Product methodology

Hospital Financial Pulse + Rural Closure Watch

Source contract, normalization path, entity-graph join, refresh posture, and publication limits for this Branmoor product.

Status

In service. This product has a functional preview or paid engagement surface in the current site. The full licensed product may still include private exports, alerts, APIs, or buyer-specific diligence that are not exposed publicly.

Distribution Scope

Nationwide; TN hospital pulse; Nashville Hospital Financial Pulse

Product Question

Tracks hospital margin, liquidity, bond risk, quality penalties, and closure risk.

Primary Sources

CMS Medicare Hospital Cost Reports — Operating margin, cost structure, bed count, payer mix
MSRB EMMA — Municipal bond disclosures, covenant status, material events for non-profit systems
IRS Form 990 — Non-profit financial filings, executive compensation, related-party transactions
Audited financial statements (where public) — GAAP financials, auditor opinions, going-concern qualifications
U.S. Census ZCTA + AHRQ small-area health data — Catchment population and transport-time-sensitive condition prevalence (for Rural Closure Watch)

Entity-Graph Join

`ccn` -> `irs_ein` -> EMMA issuer/CUSIPs; geography via county/tract.

Publication Rule

Branmoor does not treat raw public records as the product. A surface is publishable only when the source record is dated, normalized, source-linked, and joined to the relevant Branmoor entity identifiers with enough confidence to state the limits of the result.

Current Methodology Note

v1 surfaces every U.S. hospital with ownership type, hospital type, CMS overall rating (1-5 stars), and counts of mortality / safety / readmission measures classified Better, Same, or Worse than the national benchmark — the operating-context precursor to the financial signal. v2 adds CMS Medicare Cost Reports (operating margin, days cash), MSRB EMMA municipal bond disclosures, IRS Form 990 (non-profit financials), and the Rural Closure Watch public-interest surface.

Limits

Coverage follows the underlying source. Missing state portals, gated APIs, PDF-only filings, suppressed fields, lagged agency refreshes, and entity-name ambiguity can all limit product completeness. Pending products are not marketed as live until those limits are documented on the product surface.

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