGICAL CENTER- ARLINGTON",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130726",
        "ccn": "45C0001325",
        "facilityName": "Katy Endoscopy Center",
        "city": "KATY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130658",
        "ccn": "45C0451317",
        "facilityName": "Kelsey Seybold ASC Bay Area",
        "city": "Webster",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130665",
        "ccn": "45C0451315",
        "facilityName": "Kelsey Seybold ASC Fort Bend",
        "city": "Sugar Land",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001260",
        "facilityName": "KELSEY SEYBOLD CLINIC ASC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130602",
        "ccn": "45C0451265",
        "facilityName": "Kelsey-Seybold ASC Memorial Villages",
        "city": "Houston",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130653",
        "ccn": "45C0451284",
        "facilityName": "Kelsey-Seybold ASC Springwoods Village",
        "city": "Spring",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130441",
        "ccn": "45C0001489",
        "facilityName": "KELSEY-SEYBOLD CLINIC ASC-SPRING",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008616",
        "ccn": "45C0001475",
        "facilityName": "KERRVILLE AMBULATORY SURGERY CENTER LLC",
        "city": "KERRVILLE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130283",
        "ccn": "45C0001023",
        "facilityName": "KEY WHITMAN SURGERY CENTER",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130301",
        "ccn": "",
        "facilityName": "KEYSTONE SURGICENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130003",
        "ccn": "45C0001442",
        "facilityName": "KINGSLAND SURGERY CENTER",
        "city": "KATY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130753",
        "ccn": "",
        "facilityName": "KINGSLAND SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130468",
        "ccn": "45C0001697",
        "facilityName": "KINGWOOD ENDOSCOPY",
        "city": "KINGWOOD",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001382",
        "facilityName": "KIRBY SURGICAL CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001079",
        "facilityName": "KNAPP MEDICAL CENTER ASC, LLC",
        "city": "WESLACO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001348",
        "facilityName": "KSF ORTHOPAEDIC SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008038",
        "ccn": "",
        "facilityName": "LAKE GRANBURY MEDICAL CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130259",
        "ccn": "45C0001586",
        "facilityName": "LAKE JACKSON ENDOSCOPY CENTER, LP",
        "city": "LAKE JACKSON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130149",
        "ccn": "",
        "facilityName": "LAKE POINTE SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130675",
        "ccn": "45C0451297",
        "facilityName": "LAKE TRAVIS SURGERY CENTER LLC",
        "city": "LAKEWAY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001516",
        "facilityName": "LAKE WOODLANDS SURGICAL CENTER, LLC",
        "city": "THE WOODLANDS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130008",
        "ccn": "45C0001496",
        "facilityName": "LAREDO DIGESTIVE HEALTH CENTER LLC",
        "city": "LAREDO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008685",
        "ccn": "45C0001485",
        "facilityName": "LAREDO LASER AND SURGERY LTD",
        "city": "LAREDO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001461",
        "facilityName": "LEGACY SURGERY CENTER OF FRISCO LP",
        "city": "FRISCO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130693",
        "ccn": "45C0451318",
        "facilityName": "Legent Hill Country ASC",
        "city": "FREDERICKSBURG",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130705",
        "ccn": "",
        "facilityName": "LEGENT HOUSTON MEDICAL CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001713",
        "facilityName": "LEGENT INSTITUTE FOR SPECIALIZED SURGERY",
        "city": "CONROE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130156",
        "ccn": "45C0001548",
        "facilityName": "LEGENT INTERVENTIONAL PAIN CENTER",
        "city": "EULESS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130691",
        "ccn": "45C0451313",
        "facilityName": "LEGENT OAK CREEK SURGERY CENTER",
        "city": "Austin ",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130587",
        "ccn": "45C0001429",
        "facilityName": " Legent Outpatient Surgery Corpus Christi",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001682",
        "facilityName": "LEGENT OUTPATIENT SURGERY FORT WORTH",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130343",
        "ccn": "45C0001677",
        "facilityName": "LEGENT OUTPATIENT SURGERY FRISCO",
        "city": "FRISCO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130601",
        "ccn": "45C0451273",
        "facilityName": "Legent Outpatient Surgery Singing Hills",
        "city": "Spring Branch",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130700",
        "ccn": "45C0001649",
        "facilityName": "Legent Westover Hills ",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130571",
        "ccn": "45C0451247",
        "facilityName": "Lenza Surgical Center",
        "city": "San Antonio ",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000387",
        "ccn": "45C0001237",
        "facilityName": "LEWISVILLE SURGERY CENTER",
        "city": "LEWISVILLE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130727",
        "ccn": "",
        "facilityName": "LEXINGTON SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130372",
        "ccn": "45C0001665",
        "facilityName": "LIVE OAK SURGERY CENTER",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008003",
        "ccn": "",
        "facilityName": "LMC NORTH",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130072",
        "ccn": "45C0001422",
        "facilityName": "LONE STAR ENDOSCOPY CENTER LLC",
        "city": "KELLER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130200",
        "ccn": "45C0001570",
        "facilityName": "LONE STAR ENDOSCOPY FLOWER MOUND",
        "city": "FLOWER MOUND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130574",
        "ccn": "45C0451289",
        "facilityName": "Lone Star Endoscopy of Austin PLLC",
        "city": "Austin",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130353",
        "ccn": "45C0001646",
        "facilityName": "LONE STAR ENDOSCOPY SOUTHLAKE",
        "city": "SOUTHLAKE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130049",
        "ccn": "45C0001511",
        "facilityName": "LONESTAR AMBULATORY SURGICAL CENTER",
        "city": "GRAPEVINE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130550",
        "ccn": "45C0451244",
        "facilityName": "Longview Laser and Surgery Center LLC",
        "city": "Longview",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130759",
        "ccn": "",
        "facilityName": "LONGVIEW SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130347",
        "ccn": "45C0001630",
        "facilityName": "LUBBOCK SURGERY CENTER",
        "city": "LUBBOCK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130322",
        "ccn": "45C0001654",
        "facilityName": "LUBBOCK VASCULAR ACCESS CENTER",
        "city": "LUBBOCK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000212",
        "ccn": "45C0001098",
        "facilityName": "LUFKIN ENDOSCOPY CTR",
        "city": "LUFKIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130651",
        "ccn": "",
        "facilityName": "MAGNOLIA AMBULATORY SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007149",
        "ccn": "45C0001074",
        "facilityName": "MANN CATARACT SURGERY CENTER",
        "city": "HUMBLE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130568",
        "ccn": "45C0001464",
        "facilityName": "MANN CATARACT SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130529",
        "ccn": "45C0001732",
        "facilityName": "MANSFIELD ENDOSCOPY CENTER LLC",
        "city": "MANSFIELD",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130475",
        "ccn": "",
        "facilityName": "MAPLESHADE SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000388",
        "ccn": "45C0001241",
        "facilityName": "MAPLEWOOD AMBULATORY SURGERY C",
        "city": "WICHITA FALLS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001503",
        "facilityName": "MARC ASC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130604",
        "ccn": "",
        "facilityName": "MARIPOSA SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451301",
        "facilityName": "Mariposa Surgery Center PLLC",
        "city": "Corinth",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130634",
        "ccn": "45C0451267",
        "facilityName": "McAllen Surgery Center",
        "city": "McAllen",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007782",
        "ccn": "45C0001293",
        "facilityName": "MCALLEN SURGICAL SPECIALTY CEN",
        "city": "MCALLEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130681",
        "ccn": "",
        "facilityName": "MCKINNEY CENTER OF SURGICAL ARTS LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001342",
        "facilityName": "MD AESTHETIC SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001321",
        "facilityName": "MEDCENTER AMBULATORY SURGERY",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130308",
        "ccn": "45C0001623",
        "facilityName": "MEDFINITY HEALTH SURGERY CENTER -HEB",
        "city": "BEDFORD",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130319",
        "ccn": "45C0001617",
        "facilityName": "MEDFINITY HEALTH SURGERY CENTER PLANO",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008491",
        "ccn": "45C0001159",
        "facilityName": "MEDICAL ARTS SURGERY CENTER LLC",
        "city": "NACOGDOCHES",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000399",
        "ccn": "45C0451238",
        "facilityName": "MEDICAL CENTER ENDOSCOPY L L P",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008279",
        "ccn": "45C0001100",
        "facilityName": "MEDICAL CITY  AMBULATORY SURGERY CENTER  DALLAS",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130562",
