{
 "years": [
  2026,
  2027
 ],
 "sources": {
  "2026": "CY2026_Landscape_202609.csv",
  "2027": "CY2027_Landscape_202609.csv",
  "stars0": "2026 Star Ratings Data Table - Summary Ratings (July 22 2026).csv",
  "stars1": "2027 Star Ratings Data Table - Summary Ratings (Oct 8 2026).csv"
 },
 "maxMoop": {
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  "2027": 9850
 },
 "national": {
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   "drugs": 3351,
   "medMoop": 5900,
   "atMax": 336,
   "four": 2178,
   "counties": 3105,
   "zeroCounties": 3094,
   "medPerCounty": 26,
   "types": {
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    "HMO": 1327,
    "HMO-POS": 812,
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    "PFFS": 22,
    "MSA": 1
   },
   "avgPrem": 21.36,
   "maxMoopInFile": 9250
  },
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   "zeroCounties": 3025,
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   "types": {
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    "PFFS": 11,
    "MSA": 1
   },
   "avgPrem": 23.24,
   "maxMoopInFile": 9850
  }
 },
 "counties": 3107,
 "countiesLostAllZero": 74,
 "countiesLostZeroCarrierLeft": 65,
 "countiesLostAllPlans": 67,
 "countiesGainedZero": 5,
 "countiesFewerPlans": 2236,
 "countiesMorePlans": 547,
 "countiesFewerZero": 2013,
 "stars": {
  "2026": {
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   "2.5": 43,
   "3.0": 405,
   "3.5": 949,
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   "new": 107,
   "nodata": 68
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  "2027": {
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   "3.0": 402,
   "3.5": 681,
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   "new": 140,
   "nodata": 57
  }
 },
 "parentsExited": [
  {
   "parent": "Group 1001",
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   "counties": 138
  },
  {
   "parent": "Molina Healthcare, Inc.",
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   "counties": 75
  },
  {
   "parent": "CHRISTUS Health",
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   "counties": 44
  },
  {
   "parent": "Aspirus, Inc.",
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   "counties": 21
  },
  {
   "parent": "Horizon Mutual Holdings, Inc",
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   "counties": 21
  },
  {
   "parent": "Providence St Joseph Health",
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   "counties": 13
  },
  {
   "parent": "BMC Health System, Inc.",
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   "counties": 10
  },
  {
   "parent": "Elderplan, Inc.",
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  },
  {
   "parent": "Presbyterian Healthcare Services",
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  },
  {
   "parent": "Memorial Hermann Health System",
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  },
  {
   "parent": "Central Mass Health Holding LLC",
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  },
  {
   "parent": "Sharp Healthcare",
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  }
 ],
 "parentsEntered": [
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   "parent": "Muscogee Creek Nation",
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  },
  {
   "parent": "St. Luke's Health System, Inc.",
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  },
  {
   "parent": "MultiCare Health Systems",
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  },
  {
   "parent": "MedCare Partners Holding, LLC",
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 ],
 "lostAllZero": [
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  "ID|Benewah",
  "ID|Blaine",
  "ID|Idaho",
  "ID|Latah",
  "ID|Lemhi",
  "ID|Lewis",
  "ID|Nez Perce",
  "MN|Aitkin",
  "MN|Carlton",
  "MN|Chippewa",
  "MN|Cook",
  "MN|Crow Wing",
  "MN|Goodhue",
  "MN|Koochiching",
  "MN|Lake",
  "MN|Lake of the Woods",
  "MN|Mahnomen",
  "MN|McLeod",
  "MN|Meeker",
  "MN|Mille Lacs",
  "MN|Norman",
  "MN|Pine",
  "MN|Pipestone",
  "MN|Polk",
  "MN|Red Lake",
  "MN|Rock",
  "MN|Sibley",
  "MN|Traverse",
  "MN|Wadena",
  "MT|Custer",
  "MT|Hill",
  "MT|McCone",
  "NE|Rock",
  "NE|Sioux",
  "ND|Adams",
  "ND|Benson",
  "ND|Billings",
  "ND|Bottineau",
  "ND|Bowman",
  "ND|Burke",
  "ND|Cavalier",
  "ND|Divide",
  "ND|Dunn",
  "ND|Golden Valley",
  "ND|Hettinger",
  "ND|McKenzie",
  "ND|Mountrail",
  "ND|Pierce",
  "ND|Ramsey",
  "ND|Renville",
  "ND|Rolette",
  "ND|Slope",
  "ND|Stark",
  "ND|Towner",
  "ND|Ward",
  "ND|Williams",
  "OK|Beaver",
  "OK|Cimarron",
  "OK|Ellis",
  "OK|Harmon",
  "OK|Harper",
  "OK|Roger Mills",
  "OK|Texas",
  "SD|Brule",
  "SD|Buffalo",
  "SD|Edmunds",
  "SD|Gregory",
  "SD|Jerauld",
  "SD|McPherson",
  "UT|Wayne",
  "WA|Clallam",
  "WA|Grays Harbor"
 ],
 "zeroCarriersInLostCounties": [
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   "parent": "Blue Cross Blue Shield of Michigan Mutual Ins. Co.",
   "brands": [
    "NextBlue of North Dakota",
    "Wellmark Advantage Health Plan"
   ],
   "counties": 25,
   "exited": 25
  },
  {
   "parent": "UnitedHealth Group, Inc.",
   "brands": [
    "UnitedHealthcare"
   ],
   "counties": 24,
   "exited": 23
  },
  {
   "parent": "Humana Inc.",
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    "Humana"
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   "counties": 13,
   "exited": 13
  },
  {
   "parent": "Aware Integrated, Inc.",
   "brands": [
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   "counties": 8,
   "exited": 8
  },
  {
   "parent": "Medica Holding Company",
   "brands": [
    "Medica"
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   "counties": 8,
   "exited": 8
  },
  {
   "parent": "Sanford Health",
   "brands": [
    "Align powered by Sanford Health Plan"
   ],
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   "exited": 0
  },
  {
   "parent": "CVS Health Corporation",
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    "Aetna Medicare"
   ],
   "counties": 5,
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  },
  {
   "parent": "Health Care Service Corporation",
   "brands": [
    "Blue Cross and Blue Shield of IL, NM, OK, TX",
    "Blue Cross and Blue Shield of Montana"
   ],
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  },
  {
   "parent": "Allina Health and Aetna Insurance Holding Company",
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    "Allina Health Aetna Medicare"
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  },
  {
   "parent": "Centene Corporation",
   "brands": [
    "Wellcare"
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   "counties": 2,
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  },
  {
   "parent": "HealthPartners, Inc.",
   "brands": [
    "HealthPartners"
   ],
   "counties": 2,
   "exited": 2
  },
  {
   "parent": "Intermountain Health Care, Inc.",
   "brands": [
    "Select Health"
   ],
   "counties": 1,
   "exited": 1
  }
 ],
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  "affected": 2900823,
  "zeroAffected": 2667982,
  "zeroPrem": 688817,
  "inZero": 16503770,
  "lostZeroCounties": 39915,
  "lostZeroAffected": 39083,
  "zeroEnded": 1979165
 },
 "rural": {
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   "lostZero": 7,
   "lostAll": 4,
   "fewer": 877,
   "med0": 33.5,
   "med1": 30,
   "e": 18192503,
   "a": 2204035
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  "nonmetro": {
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   "lostAll": 63,
   "fewer": 1351,
   "med0": 22,
   "med1": 18,
   "e": 3095531,
   "a": 615066
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  "unknown": 8
 },
 "worstCaseYear": {
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  "med0": 4174,
  "med1": 4870,
  "up": 2325,
  "down": 351,
  "medChange": 453
 },
 "costPlans": {
  "lostZeroWithCost": 46,
  "lostAllWithCost": 41,
  "lowest": [
   48,
   53
  ]
 },
 "planTypes": {
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   "HMO": 1327,
   "HMO-POS": 812,
   "Regional PPO": 38,
   "PFFS": 22,
   "MSA": 1
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  "2027": {
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   "HMO": 1330,
