My parents still live in this area and have emailed me non stop about this since the beginning.
They live in a county that HAD two large hospitals. Both got absorbed by this cancer. One got shutdown.
All their ‘old’ reputable doctors took retirement when Ballad took over. Any younger doctors were forced to join Ballad or GTFO of town. Ballad had not only a monopoly on the heath care but if you were in any sort of field related (say you were an eye doctor) and you had your own practice but you occasionally went to the hospital to see patients - you were no longer allowed in the hospital unless you joined Ballad.
Basically you were blackmailed to joined these assholes or else. I found this out from some friends who stayed in the area and joined the medical field.
Seriously, the fact TN allowed this shit to pass just irritants me to no end.