        "ccn": "",
        "facilityName": "MEDICAL CITY NORTH HILLS DAY SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130578",
        "ccn": "45C0451245",
        "facilityName": "MEDICAL CITY ORTHOPEDIC AND SPINE SURGERY CENTER DALLAS",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130560",
        "ccn": "",
        "facilityName": "MEDICAL CITY SURGERY CENTER ALLIANCE",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008176",
        "ccn": "45C0001388",
        "facilityName": "MEDICAL CITY SURGERY CENTER DENTON",
        "city": "DENTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000270",
        "ccn": "45C0001157",
        "facilityName": "MEDICAL CITY SURGERY CENTER  FORT WORTH",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130548",
        "ccn": "",
        "facilityName": "MEDICAL CITY SURGERY CENTER FRISCO",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001177",
        "facilityName": "MEDICAL CITY SURGERY CENTER LAS COLINAS",
        "city": "IRVING",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008024",
        "ccn": "45C0001349",
        "facilityName": "MEDICAL CITY SURGERY CENTER MCKINNEY",
        "city": "MCKINNEY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130630",
        "ccn": "45C0001716",
        "facilityName": "MEDICAL CITY SURGERY CENTER NORTH TEXAS LLC",
        "city": "ANNA",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130637",
        "ccn": "45C0001622",
        "facilityName": "MEDICAL CITY SURGERY CENTER OF ALLEN",
        "city": "ALLEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001020",
        "facilityName": "MEDICAL CITY SURGERY CENTER PARK CENTRAL",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130577",
        "ccn": "45C0001596",
        "facilityName": "Medical City Surgery Center Southlake",
        "city": "SOUTHLAKE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130354",
        "ccn": "",
        "facilityName": "MEDICAL CITY WEATHERFORD",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130349",
        "ccn": "45C0001501",
        "facilityName": "MEDICAL COMPLEX SURGERY CENTER",
        "city": "TOMBALL",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130050",
        "ccn": "45C0001509",
        "facilityName": "MEDICAL PARK TOWER SURGERY CENTER LLC",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001128",
        "facilityName": "MEDICAL VILLAGE OUTPATIENT SURGERY CENTER",
        "city": "GRAND PRAIRIE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008043",
        "ccn": "45C0451274",
        "facilityName": "MEDICAL VILLAGE SURGERY CENTER INC",
        "city": "GRAND PRAIRIE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130447",
        "ccn": "45C0001705",
        "facilityName": "MEMORIAL AMBULATORY SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130730",
        "ccn": "45C0451329",
        "facilityName": "Memorial Hermann Endoscopy Center Cypress",
        "city": "CYPRESS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130220",
        "ccn": "45C0001363",
        "facilityName": "MEMORIAL HERMANN ENDOSCOPY CENTER NORTH FREEWAY, L",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130143",
        "ccn": "45C0001513",
        "facilityName": "MEMORIAL HERMANN MEMORIAL VILLAGE SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130553",
        "ccn": "45C0001738",
        "facilityName": "MEMORIAL HERMANN SUGAR LAND CARDIOVASCULAR SURGERY CENTER-SUGAR LAND",
        "city": "SUGAR LAND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130403",
        "ccn": "45C0001434",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER BRAZORIA LLC",
        "city": "ANGLETON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007984",
        "ccn": "45C0001018",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER CONROE",
        "city": "CONROE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008110",
        "ccn": "45C0001369",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER GREATER HEIGHTS",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008424",
        "ccn": "45C0001447",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER KATY LLP",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130450",
        "ccn": "45C0001035",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER MAIN STREET",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130315",
        "ccn": "45C0001607",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER PINECROFT, LLC",
        "city": "THE WOODLANDS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130454",
        "ccn": "45C0001421",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER RICHMOND",
        "city": "RICHMOND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008394",
        "ccn": "45C0001443",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER SOUTHWEST LLP",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008395",
        "ccn": "45C0001449",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER SUGARLAND",
        "city": "SUGAR LAND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001446",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER TEXAS MEDICAL CEN",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008254",
        "ccn": "45C0001406",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER THE WOODLANDS",
        "city": "THE WOODLANDS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130674",
        "ccn": "",
        "facilityName": "MEMORIAL HERMANN SURGERY CENTER WOODFOREST",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451294",
        "facilityName": "Memorial Hermann Surgery Center Woodforest LLC",
        "city": "Montgomery ",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130085",
        "ccn": "45C0001149",
        "facilityName": "Memorial Hermann Surgery Center Woodlands Parkway",
        "city": "THE WOODLANDS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130249",
        "ccn": "45C0001536",
        "facilityName": "MEMORIAL HERMANN SURGERY KIRBY GLEN",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130313",
        "ccn": "45C0001647",
        "facilityName": "MEMORIAL HOUSTON SURGERY CENTER LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130057",
        "ccn": "",
        "facilityName": "MEMORIAL SURGICAL SOLUTIONS",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001385",
        "facilityName": "MERIDIAN PLASTIC SURGERY CENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130153",
        "ccn": "",
        "facilityName": "MERIDIAN SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001494",
        "facilityName": "MESA HILLS OUTPATIENT SURGERY CENTER",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007843",
        "ccn": "45C0001308",
        "facilityName": "METHODIST AMBULATORY SURGERY C",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130534",
        "ccn": "45C0001734",
        "facilityName": "METHODIST AMBULATORY SURGERY CENTER LANDMARK, LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008133",
        "ccn": "45C0001371",
        "facilityName": "METHODIST AMBULATORY SURGERY MEDICAL CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130352",
        "ccn": "45C0001638",
        "facilityName": "METHODIST CRAIG RANCH SURGERY CENTER",
        "city": "MCKINNEY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130491",
        "ccn": "45C0001710",
        "facilityName": "METHODIST MANSFIELD AMBULATORY SURGERY CENTER LLC",
        "city": "MANSFIELD",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130456",
        "ccn": "45C0001710",
        "facilityName": "METHODIST MANSFIELD AMBULATORY SURGERY CENTER LLC",
        "city": "MANSFIELD",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130669",
        "ccn": "",
        "facilityName": "METHODIST OUTPATIENT SURGERY NORTHEAST",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130736",
        "ccn": "",
        "facilityName": "METHODIST SURGERY CENTER - RICHARDSON",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130733",
        "ccn": "45C0451330",
        "facilityName": "METHODIST SURGERY CENTER -ADVANCED FOOT AND JOINT CARE ",
        "city": "KELLER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130481",
        "ccn": "45C0001704",
        "facilityName": "METHODIST SURGERY CENTER BOERNE",
        "city": "BOERNE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130174",
        "ccn": "45C0001068",
        "facilityName": "METHODIST SURGERY CENTER TEXAS CENTER FOR ATHLETES",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001142",
        "facilityName": "MICROSURGERY INSTITUTE OF DALLAS",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001153",
        "facilityName": "MID-TOWN SURGICAL CENTER INC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451324",
        "facilityName": "Midland Spine & Joint Surgery Cente",
        "city": "MIDLAND",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130701",
        "ccn": "",
        "facilityName": "MIDLAND SPINE & JOINT SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130544",
        "ccn": "45C0451256",
        "facilityName": "Mission Surgery Center",
        "city": "San Antonio",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130737",
        "ccn": "",
        "facilityName": "MODERN AMBULATORY SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130585",
        "ccn": "",
        "facilityName": "MODERN SURGERY CENTER OF FORT WORTH",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130572",
        "ccn": "45C0451246",
        "facilityName": "MOMENTUM SPECIALTY SURGERY CENTER",
        "city": "WICHITA FALLS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130358",
        "ccn": "",
        "facilityName": "MONARCH SURGICAL",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001722",
        "facilityName": "MONTFORT SURGICAL CENTER LLC",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001488",
        "facilityName": "MONTGOMERY COUNTY MANAGEMENT COMPANY, LLC",
        "city": "THE WOODLANDS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130178",
        "ccn": "",
        "facilityName": "MOTHER FRANCES HOSPITAL OUTPATIENT SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001560",
        "facilityName": "MOUNTAIN WEST SURGERY CENTER OF MESA HILLS SPECIAL",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130661",