   "HMO-POS": 785,
   "Regional PPO": 37,
   "PFFS": 11,
   "MSA": 1
  }
 },
 "reconciliation": {
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     "MA": 402,
     "SNP": 1800,
     "Cost": 42
    },
    "ma_mapd_snp": 5553,
    "fileCounties": 3167,
    "noMapdCounties": 63
   },
   "2027": {
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     "MA": 357,
     "SNP": 1969,
     "Cost": 39
    },
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  },
  "mapdCountyMoves": [
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     0
    ],
    "ours": [
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     0
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   },
   {
    "parent": "UnitedHealth Group, Inc.",
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     9
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    "ours": [
     228,
     9
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   },
   {
    "parent": "Humana Inc.",
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     4
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    "ours": [
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     4
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   },
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     15
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    "ours": [
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     15
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   {
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     63
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    "ours": [
     186,
     63
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   },
   {
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     0,
     342
    ],
    "ours": [
     0,
     342
    ]
   }
  ]
 },
 "biggestCountyLosses": [
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   "counties": [
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    450
   ],
   "plans": [
    232,
    149
   ]
  },
  {
   "parent": "Centene Corporation",
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    1731,
    1387
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    187,
    110
   ]
  },
  {
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    299,
    106
   ],
   "plans": [
    58,
    43
   ]
  },
  {
   "parent": "UnitedHealth Group, Inc.",
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    2597,
    2457
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    524,
    490
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  {
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    1960
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   "plans": [
    483,
    464
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  },
  {
   "parent": "Humana Inc.",
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    2655,
    2598
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    653,
    621
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  {
   "parent": "Elevance Health, Inc.",
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    1030,
    974
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    170,
    164
   ]
  },
  {
   "parent": "Blue Cross Blue Shield of Kansas",
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    51,
    6
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    5,
    4
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  {
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    66,
    35
   ],
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    12,
    7
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  },
  {
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    162,
    135
   ],
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    19
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  {
   "parent": "BlueCross BlueShield of Alabama",
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    93,
    67
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    3
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    126
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    27
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   "parent": "Sanford Health",
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    133,
    113
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    13,
    11
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  {
   "parent": "EmblemHealth, Inc.",
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    24,
    7
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    9
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  {
   "parent": "Blue Cross Blue Shield of Nebraska",
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    76,
    61
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    3
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 ],
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    1341
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    241,
    407
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  },
  {
   "parent": "Singh Holdings LLC",
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    71,
    116
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    1,
    4
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  {
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    72,
    94
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    13,
    14
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  {
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    24,
    35
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    8,
    13
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  {
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    63
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    12
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  {
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    45,
    54
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    52
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    34
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    4
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    51,
    56
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    8
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  {
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    6,
    9
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    3,
    3
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  },
  {
   "parent": "Henry Ford Health System",
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    58,
    61
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    10,
    10
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  {
   "parent": "California Physicians' Service",
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    16
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    14,
    19
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  {
   "parent": "Johns Hopkins Healthcare LLC",
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    20
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    6
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  {
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    65
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    28
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  },
  {
   "parent": "St Francis Health System & St John Health System",
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    38,
    40
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    5
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    34
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    52
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 "states": {
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    65
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    45
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   "medMoop": [
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    90
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    80
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    176
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    98
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    72
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 }
}