Can a multibillion-dollar 'hospital authority' that operates in multiple States in a manner indistinguishable from private hospitals be a 'local government' for purposes of the Local Government Antitrust Act of 1984?

QUESTION PRESENTED In relevant part, a federal statute—the Local Government Antitrust Act of 1984—provides antitrust immunity from private damages actions against “local government|(s],” a term the statute defines as “(A) a city, county, parish, town, township, village, or any other general function governmental unit established by State law,” or “(B) a school district, sanitary district, or any other special function governmental unit established by State law in one or more States.” 15 U.S.C. §34(1). The question presented is: Can a multibillion-dollar “hospital authority” that operates in multiple States in a manner indistinguishable from private hospitals be a “local government” for purposes of the Local Government Antitrust Act of 1984?