        "ccn": "45C0451290",
        "facilityName": "MOUNTAIN WESTSTAR SURGICAL CENTER LLC",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000359",
        "ccn": "45C0001216",
        "facilityName": "MT PLEASANT SURGICAL CENTER",
        "city": "MOUNT PLEASANT",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130648",
        "ccn": "45C0451277",
        "facilityName": "MUSEO ASC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130609",
        "ccn": "45C0001618",
        "facilityName": "MUVE-LAKEWAY AMBULATORY SURGICAL CENTER LLC",
        "city": "LAKEWAY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007238",
        "ccn": "45C0001281",
        "facilityName": "NACOGDOCHES SURGERY CENTER",
        "city": "NACOGDOCHES",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130300",
        "ccn": "45C0001628",
        "facilityName": "NEW BRAUNFELS SURGERY CENTER",
        "city": "NEW BRAUNFELS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008141",
        "ccn": "45C0001375",
        "facilityName": "NORTH AUSTIN SURGERY CENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001476",
        "facilityName": "NORTH BROWNSVILLE SURGERY CTR",
        "city": "BROWNSVILLE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001069",
        "facilityName": "NORTH CARRIER SURGICENTER",
        "city": "GRAND PRAIRIE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130414",
        "ccn": "",
        "facilityName": "NORTH CENTRAL AMBULATORY SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130592",
        "ccn": "45C0451249",
        "facilityName": "North Cypress Surgery Center",
        "city": "Houston",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000279",
        "ccn": "45C0001147",
        "facilityName": "NORTH DALLAS SURGICARE, INC",
        "city": "RICHARDSON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001627",
        "facilityName": "NORTH HOUSTON CARDIOVASCULAR SURGERY CENTER",
        "city": "HUMBLE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008709",
        "ccn": "45C0001298",
        "facilityName": "NORTH HOUSTON ENDOSCOPY AND SURGERY",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130376",
        "ccn": "45C0001661",
        "facilityName": "NORTH PARK HEART AND VASCULAR SURGERY CENTER",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130445",
        "ccn": "",
        "facilityName": "NORTH PARK SURGICAL INSTITUTE",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130272",
        "ccn": "45C0001597",
        "facilityName": "NORTH PINES SURGERY CENTER, LLC",
        "city": "CONROE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008398",
        "ccn": "45C0001438",
        "facilityName": "NORTH RICHLAND HILLS ENDOSCOPY CENTER",
        "city": "NORTH RICHLAND HILLS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130754",
        "ccn": "",
        "facilityName": "NORTH SHEPHERD AMBULATORY SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000354",
        "ccn": "45C0001205",
        "facilityName": "NORTH TEXAS SURGERY CENTER",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130342",
        "ccn": "45C0001642",
        "facilityName": "NORTH TEXAS SURGERY CENTER LLC",
        "city": "SHERMAN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130071",
        "ccn": "45C0001523",
        "facilityName": "NORTH TEXAS TEAM CARE SURGERY CENTER LLC",
        "city": "MESQUITE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001212",
        "facilityName": "NORTH TRAVIS AMBULATORY SURGER",
        "city": "SHERMAN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130683",
        "ccn": "",
        "facilityName": "NORTHAVEN SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001223",
        "facilityName": "NORTHEAST BAPTIST SURGERY CENT",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001482",
        "facilityName": "NORTHEAST SURGICAL CENTER",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001289",
        "facilityName": "NORTHSTAR SURGICAL CENTER",
        "city": "LUBBOCK",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130235",
        "ccn": "",
        "facilityName": "NORTHSTAR SURGICAL CENTER A DEPARTMENT OF LUBBOCK HEART HOSPITAL",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130724",
        "ccn": "",
        "facilityName": "NORTHSTAR VASCULAR",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008513",
        "ccn": "45C0001458",
        "facilityName": "NORTHWEST SURGERY CENTER LLP",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000401",
        "ccn": "45C0001243",
        "facilityName": "NORTHWEST SURGERY CENTER LTD",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130752",
        "ccn": "",
        "facilityName": "NORTHWEST TEXAS HEALTHCARE SYSTEM CARDIOVASCULAR CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130710",
        "ccn": "",
        "facilityName": "NRH PROCEDURE AND ACCESS CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130437",
        "ccn": "45C0001686",
        "facilityName": "NUVISION SAME DAY PROCEDURE CENTER LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130508",
        "ccn": "45C0001542",
        "facilityName": "NW Ambulatory Surgery Center, LLP",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001668",
        "facilityName": "OAK POINT SURGICAL SUITES LLC",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130697",
        "ccn": "",
        "facilityName": "OAKBEND SURGERY CENTER - EAST SIDE",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130722",
        "ccn": "",
        "facilityName": "OAKS SURGICAL CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130112",
        "ccn": "45C0001218",
        "facilityName": "OAKWOOD SURGERY CENTER",
        "city": "ROUND ROCK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130588",
        "ccn": "",
        "facilityName": "OCCU-HEALTH SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000175",
        "ccn": "45C0001072",
        "facilityName": "OCULAR SURGERY CENTER INC,THE",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130059",
        "ccn": "45C0001335",
        "facilityName": "ODESSA ENDOSCOPY CENTER LLC",
        "city": "ODESSA",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130034",
        "ccn": "45C0001508",
        "facilityName": "OPHTHALMOLOGY SURGERY CENTER OF DALLAS LLC",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001515",
        "facilityName": "OPREX SURGERY BAYTOWN, LP",
        "city": "BAYTOWN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130528",
        "ccn": "45C0001723",
        "facilityName": "ORBIS SURGERY CENTER LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451328",
        "facilityName": "Orion ASC, LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130723",
        "ccn": "",
        "facilityName": "ORION HEART & VASCULAR SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001720",
        "facilityName": "ORTHOPAEDIC ASSOCIATES OF CENTRAL TEXAS SURGERY CE",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130524",
        "ccn": "",
        "facilityName": "OSD SURGERY CENTER LP",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001332",
        "facilityName": "OUTPATIENT SURGERY CENTER",
        "city": "MCKINNEY",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000173",
        "ccn": "45C0001070",
        "facilityName": "OUTPATIENT SURGISITE",
        "city": "MARSHALL",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007940",
        "ccn": "45C0001324",
        "facilityName": "PALESTINE LASER AND SURGERY CE",
        "city": "PALESTINE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130567",
        "ccn": "45C0451259",
        "facilityName": "Palm Valley Surgery Center LLC",
        "city": "Weslaco",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130282",
        "ccn": "45C0001592",
        "facilityName": "PARAGON LASER & EYE SURGERY CENTER",
        "city": "ARLINGTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130530",
        "ccn": "",
        "facilityName": "PARAMOUNT SURGICAL CENTER PLLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130464",
        "ccn": "",
        "facilityName": "PARC SURGICAL CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130239",
        "ccn": "45C0001584",
        "facilityName": "PARIS CARDIOLOGY CENTER CATH LAB",
        "city": "PARIS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130187",
        "ccn": "45C0001559",
        "facilityName": "PARIS SURGERY CENTER LLC",
        "city": "PARIS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130172",
        "ccn": "45C0001620",
        "facilityName": "PARK AMBULATORY SURGERY CENTER  LLC",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007967",
        "ccn": "45C0001315",
        "facilityName": "PARK CITIES SURGERY CENTER",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130222",
        "ccn": "45C0001578",
        "facilityName": "PARK HILL SURGERY CENTER LLC",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130512",
        "ccn": "45C0451252",
        "facilityName": "PARKHILL SURGERY CENTER LLC",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130725",
        "ccn": "45C0001588",
        "facilityName": "Parkside Surgery Center",
        "city": "CONROE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "006838",
        "ccn": "45C0001247",
        "facilityName": "PASO DEL NORTE SURGERY CENTER",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007850",
        "ccn": "45C0001314",
        "facilityName": "PASTEUR PLAZA SURGERY CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130702",
        "ccn": "45C0451312",
        "facilityName": "Patches West, LLC",
        "city": "RICHMOND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130731",
        "ccn": "",
        "facilityName": "PEAK HEALTH SURGICARE LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001418",
        "facilityName": "PEARLAND PREMIER SURGERY CENTER",
        "city": "PEARLAND",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130117",
        "ccn": "45C0001540",
        "facilityName": "PEARLAND SURGERY CENTER, LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130670",
        "ccn": "45C0001431",
        "facilityName": "PECAN GROVE SURGERY CENTER LLC",
        "city": "SHERMAN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008594",
