{
  "schemaVersion": 1,
  "generatedAt": "2026-07-02T17:31:14.077Z",
  "state": "VT",
  "stateName": "Vermont",
  "slug": "vermont",
  "files": {
    "json": "/data/states/vermont-impact-summary.json",
    "csv": "/data/states/vermont-hospital-impact-2026-07-02.csv",
    "workbook": "/data/states/vermont-state-impact-2026-07-02.xlsx"
  },
  "methodology": {
    "baseline": "Acquisition-anchored before/after where a documented acquisition date and compatible pre/post HCRIS periods exist; otherwise earliest-to-latest context is labeled as non-causal.",
    "quality": "Quality trend fields are reserved for CMS HAI, mortality, readmission, and related measure series. Missing fields are shown as not_available rather than inferred.",
    "debt": "Documented debt events are separated from HCRIS financial-stress signals. Financial stress is not labeled asset stripping unless filings document a debt, dividend, leaseback, asset-sale, bankruptcy, or bond event.",
    "causation": "These are descriptive before/after signals, not proof that ownership caused the change."
  },
  "counts": {
    "hospitals": 18,
    "currentPeCount": 0,
    "formerPeCount": 0,
    "peBefore2010Count": 0,
    "closuresAfterPeCount": 0,
    "worseningQualityCount": 0,
    "worseningFinancialCount": 0,
    "unresolvedCount": 0,
    "documentedDebtEventCount": 0,
    "ceoCompensationStructuredCount": 0
  },
  "statusCounts": {
    "verified_independent": 18
  },
  "tierDefinitions": [
    {
      "tier": "Tier 1",
      "definition": "Confirmed PE ownership/control or closed after documented PE acquisition."
    },
    {
      "tier": "Tier 2",
      "definition": "PE-backed contract, former PE ownership, documented debt/bankruptcy/asset-sale concern, or transaction warning."
    },
    {
      "tier": "Tier 3",
      "definition": "Corporate-chain or major-system exposure without PE proof."
    },
    {
      "tier": "Independent/Unresolved",
      "definition": "No documented PE exposure, verified independent, unknown, or evidence incomplete."
    }
  ],
  "topFinancialDeclines": [],
  "hospitalRows": [
    {
      "hospitalId": "470011",
      "ccn": "470011",
      "hospital": "BRATTLEBORO MEMORIAL HOSPITAL",
      "city": "BRATTLEBORO",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0000405602",
      "ccn": "",
      "hospital": "CENTRAL VERMONT MEDICAL CENTER",
      "city": "BERLIN",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0000505401",
      "ccn": "",
      "hospital": "UNIVERSITY OF VERMONT MEDICAL CENTER, INC",
      "city": "BURLINGTON",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0001005478",
      "ccn": "",
      "hospital": "NORTHWESTERN MEDICAL CENTER",
      "city": "ST. ALBANS",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "470005",
      "ccn": "470005",
      "hospital": "RUTLAND REGIONAL MEDICAL CENTER",
      "city": "RUTLAND",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0001405201",
      "ccn": "",
      "hospital": "SOUTHWESTERN VT MEDICAL CENTER",
      "city": "BENNINGTON",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "471305",
      "ccn": "471305",
      "hospital": "COPLEY HOSPITAL",
      "city": "MORRISVILLE",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "471300",
      "ccn": "471300",
      "hospital": "GRACE COTTAGE HOSPITAL",
      "city": "TOWNSHEND",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0000605060",
      "ccn": "",
      "hospital": "GIFFORD MEMORIAL HOSPITAL",
      "city": "RANDOLPH",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "471302",
      "ccn": "471302",
      "hospital": "MT. ASCUTNEY HOSPITAL AND HEALTH CENTER",
      "city": "WINDSOR",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "471304",
      "ccn": "471304",
      "hospital": "NORTH COUNTRY HOSPITAL AND HEALTH CENTER",
      "city": "NEWPORT",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0000905819",
      "ccn": "",
      "hospital": "NORTHEASTERN VT REGIONAL HOSPITAL",
      "city": "ST. JOHNSBURY",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "471307",
      "ccn": "471307",
      "hospital": "PORTER HOSPITAL",
      "city": "MIDDLEBURY",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "471306",
      "ccn": "471306",
      "hospital": "SPRINGFIELD HOSPITAL",
      "city": "SPRINGFIELD",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "474001",
      "ccn": "474001",
      "hospital": "BRATTLEBORO RETREAT",
      "city": "BRATTLEBORO",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "474004",
      "ccn": "474004",
      "hospital": "VERMONT PSYCHIATRIC CARE HOSPITAL",
      "city": "BERLIN",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "0015105009",