        "ccn": "",
        "facilityName": "PHYSICIAN SURGERY CENTER OF LONGVIEW REGIONAL MEDICAL CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130266",
        "ccn": "45C0001539",
        "facilityName": "PHYSICIAN WEST HOUSTON SURGICAL CENTER LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001046",
        "facilityName": "PHYSICIANS DAYSURGERY CENTER",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130024",
        "ccn": "45C0001320",
        "facilityName": "PHYSICIANS ENDOSCOPY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001256",
        "facilityName": "PHYSICIANS SURGICAL CENTER OF FORT WORTH II",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130046",
        "ccn": "45C0001300",
        "facilityName": "PINEY POINT SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130340",
        "ccn": "45C0001666",
        "facilityName": "PINNACLE SURGERY CENTER OF AUSTIN ",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001549",
        "facilityName": "PLACE OF THE PEOPLE AMBULATORY SURGERY CENTER LLP",
        "city": "LAREDO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001273",
        "facilityName": "PLANO CENTER FOR SURGICAL ARTS LLC",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130620",
        "ccn": "45C0001232",
        "facilityName": "PLATINUM SURGERY CENTER",
        "city": "HARLINGEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130573",
        "ccn": "45C0451248",
        "facilityName": "Plum Creek Surgery Center ",
        "city": "Kyle",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130704",
        "ccn": "45C0451331",
        "facilityName": "PPG SURGICAL PROCEDURES SURGERY CENTER",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130171",
        "ccn": "45C0001565",
        "facilityName": "PRECINCT AMBULATORY SURGERY CENTER",
        "city": "HURST",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130476",
        "ccn": "45C0001699",
        "facilityName": "PRECISION AMBULATORY SURGERY CENTER LLC",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130457",
        "ccn": "45C0001694",
        "facilityName": "PRECISION SURGERY CENTER LLC",
        "city": "TEXARKANA",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130734",
        "ccn": "",
        "facilityName": "PREMIER SURGICAL CENTER AT SHAVANO PARK",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130390",
        "ccn": "",
        "facilityName": "PREMIER SURGICAL PAVILION OF SUGAR LAND",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008328",
        "ccn": "45C0001334",
        "facilityName": "PRESTON ROAD SURGERY CENTER",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130165",
        "ccn": "45C0001568",
        "facilityName": "PRESTON SURGERY CENTER",
        "city": "FRISCO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001478",
        "facilityName": "PRESTONWOOD SURGERY CENTER",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130433",
        "ccn": "",
        "facilityName": "PROFFER SURGICAL CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130100",
        "ccn": "",
        "facilityName": "PROVINCIAL PARK SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130539",
        "ccn": "",
        "facilityName": "PS SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130755",
        "ccn": "",
        "facilityName": "PSA AMBULATORY SURGICAL CENTER OF AUSTIN, LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130623",
        "ccn": "45C0451269",
        "facilityName": "PSA Surgery Center of South Austin",
        "city": "Austin ",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130664",
        "ccn": "45C0451292",
        "facilityName": "Qoros Clear Lake Surgery Center, LLC",
        "city": "Houston",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130305",
        "ccn": "45C0001603",
        "facilityName": "RAIDER SURGICAL CENTER LLC",
        "city": "MC ALLEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130649",
        "ccn": "45C0451282",
        "facilityName": "REDBUD SURGERY CENTER, LLC",
        "city": "Austin ",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130541",
        "ccn": "45C0451309",
        "facilityName": "REDD ASC LLC",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130628",
        "ccn": "",
        "facilityName": "REGENERATIVE SURGICAL CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007186",
        "ccn": "45C0001138",
        "facilityName": "REMEDY SURGERY CENTER",
        "city": "HURST",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001520",
        "facilityName": "RENAISSANCE SURGERY CENTER",
        "city": "CROCKETT",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130712",
        "ccn": "45C0451320",
        "facilityName": "RGV Surgery Center Brownsville",
        "city": "OLMITO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001735",
        "facilityName": "Rhythm Endovascular & Heart ASC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130268",
        "ccn": "45C0001469",
        "facilityName": "RICELAND SURGERY CENTER",
        "city": "BEAUMONT",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130515",
        "ccn": "45C0001719",
        "facilityName": "RIDGEWOOD ORTHOPAEDIC SURGERY CENTER OF SA",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007839",
        "ccn": "45C0001306",
        "facilityName": "RIDGEWOOD ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130181",
        "ccn": "",
        "facilityName": "RIO GRANDE REGIONAL HOSPITAL OUTPATIENT SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001152",
        "facilityName": "RIO GRANDE SURGERY CENTER",
        "city": "MC ALLEN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008576",
        "ccn": "45C0001340",
        "facilityName": "RIVER OAKS ENDOSCOPY",
        "city": "CONROE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001231",
        "facilityName": "RIVER OAKS SURGICAL CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001547",
        "facilityName": "RIVER POINTE SURGICAL CENTER",
        "city": "RICHMOND",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130151",
        "ccn": "",
        "facilityName": "ROBERT B GREEN AMBULATORY SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130742",
        "ccn": "",
        "facilityName": "ROBOTIC JOINT REPLACEMENT CENTER ON GREENHOUSE, LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130073",
        "ccn": "45C0001404",
        "facilityName": "ROC-ASC, LLP",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008418",
        "ccn": "45C0001364",
        "facilityName": "ROCKWALL SURGERY CENTER",
        "city": "ROCKWALL",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000304",
        "ccn": "45C0001183",
        "facilityName": "RUSHLAND PARK SURGICENTER",
        "city": "LUBBOCK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130612",
        "ccn": "45C0451270",
        "facilityName": "SAKDC Surgical Center, PLLC",
        "city": "San Antonio",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130217",
        "ccn": "45C0001234",
        "facilityName": "SAME DAY SURGICARE",
        "city": "ARLINGTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130199",
        "ccn": "45C0001574",
        "facilityName": "SAN ANTONIO CHILDREN'S SURGICAL",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001188",
        "facilityName": "SAN ANTONIO DIGESTIVE DISEASE ",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008225",
        "ccn": "45C0001338",
        "facilityName": "SAN ANTONIO ENDOSCOPY CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130507",
        "ccn": "45C0001010",
        "facilityName": "SAN ANTONIO EYE SURGICENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130743",
        "ccn": "",
        "facilityName": "SAN ANTONIO FERTILITY SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001178",
        "facilityName": "SAN ANTONIO GASTROENTEROLOGY ENDOSCOPY CENTER - DOWNTON",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130684",
        "ccn": "",
        "facilityName": "SAN ANTONIO GASTROENTEROLOGY ENDOSCOPY CENTER - DOWNTOWN",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130686",
        "ccn": "45C0001529",
        "facilityName": "San Antonio Gastroenterology Endoscopy Center - Medical Center",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130685",
        "ccn": "45C0001451",
        "facilityName": "SAN ANTONIO GASTROENTEROLOGY ENDOSCOPY CENTER - NORTH",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130621",
        "ccn": "45C0451287",
        "facilityName": "SAN ANTONIO SURGERY CENTER OF EXCELLENCE",
        "city": "SAN ANTONIO,",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001279",
        "facilityName": "SAN MARCOS SURGERY CENTER",
        "city": "SAN MARCOS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130715",
        "ccn": "",
        "facilityName": "SANAVATE SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130299",
        "ccn": "45C0001615",
        "facilityName": "SARATOGA SURGICAL CENTER",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001209",
        "facilityName": "SCOTT & WHITE AMBULATORY SURGERY CENTER",
        "city": "COLLEGE STATION",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130409",
        "ccn": "",
        "facilityName": "SCOTTISH RITE FOR CHILDREN",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001598",
        "facilityName": "SELECT AMBULATORY SURGERY CENTER OF FT WORTH LLC",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001236",
        "facilityName": "SENDERO IMAGING AND TREATMENT ",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130033",
        "ccn": "",
        "facilityName": "SGF HOUSTON SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008641",
        "ccn": "",
        "facilityName": "SHANNON SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130504",
        "ccn": "",
        "facilityName": "SHANNON SURGERY CENTER SOUTH",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130549",
        "ccn": "45C0451241",
        "facilityName": "SHERMAN ENDOSCOPY CENTER LLC",
        "city": "SHERMAN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130610",
        "ccn": "",
        "facilityName": "SHORELINE SURGICAL CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008433",
        "ccn": "",
        "facilityName": "SIMMONS AMBULATORY SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130690",
        "ccn": "45C0451311",
        "facilityName": "SOLEIL SURGERY CENTER LLC",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001359",
        "facilityName": "SONTERRA ENDOSCOPY CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130133",
        "ccn": "45C0001546",
        "facilityName": "SONTERRA PROCEDURE CENTER LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001031",
        "facilityName": "SOUTH AUSTIN SURGERY CENTER  LLC",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000278",
        "ccn": "45C0001161",
        "facilityName": "SOUTH PLAINS ENDOSCOPY CTR",
        "city": "LUBBOCK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130399",
        "ccn": "",
        "facilityName": "SOUTH PLAINS SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001669",
        "facilityName": "SOUTH PLAINS SURGERY CENTER LLC",
        "city": "LUBBOCK",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001526",
        "facilityName": "SOUTH SHORE SURGICENTER, LLC",
        "city": "LEAGUE CITY",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130716",
        "ccn": "45C0001519",
        "facilityName": "SOUTH TEXAS AMBULATORY SURGERY CENTER PLLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130060",
        "ccn": "45C0001519",
        "facilityName": "SOUTH TEXAS AMBULATORY SURGERY CENTER PLLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000144",
        "ccn": "45C0001048",
        "facilityName": "SOUTH TEXAS EYE SURGICENTER IN",
        "city": "VICTORIA",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130183",
        "ccn": "",
        "facilityName": "SOUTH TEXAS SPINE & SURGICAL OUTPATIENT CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001366",
        "facilityName": "SOUTH TEXAS SURGICAL CENTER",
        "city": "SEGUIN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001703",
        "facilityName": "SOUTH TEXAS SURGICAL INSTITUTE",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007867",
        "ccn": "",
        "facilityName": "SOUTHEAST SURGICENTER INC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001533",
        "facilityName": "SOUTHLAKE SURGERY CENTER LLC",
        "city": "SOUTHLAKE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130461",
        "ccn": "45C0001701",
        "facilityName": "SOUTHSIDE SPECIALTY SURGICAL CENTER LLC,",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130644",
        "ccn": "45C0451306",
        "facilityName": "Southwest Ambulatory Surgery Center",
        "city": "El Paso",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008364",
        "ccn": "45C0001184",
        "facilityName": "SOUTHWEST ENDOSCOPY AND SURGERY CENTER",
        "city": "BURLESON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130286",
        "ccn": "45C0001317",
        "facilityName": "SOUTHWEST FORT WORTH ENDOSCOPY",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001227",
        "facilityName": "SPECIALTY SURGERY CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001286",
        "facilityName": "SPECIALTY SURGERY CENTER",
        "city": "GREENVILLE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001445",
        "facilityName": "SPECIALTY SURGERY CENTER OF DALLAS",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130448",
        "ccn": "45C0001687",
        "facilityName": "SPICEWOOD SURGERY CENTER LLC",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130332",
        "ccn": "45C0001674",
        "facilityName": "SPINETECH SURGERY CENTER LLC",
        "city": "BEAUMONT",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130384",
        "ccn": "45C0001659",
        "facilityName": "SPORTSORTHO SURGERY CENTER LLC",
        "city": "HARLINGEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001423",
        "facilityName": "SPRING CREEK SURGERY CENTER",
        "city": "TOMBALL",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001507",
        "facilityName": "SPRING SURGICAL CENTER LLC",
        "city": "SPRING",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130388",
        "ccn": "45C0001663",
        "facilityName": "ST. DAVID'S AUSTIN SURGERY CENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001593",
        "facilityName": "ST. RAPHAEL'S SURGERY CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130576",
        "ccn": "45C0001531",
        "facilityName": "Stone Oak Surgery Center",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130111",
        "ccn": "45C0001551",
        "facilityName": "STONEBRIDGE SURGERY CENTER",
        "city": "MC KINNEY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008385",
        "ccn": "45C0001430",
        "facilityName": "STONEGATE SURGERY CENTER LP",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130442",
        "ccn": "45C0001460",
        "facilityName": "STRICTLY PEDIATRICS SURGERY CENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008487",
        "ccn": "45C0001460",
        "facilityName": "STRICTLY PEDIATRICS SURGERY CENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130709",
        "ccn": "45C0451316",
        "facilityName": "Stridecare ASC Sugar Land, LLC",
        "city": "Sugar Land",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008373",
        "ccn": "45C0001433",
        "facilityName": "SUGAR LAND SURGERY CENTER",
        "city": "SUGAR LAND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130744",
        "ccn": "",
        "facilityName": "SUGAR LAND SURGICAL INSTITUTE",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007253",
        "ccn": "45C0001088",
        "facilityName": "SUMMIT AMBULATORY SURGERY CENT",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130647",
        "ccn": "45C0451279",
        "facilityName": "SUMMIT SURGICAL CENTER PLLC",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130446",
        "ccn": "45C0001695",
        "facilityName": "SURGCENTER OF GREATER DALLAS LLC",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130194",
        "ccn": "45C0001561",
        "facilityName": "SURGCENTER OF PLANO LLC",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001553",
        "facilityName": "SURGCENTER OF SOUTHWEST HOUSTON, LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001564",
        "facilityName": "SURGCENTER OF WESTOVER HILLS, LLS",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130424",
        "ccn": "45C0001671",
        "facilityName": "SURGERY CENTER 121 LLC",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130348",
        "ccn": "45C0001636",
        "facilityName": "SURGERY CENTER OF AMARILLO",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001268",
        "facilityName": "SURGERY CENTER OF ARLINGTON",
        "city": "ARLINGTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130426",
        "ccn": "45C0001678",
        "facilityName": "SURGERY CENTER OF BOERNE",
        "city": "BOERNE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001467",
        "facilityName": "SURGERY CENTER OF GARLAND LLC",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130660",
        "ccn": "",
        "facilityName": "SURGERY CENTER OF LAREDO",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007163",
        "ccn": "45C0001267",
        "facilityName": "SURGERY CENTER OF NACOGDOCHES THE",
        "city": "NACOGDOCHES",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130102",
        "ccn": "45C0001179",
        "facilityName": "SURGERY CENTER OF NORTHEAST TEXAS",
        "city": "TEXARKANA",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130236",
        "ccn": "45C0001172",
        "facilityName": "SURGERY CENTER OF PLANO",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001341",
        "facilityName": "SURGERY CENTER OF RICHARDSON",
        "city": "RICHARDSON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001651",
        "facilityName": "SURGERY CENTER OF SOUTHWEST HOUSTON",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001026",
        "facilityName": "SURGERY CENTER OF TEXAS",
        "city": "ODESSA",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130078",
        "ccn": "45C0001330",
        "facilityName": "SURGERY CENTER OF TEXAS",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001462",
        "facilityName": "SURGERY CENTER OF WAXAHACHIE",
        "city": "WAXAHACHIE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130565",
        "ccn": "45C0001274",
        "facilityName": "SURGERY CENTER,THE",
        "city": "VICTORIA",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007861",
        "ccn": "45C0001083",
        "facilityName": "SURGEYECARE GENERAL PARTNERSHI",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001436",
        "facilityName": "SURGICAL & ENDOSCOPIC CENTER OF STEPHENVILLE LLC",
        "city": "STEPHENVILLE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007132",
        "ccn": "45C0001266",
        "facilityName": "SURGICAL ARTS CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007330",
        "ccn": "",
        "facilityName": "SURGICAL CENTER OF EL PASO",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130692",
        "ccn": "45C0451310",
        "facilityName": "Surgical Center of Excellence",
        "city": "El Paso",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130499",
        "ccn": "45C0001718",
        "facilityName": "SURGICAL CENTERS OF NORTH TEXAS",
        "city": "ARLINGTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130581",
        "ccn": "45C0451251",
        "facilityName": "SURGICAL CENTERS OF NORTH TEXAS",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130203",
        "ccn": "45C0001566",
        "facilityName": "SURGICAL EYE CENTER OF SAN ANTONIO",
        "city": "LIVE OAK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007954",
        "ccn": "45C0001284",
        "facilityName": "SURGICARE OF SOUTH AUSTIN",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001367",
        "facilityName": "SWISS AVENUE SURGICENTER LP",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130741",
        "ccn": "",
        "facilityName": "SYNAPSE SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001505",
        "facilityName": "TARRANT COUNTY SURGICAL CENTER LLC",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130395",
        "ccn": "45C0001689",