      "ccn": "",
      "hospital": "WHITE RIVER JUNCTION VA MEDICAL CENTER",
      "city": "WHITE RIVER JUNCTION",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    },
    {
      "hospitalId": "47001F",
      "ccn": "47001F",
      "hospital": "VA MEDICAL CENTER",
      "city": "WHITE RIVER JUNCTION",
      "state": "VT",
      "tier": "Independent/Unresolved",
      "overallStatus": "Mixed",
      "publicStatus": "verified_independent",
      "publicStatusLabel": "Verified independent",
      "relationshipType": "",
      "peFirm": "",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "formerOperator": "",
      "acquisitionDate": "",
      "acquisitionYear": "",
      "closureDate": "",
      "closureStatus": "",
      "qualityTrendStatus": "Unknown",
      "qualityLeadMetric": "CMS quality trend not loaded",
      "qualityLeadDisplay": "not available",
      "financialTrendStatus": "Unknown",
      "financialLeadMetric": "Financial trend not available",
      "financialLeadPercentChange": null,
      "financialLeadDisplay": "not available",
      "financialBaselineType": "not_available",
      "financialSourceIds": [],
      "debtAssetFlag": "none_structured",
      "ceoCompensationStatus": "unknown_not_public",
      "sourceCount": 0,
      "evidenceState": "not_available",
      "sourceIds": [],
      "sourceUrls": [],
      "dossierUrl": "",
      "note": "No public dossier source row is available in the current data package; do not infer beyond baseline hospital fields."
    }
  ],
  "metricTrendRows": [],
  "documentedDebtEvents": [],
  "financialStressSignals": [],
  "compensationRows": [
    {
      "hospitalId": "470011",
      "hospital": "BRATTLEBORO MEMORIAL HOSPITAL",
      "city": "BRATTLEBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000405602",
      "hospital": "CENTRAL VERMONT MEDICAL CENTER",
      "city": "BERLIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000505401",
      "hospital": "UNIVERSITY OF VERMONT MEDICAL CENTER, INC",
      "city": "BURLINGTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0001005478",
      "hospital": "NORTHWESTERN MEDICAL CENTER",
      "city": "ST. ALBANS",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "470005",
      "hospital": "RUTLAND REGIONAL MEDICAL CENTER",
      "city": "RUTLAND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0001405201",
      "hospital": "SOUTHWESTERN VT MEDICAL CENTER",
      "city": "BENNINGTON",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "471305",
      "hospital": "COPLEY HOSPITAL",
      "city": "MORRISVILLE",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "471300",
      "hospital": "GRACE COTTAGE HOSPITAL",
      "city": "TOWNSHEND",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000605060",
      "hospital": "GIFFORD MEMORIAL HOSPITAL",
      "city": "RANDOLPH",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "471302",
      "hospital": "MT. ASCUTNEY HOSPITAL AND HEALTH CENTER",
      "city": "WINDSOR",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "471304",
      "hospital": "NORTH COUNTRY HOSPITAL AND HEALTH CENTER",
      "city": "NEWPORT",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0000905819",
      "hospital": "NORTHEASTERN VT REGIONAL HOSPITAL",
      "city": "ST. JOHNSBURY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "471307",
      "hospital": "PORTER HOSPITAL",
      "city": "MIDDLEBURY",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "471306",
      "hospital": "SPRINGFIELD HOSPITAL",
      "city": "SPRINGFIELD",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "474001",
      "hospital": "BRATTLEBORO RETREAT",
      "city": "BRATTLEBORO",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "474004",
      "hospital": "VERMONT PSYCHIATRIC CARE HOSPITAL",
      "city": "BERLIN",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "0015105009",
      "hospital": "WHITE RIVER JUNCTION VA MEDICAL CENTER",
      "city": "WHITE RIVER JUNCTION",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    },
    {
      "hospitalId": "47001F",
      "hospital": "VA MEDICAL CENTER",
      "city": "WHITE RIVER JUNCTION",
      "leaderName": "unknown_not_public",
      "title": "unknown_not_public",
      "compensationLatestYear": "",
      "compensationLatestAmount": "",
      "status": "unknown_not_public",
      "sourceId": "",
      "sourceUrl": "",
      "note": "No Form 990, SEC, official, or public-filing compensation amount is structured for this hospital in the current state package."
    }
  ],
  "closureRows": [],
  "timelineRows": [],
  "sourceCoverage": {
    "sourceBackedRows": 0,
    "notAvailableRows": 18,
    "totalSourceIds": 0
  }
}