        "facilityName": "TEXAN PROCEDURE CENTER LLC",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007965",
        "ccn": "45C0001264",
        "facilityName": "TEXAN SURGERY CENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130605",
        "ccn": "45C0451281",
        "facilityName": "Texarkana Ambulatory Surgery Center",
        "city": "Texarkana",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "006923",
        "ccn": "45C0001185",
        "facilityName": "TEXARKANA SURGERY CTR",
        "city": "TEXARKANA",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451319",
        "facilityName": "Texas Advanced Surgery Center",
        "city": "Sugar Land",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130721",
        "ccn": "",
        "facilityName": "TEXAS ADVANCED SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130616",
        "ccn": "45C0451264",
        "facilityName": "TEXAS CARDIOVASCULAR CENTER LLC",
        "city": "AMARILLO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130326",
        "ccn": "45C0001631",
        "facilityName": "TEXAS CENTER FOR INTERVENTIONAL SURGERY LLC",
        "city": "ADDISON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130761",
        "ccn": "",
        "facilityName": "TEXAS CV CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130198",
        "ccn": "45C0001277",
        "facilityName": "TEXAS ENDOSCOPY",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130223",
        "ccn": "45C0001391",
        "facilityName": "TEXAS ENDOSCOPY AT INDEPENDENCE MEDICAL VILLAGE",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008515",
        "ccn": "45C0001459",
        "facilityName": "TEXAS EYE SURGERY CENTER LLC",
        "city": "HURST",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008615",
        "ccn": "45C0001327",
        "facilityName": "TEXAS GI ENDOSCOPY CENTER",
        "city": "MESQUITE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130145",
        "ccn": "45C0001552",
        "facilityName": "TEXAS HEALTH CRAIG RANCH SURGERY CENTER LLC",
        "city": "MC KINNEY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130361",
        "ccn": "45C0001640",
        "facilityName": "TEXAS HEALTH HUGULEY SURGERY CENTER LLC",
        "city": "BURLESON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130484",
        "ccn": "45C0001725",
        "facilityName": "TEXAS HEALTH JOINT REPLACEMENT SURGERY CENTER",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130625",
        "ccn": "45C0451260",
        "facilityName": "TEXAS HEALTH ORTHOPEDIC AND SPINE SURGERY CENTER",
        "city": "WILLOW PARK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130157",
        "ccn": "45C0001562",
        "facilityName": "TEXAS HEALTH ORTHOPEDIC SURGERY CENTER FLOWER MOUN",
        "city": "FLOWER MOUND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130400",
        "ccn": "45C0001667",
        "facilityName": "TEXAS HEALTH ORTHOPEDIC SURGERY CENTER HERITAGE",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130107",
        "ccn": "",
        "facilityName": "TEXAS HEALTH OUTPATIENT SURGERY CENTER FORT WORTH",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130374",
        "ccn": "45C0001650",
        "facilityName": "TEXAS HEALTH SPINE SURGERY CENTER ALLEN LLC",
        "city": "ALLEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130465",
        "ccn": "45C0001696",
        "facilityName": "TEXAS HEALTH SPINE SURGERY CENTER ALLIANCE LLC",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130095",
        "ccn": "45C0001541",
        "facilityName": "TEXAS HEALTH SURGERY CENTER ADDISON",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130346",
        "ccn": "45C0001543",
        "facilityName": "TEXAS HEALTH SURGERY CENTER ALLIANCE",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000100",
        "ccn": "45C0001005",
        "facilityName": "TEXAS HEALTH SURGERY CENTER ARLINGTON",
        "city": "ARLINGTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130334",
        "ccn": "45C0001633",
        "facilityName": "TEXAS HEALTH SURGERY CENTER BEDFORD",
        "city": "BEDFORD",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130551",
        "ccn": "45C0451239",
        "facilityName": "TEXAS HEALTH SURGERY CENTER CHISHOLM TRAIL LLC",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008560",
        "ccn": "45C0001472",
        "facilityName": "TEXAS HEALTH SURGERY CENTER CLEBURNE",
        "city": "CLEBURNE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000163",
        "ccn": "45C0001063",
        "facilityName": "TEXAS HEALTH SURGERY CENTER DALLAS",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130537",
        "ccn": "45C0001420",
        "facilityName": "TEXAS HEALTH SURGERY CENTER DENTON",
        "city": "DENTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451322",
        "facilityName": "TEXAS HEALTH SURGERY CENTER FORNEY",
        "city": "FORNEY",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130719",
        "ccn": "",
        "facilityName": "TEXAS HEALTH SURGERY CENTER FORNEY LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000121",
        "ccn": "45C0001011",
        "facilityName": "TEXAS HEALTH SURGERY CENTER FORT WORTH MIDTOWN",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130398",
        "ccn": "45C0001675",
        "facilityName": "TEXAS HEALTH SURGERY CENTER IRVING ",
        "city": "IRVING",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130381",
        "ccn": "45C0001653",
        "facilityName": "TEXAS HEALTH SURGERY CENTER ROCKWALL",
        "city": "ROCKWALL",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130013",
        "ccn": "45C0001502",
        "facilityName": "TEXAS HEALTH WOMENS SPECIALTY SURGERY CENTER - DAL",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130155",
        "ccn": "45C0001370",
        "facilityName": "TEXAS INTERNATIONAL ENDOSCOPY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130488",
        "ccn": "45C0001700",
        "facilityName": "TEXAS MIDWEST ENDOSCOPY CENTER LLC",
        "city": "ABILENE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130676",
        "ccn": "",
        "facilityName": "TEXAS MIDWEST SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001270",
        "facilityName": "TEXAS MIDWEST SURGERY CENTER  LLC",
        "city": "ABILENE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007846",
        "ccn": "45C0001307",
        "facilityName": "TEXAS ORTHOPEDICS SURGERY CENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130320",
        "ccn": "45C0001625",
        "facilityName": "TEXAS PAIN & SPINE SURGERY CENTER",
        "city": "WAXAHACHIE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130547",
        "ccn": "45C0451271",
        "facilityName": "Texas Pain Center ASC",
        "city": "Austin ",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130526",
        "ccn": "45C0001729",
        "facilityName": "TEXAS PARTNERS CENTER LLC",
        "city": "DENTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001252",
        "facilityName": "TEXAS PEDIATRIC SURGERY CENTER",
        "city": "NORTH RICHLAND HILLS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130240",
        "ccn": "45C0001579",
        "facilityName": "TEXAS PRECISION SURGERY CENTER",
        "city": "CORPUS CHRISTI",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008244",
        "ccn": "45C0001403",
        "facilityName": "TEXAS REGIONAL EYE CENTER ASC, LLC",
        "city": "BRYAN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130635",
        "ccn": "45C0451304",
        "facilityName": "TEXAS SPINE AND JOINT SURGICAL CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001532",
        "facilityName": "TEXAS SPORTS MEDICINE INSTITUTE",
        "city": "RICHMOND",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130106",
        "ccn": "45C0001344",
        "facilityName": "TEXAS SURGICAL CENTER",
        "city": "MIDLAND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001524",
        "facilityName": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CTR DAY SURG",
        "city": "LUBBOCK",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130606",
        "ccn": "45C0451291",
        "facilityName": "TEXOMA DAY SURGERY",
        "city": "WICHITA FALLS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130575",
        "ccn": "",
        "facilityName": "TEXOMA MEDICAL CENTER OUTPATIENT SURGERY",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000317",
        "ccn": "45C0001176",
        "facilityName": "TEXOMA OUTPATIENT SURGERY CENT",
        "city": "WICHITA FALLS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007256",
        "ccn": "45C0001292",
        "facilityName": "TEXOMA VALLEY SURGERY CENTER",
        "city": "SHERMAN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130182",
        "ccn": "45C0001621",
        "facilityName": "THE AMBULATORY SURGICAL CENTER (ASC) AT LBJ",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130471",
        "ccn": "45C0001698",
        "facilityName": "THE CENTER FOR CARDIOVASCULAR EXCELLENCE",
        "city": "TOMBALL",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130564",
        "ccn": "45C0451243",
        "facilityName": "THE CENTER FOR SURGERY & ADVANCED THERAPEUTICS",
        "city": "SPRING",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000395",
        "ccn": "",
        "facilityName": "THE CLINIC FOR SPECIAL SURGERY",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001380",
        "facilityName": "THE HEADACHE AND PAIN CENTER",
        "city": "HARLINGEN",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130218",
        "ccn": "45C0001575",
        "facilityName": "THE HEART AND VASCULAR SURGERY CENTER",
        "city": "BRYAN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130599",
        "ccn": "45C0451263",
        "facilityName": "THE LASER SURGERY CENTER LLC",
        "city": "MCKINNEY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008505",
        "ccn": "45C0001463",
        "facilityName": "THE PAIN RELIEF SURGICENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130654",
        "ccn": "45C0451276",
        "facilityName": "THE SURGEON'S POINT AT CEDAR PARK",
        "city": "CEDAR PARK,",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001408",
        "facilityName": "THE SURGERY CENTER AT CRAIG RANCH",
        "city": "MC KINNEY",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001427",
        "facilityName": "THE SURGERY CENTER AT PARK CITY MEDICAL COMPLEX",
        "city": "WEATHERFORD",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001452",
        "facilityName": "THE SURGERY CENTER OF DALLAS",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001484",
        "facilityName": "THE SURGERY CENTER OF TEMPLE",
        "city": "TEMPLE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000398",
        "ccn": "45C0001235",
        "facilityName": "THE SURGICAL CENTER OF MIDLAND",
        "city": "MIDLAND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451295",
        "facilityName": "The Woodlands Medical Surgery Center LLC",
        "city": "Spring",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008032",
        "ccn": "45C0001351",
        "facilityName": "THEDA OAKS GASTROENTEROLOGY AND ENDOSCOPY CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130119",
        "ccn": "45C0001386",
        "facilityName": "THR STT SOUTHLAKE ASC LLC",
        "city": "SOUTHLAKE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130262",
        "ccn": "45C0001492",
        "facilityName": "THR/STT Rockwall ASC, LLC",
        "city": "ROCKWALL",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130707",
        "ccn": "",
        "facilityName": "TINY TEXANS SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0451325",
        "facilityName": "Tiny Texans Surgery Center, LLC",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130337",
        "ccn": "45C0001629",
        "facilityName": "TOTAL VASCULAR CARE",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130652",
        "ccn": "",
        "facilityName": "TOWN AND COUNTRY SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001397",
        "facilityName": "TOWN PARK SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130650",
        "ccn": "",
        "facilityName": "TOWNSEN MEMORIAL SURGERY CENTER - KATY",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130583",
        "ccn": "",
        "facilityName": "TOWNSEN MEMORIAL SURGERY CENTER - KINGWOOD",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130492",
        "ccn": "",
        "facilityName": "TOWNSEN MEMORIAL SURGERY CENTER - MED CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130714",
        "ccn": "",
        "facilityName": "TOWNSEN MEMORIAL SURGERY CENTER - RIVER OAKS",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130536",
        "ccn": "",
        "facilityName": "TOWNSEN MEMORIAL SURGERY CENTER - SPRING",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130745",
        "ccn": "",
        "facilityName": "TOWNSEN MEMORIAL SURGERY CENTER - THE WOODLANDS",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130760",
        "ccn": "",
        "facilityName": "TOWNSEN SURGERY CENTER - EAST DALLAS",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130642",
        "ccn": "",
        "facilityName": "TRINITY MEDICAL CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008609",
        "ccn": "45C0001473",
        "facilityName": "TRINITY PARK SURGERY CENTER",
        "city": "ARLINGTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130706",
        "ccn": "",
        "facilityName": "TRUE RESULTS",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001521",
        "facilityName": "TRUSTED CARE SAN ANTONIO, LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001425",
        "facilityName": "TURNING POINT SPECIALTY SURGERY CENTER",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008054",
        "ccn": "45C0001356",
        "facilityName": "TURTLE CREEK SURGERY CENTER",
        "city": "TYLER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130075",
        "ccn": "45C0001384",
        "facilityName": "TUSCAN SURGERY CENTER AT LAS COLINAS",
        "city": "IRVING",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001576",
        "facilityName": "TYLER CARDIAC & ENDOVASCULAR SURGERY CENTER",
        "city": "TYLER",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130673",
        "ccn": "45C0451298",
        "facilityName": "TYLER SURGERY CENTER",
        "city": "TYLER",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130125",
        "ccn": "45C0001545",
        "facilityName": "UH COLLEGE OF OPTOMETRY SURGERY CENTER",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130514",
        "ccn": "45C0001733",
        "facilityName": "UNITED MINIMALLY INVASIVE SURGERY CENTER LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130671",
        "ccn": "",
        "facilityName": "UNIVERSITY HEALTH SURGERY CENTER - MAC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130163",
        "ccn": "",
        "facilityName": "UNIVERSITY HEALTH SYSTEM SURGERY CENTER - MEDICAL CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130503",
        "ccn": "",
        "facilityName": "UNIVERSITY MEDICAL CENTER OF EL PASO",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008273",
        "ccn": "",
        "facilityName": "UNIVERSITY SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130579",
        "ccn": "45C0451250",
        "facilityName": "Upper Valley  Dialysis Access Center LLC,",
        "city": "Mission ",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001143",
        "facilityName": "UROLOGICAL SURGERY CTR OF FORT WORTH",
        "city": "FORT WORTH",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130228",
        "ccn": "45C0001606",
        "facilityName": "US CARDIO OF SA, LLC",
        "city": "SAN ANTONIO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130489",
        "ccn": "45C0001711",
        "facilityName": "UT HEALTH AUSTIN AMBULATORY SURGERY CENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Government",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130659",
        "ccn": "45C0451288",
        "facilityName": "UT Health KSP ASC",
        "city": "San Antonio",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "Not Stated",
        "cmsOwnerSummary": "Non-Profit",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "ownership_unresolved",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130748",
        "ccn": "",
        "facilityName": "UT HEALTH RGV SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130264",
        "ccn": "45C0001594",
        "facilityName": "VALLEY AMBULATORY SURGICAL CENTER, LLC",
        "city": "MCALLEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007276",
        "ccn": "45C0001173",
        "facilityName": "VALLEY ENDOSCOPY CTR L L P",
        "city": "HARLINGEN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130747",
        "ccn": "",
        "facilityName": "VERTEX SURGERY CENTER",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "000396",
        "ccn": "45C0001221",
        "facilityName": "VICTORIA SURGERY CENTER INC",
        "city": "VICTORIA",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001228",
        "facilityName": "VICTORY SURGERY CENTER EAST HOUSTON",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001652",
        "facilityName": "VIP SURGICAL CENTER",
        "city": "CONROE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001715",
        "facilityName": "VISION PARK SURGERY CENTER LLC",
        "city": "SHENANDOAH",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008597",
        "ccn": "45C0001165",
        "facilityName": "VISTA SURGERY CENTER",
        "city": "MIDLAND",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008654",
        "ccn": "45C0001479",
        "facilityName": "VISTA SURGERY CENTER, LLC",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130432",
        "ccn": "45C0001680",
        "facilityName": "VITAL HEART AND VEIN ASC",
        "city": "HUMBLE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130162",
        "ccn": "45C0001556",
        "facilityName": "VIVERE AUSTIN SURGERY CENTER",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001500",
        "facilityName": "VIVERE DALLAS SURGERY CENTER",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130273",
        "ccn": "45C0001591",
        "facilityName": "WACO CARDIOLOGY CATH LAB & SURGERY CENTER",
        "city": "WACO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130678",
        "ccn": "45C0451321",
        "facilityName": "Waco Endoscopy Center",
        "city": "Waco",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007983",
        "ccn": "45C0001337",
        "facilityName": "WACO GASTROENTEROLOGY ENDOSCOPY",
        "city": "WACO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001131",
        "facilityName": "WACO SURGICAL CENTER",
        "city": "WACO",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130252",
        "ccn": "45C0001352",
        "facilityName": "WALNUT HILL SURGERY CENTER",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130302",
        "ccn": "45C0001600",
        "facilityName": "WATER LEAF SURGERY CENTER LTD",
        "city": "AUSTIN",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130443",
        "ccn": "45C0001401",
        "facilityName": "WAXAHACHIE SURGERY CENTER",
        "city": "WAXAHACHIE",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001296",
        "facilityName": "WAXAHACHIE SURGERY PAVILLION",
        "city": "WAXAHACHIE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130462",
        "ccn": "45C0001693",
        "facilityName": "WELLNESS AMBULATORY SURGERY CENTER LLC",
        "city": "MC KINNEY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130478",
        "ccn": "45C0001672",
        "facilityName": "WEST EL PASO SURGICAL CENTER",
        "city": "EL PASO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130263",
        "ccn": "",
        "facilityName": "WEST GRAY CENTER FOR SPECIAL SURGERY",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001021",
        "facilityName": "WEST HOUSTON SURGICARE",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001527",
        "facilityName": "WESTGREEN AMBULATORY SURGICAL CENTER, PLLC",
        "city": "KATY",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001589",
        "facilityName": "WESTGREEN SURGICAL CENTER",
        "city": "KATY",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130275",
        "ccn": "",
        "facilityName": "WESTLAKE HILLS SURGERY CENTER LLC",
        "city": "",
        "county": "",
        "stateRosterMatchStatus": "state_only",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, but no exact CMS POS match is present in the reconciled queue. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. State-only rows also need a separate CMS/sponsor identity reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008194",
        "ccn": "45C0001394",
        "facilityName": "WICHITA FALLS ENDOSCOPY CENTER LP",
        "city": "WICHITA FALLS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130083",
        "ccn": "45C0001522",
        "facilityName": "WILLIAMSON SURGERY CENTER",
        "city": "ROUND ROCK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130603",
        "ccn": "45C0451255",
        "facilityName": "Willis Surgery Center",
        "city": "Willis",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Not Available",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130215",
        "ccn": "45C0001583",
        "facilityName": "WILLOW BEND SURGERY CENTER OF PLANO",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001512",
        "facilityName": "WILLOW CREEK SURGERY CENTER LP",
        "city": "PALESTINE",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130584",
        "ccn": "45C0451253",
        "facilityName": "WILLOW PARK ENDOSCOPY CENTER LLC",
        "city": "WILLOW PARK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001413",
        "facilityName": "WILLOWBROOK SURGERY CENTER LTD",
        "city": "HOUSTON",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "007928",
        "ccn": "45C0001033",
        "facilityName": "WILSON SURGICENTER",
        "city": "LUBBOCK",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008561",
        "ccn": "45C0001468",
        "facilityName": "WINDHAVEN SURGERY CENTER LLC",
        "city": "PLANO",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130031",
        "ccn": "45C0001506",
        "facilityName": "WOODHILL SURGERY CENTER",
        "city": "DALLAS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "",
        "ccn": "45C0001550",
        "facilityName": "WOODLANDS AMBULATORY SURGERY CENTER",
        "city": "THE WOODLANDS",
        "county": "",
        "stateRosterMatchStatus": "searched_not_found_or_scope_difference",
        "texasProfitStatus": "",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "proprietary_context",
        "proofNotes": "CMS POS verifies ASC/certification context, but no current HHSC license-row match is present in the reconciled queue. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions. CMS-only/scope-difference rows also need a separate HHSC/state-license reconciliation before any public ownership badge.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "008420",
        "ccn": "45C0001457",
        "facilityName": "WOODLANDS ENDOSCOPY CENTER",
        "city": "THE WOODLANDS",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      },
      {
        "texasLicenseNumber": "130421",
        "ccn": "45C0001676",
        "facilityName": "ZAZEN SURGERY CENTER",
        "city": "KATY",
        "county": "",
        "stateRosterMatchStatus": "found",
        "texasProfitStatus": "For Profit",
        "cmsOwnerSummary": "Proprietary",
        "ownershipResearchStatus": "source_family_review_complete_ultimate_owner_unresolved",
        "verificationStatus": "official_identity_verified_ultimate_owner_unresolved",
        "baselineClassification": "for_profit_context",
        "proofNotes": "HHSC verifies Texas ASC license identity, license date fields, state license number, and stated profit status. CMS POS/iQIES supports Medicare ASC identity or scope context where matched. The official CMS Hospital All Owners file is hospital-specific and does not provide an ASC ultimate-owner roster for these rows.",
        "nonProofNotes": "HHSC license/profit fields and CMS POS proprietary fields do not prove ultimate parent, private-equity sponsorship, chain control, physician independence, sale-leaseback exposure, management-services-company control, or absence of later transactions.",
        "sourceUrls": [
          "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system",
          "https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/asc/directory-ambulatory-surgical-centers.xlsx",
          "https://www.hhs.texas.gov/providers/health-care-facilities-regulation/ambulatory-surgical-centers"
        ],
        "reviewNotes": "ASC inventory source. Hospital badges should not be applied until ASC ownership/source rules are added. ASC ownership source-family completion 2026-07-04: official identity/profit context complete; ultimate owner unresolved without entity-specific source proof.",
        "classificationDepth": "baseline",
        "researchIncomplete": true,
        "publicBadgeStatus": "held_pending_review_and_explicit_approval",
        "publicBadgeApplied": false
      }
    ]
  },
  "stateProgress": {
    "schemaVersion": 1,
    "updatedAt": "2026-07-03T23:19:46.115Z",
    "batches": [
      {
        "batchId": "texas-ownership-2026-07-03-001",
        "status": "source_family_review_complete_publication_blocked",
        "recordType": "cms_hospital_enrollment",
        "entityIds": [
          "743035",
          "45T209",
          "45S653",
          "673065",
          "45Z342",
          "45Z393",
          "451393",
          "45T119",
          "743030",
          "673070",
          "670322",
          "670348",
          "453056",
          "670330",
          "452060",
          "45TA60",
          "670071",
          "303600",
          "303601",
          "450872",
          "45Z318",
          "45Z310",
          "670109",
          "743027",
          "452083",
          "45TA83",
          "450639",
          "45U253",
          "451348",
          "45Z348",
          "450011",
          "450677",
          "670265",
          "452044",
          "670043",
          "670340",
          "67S093",
          "743028",
          "45S788",
          "45T788",
          "45Z353",
          "451353",
          "45Z331",
          "450015",
          "45T015",
          "45S015",
          "453318",
          "450678",
          "45T462",
          "450851"
        ],
        "assignedAt": "2026-07-03T11:22:18.334Z",
        "inboxDir": "research/inbox/2026-07-03/texas-ownership-2026-07-03-001",
        "notes": "First Texas manual hospital ownership research batch. Source checklist is scaffolded; public badges are not changed.",
        "updatedAt": "2026-07-03T16:42:15.759Z",
        "officialSourcePassSummary": {
          "schemaVersion": 1,
          "batchId": "texas-ownership-2026-07-03-001",
          "generatedAt": "2026-07-03T11:31:17.832Z",
          "reviewer": "Codex Texas official-source pass",
          "records": 50,
          "sourceChecklistRows": 1450,
          "statusCounts": {
            "searched_not_found": 244,
            "found": 206,
            "pending_review": 1000
          },
          "familyCounts": {
            "cms_provider_of_services": {
              "searched_not_found": 50
            },
            "cms_hospital_enrollments": {
              "found": 50
            },
            "cms_hospital_all_owners": {
              "found": 50
            },
            "cms_hospital_chow": {
              "searched_not_found": 44,
              "found": 6
            },
            "cms_hcris_cost_reports": {
              "searched_not_found": 27,
              "found": 23
            },
            "cms_care_compare": {
              "searched_not_found": 32,
              "found": 18
            },
            "cms_qcor_survey_enforcement": {
              "pending_review": 50
            },
            "joint_commission_quality_check": {
              "pending_review": 50
            },
            "nppes": {
              "found": 50
            },
            "hhs_oig_corporate_integrity": {
              "pending_review": 50
            },
            "hhs_oig_exclusions": {
              "searched_not_found": 50
            },
            "state_regulator": {
              "pending_review": 50
            },
            "state_transaction_portals": {
              "pending_review": 50
            },
            "sec_edgar": {
              "found": 9,
              "searched_not_found": 41
            },
            "ftc_doj_antitrust": {
              "pending_review": 50
            },
            "irs_teos": {
              "pending_review": 50
            },
            "msrb_emma": {
              "pending_review": 50
            },
            "bankruptcy_court": {
              "pending_review": 50
            },
            "nlrb_cases": {
              "pending_review": 50
            },
            "warn_notices": {
              "pending_review": 50
            },
            "sam_gov_entity": {
              "pending_review": 50
            },
            "usa_spending_provider_relief": {
              "pending_review": 50
            },
            "open_payments": {
              "pending_review": 50
            },
            "hospital_or_system_primary": {
              "pending_review": 50
            },
            "faith_affiliation_governance": {
              "pending_review": 50
            },
            "pe_sponsor_primary": {
              "pending_review": 50
            },
            "cms_clinician_affiliations": {
              "pending_review": 50
            },
            "web_pass_ownership": {
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        "state_transaction_portals": {
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      "proofBoundary": "Baseline classifications preserve CMS/PESP/state source context. Rows remain research-incomplete and public badges are held wherever full ownership/control research is not complete.",
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      "publicationPolicy": "No Texas ASC public badge or color is approved by this completion. Rows are source-family complete for baseline tracking but ultimate owner remains unresolved unless entity-specific evidence later proves it.",
      "proofBoundary": "HHSC and CMS POS prove identity/license/profit/proprietary context. They do not prove private-equity backing, independence, chain control, physician ownership, or absence of ownership changes."
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}
