{
  "schemaVersion": 3,
  "entityId": "0023394577",
  "canonicalName": "KINDRED HOSPITAL - SAN FRANCISCO BAY AREA",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "KINDRED HOSPITAL - SAN FRANCISCO BAY AREA is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for THC - ORANGE COUNTY LLC. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 5,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "052034",
    "npi": "1306921929",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "THC - ORANGE COUNTY LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "KINDRED HOSPITAL - SAN FRANCISCO BAY AREA",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-scionhealth-0023394577",
      "from_entity_id": "ScionHealth",
      "to_entity_id": "0023394577",
      "relationship_type": "owns",
      "effective_date": "December 2021",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies ScionHealth in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "December 2021",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
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      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KNIGHT INTERMEDIATE HOLDINGS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/23/2021",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KENTUCKY HOSPITAL HOLDINGS JV LP",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "07/02/2018",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported parent system or portfolio company: ScionHealth.",
    "Reported investment sponsor: Apollo Global Management."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker."
  ],
  "unavailableFields": [
    "Official facility URL",
    "Current CMS overall rating"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:0023394577",
        "label": "KINDRED HOSPITAL - SAN FRANCISCO BAY AREA",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:apollo-global-management",
        "label": "Apollo Global Management",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:kentucky-hospital-holdings-jv-lp",
        "label": "Kentucky Hospital Holdings JV LP",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:kindred-healthcare-operating-llc:0",
        "label": "KINDRED HEALTHCARE OPERATING LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:kentucky-hospital-intermediate-llc:1",
        "label": "KENTUCKY HOSPITAL INTERMEDIATE LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:kindred-healthcare-llc:2",
        "label": "KINDRED HEALTHCARE LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:jacquelyn-davis:3",
        "label": "JACQUELYN DAVIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:scott-graeser:4",
        "label": "SCOTT GRAESER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:dana-rock:5",
        "label": "DANA ROCK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:johnetta-traylor:6",
        "label": "JOHNETTA TRAYLOR",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:kentucky-hospital-holdings-llc:7",
        "label": "KENTUCKY HOSPITAL HOLDINGS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:larry-foster:8",
        "label": "LARRY FOSTER",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:deanna-schiavone:9",
        "label": "DEANNA SCHIAVONE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:knight-health-holdings-llc:10",
        "label": "KNIGHT HEALTH HOLDINGS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:michael-bean:11",
        "label": "MICHAEL BEAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:knight-health-llc:12",
        "label": "KNIGHT HEALTH LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:knight-intermediate-holdings-llc:13",
        "label": "KNIGHT INTERMEDIATE HOLDINGS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:kentucky-hospital-holdings-jv-lp:14",
        "label": "KENTUCKY HOSPITAL HOLDINGS JV LP",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:apollo-global-management->organization:kentucky-hospital-holdings-jv-lp",
        "from": "organization:apollo-global-management",
        "to": "organization:kentucky-hospital-holdings-jv-lp",
        "relationship": "sponsors",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name."
      },
      {
        "id": "organization:kentucky-hospital-holdings-jv-lp->facility:0023394577",
        "from": "organization:kentucky-hospital-holdings-jv-lp",
        "to": "facility:0023394577",
        "relationship": "reported ownership or operating chain",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The platform attribution comes from the research tracker and is displayed separately from CMS legal-owner rows."
      },
      {
        "id": "cms-owner:kindred-healthcare-operating-llc:0->facility:0023394577",
        "from": "cms-owner:kindred-healthcare-operating-llc:0",
        "to": "facility:0023394577",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/26/1998"
      },
      {
        "id": "cms-owner:kentucky-hospital-intermediate-llc:1->facility:0023394577",
        "from": "cms-owner:kentucky-hospital-intermediate-llc:1",
        "to": "facility:0023394577",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/02/2018"
      },
      {
        "id": "cms-owner:kindred-healthcare-llc:2->facility:0023394577",
        "from": "cms-owner:kindred-healthcare-llc:2",
        "to": "facility:0023394577",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 03/27/1998"
      },
      {
        "id": "cms-owner:jacquelyn-davis:3->facility:0023394577",
        "from": "cms-owner:jacquelyn-davis:3",
        "to": "facility:0023394577",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · 0% reported ownership · associated 12/16/2023"
      },
      {
        "id": "cms-owner:scott-graeser:4->facility:0023394577",
        "from": "cms-owner:scott-graeser:4",
        "to": "facility:0023394577",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 08/19/2022"
      },
      {
        "id": "cms-owner:dana-rock:5->facility:0023394577",
        "from": "cms-owner:dana-rock:5",
        "to": "facility:0023394577",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 12/09/2024"
      },
      {
        "id": "cms-owner:johnetta-traylor:6->facility:0023394577",
        "from": "cms-owner:johnetta-traylor:6",
        "to": "facility:0023394577",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 12/09/2024"
      },
      {
        "id": "cms-owner:kentucky-hospital-holdings-llc:7->facility:0023394577",
        "from": "cms-owner:kentucky-hospital-holdings-llc:7",
        "to": "facility:0023394577",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/02/2018"
      },
      {
        "id": "cms-owner:larry-foster:8->facility:0023394577",
        "from": "cms-owner:larry-foster:8",
        "to": "facility:0023394577",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 0% reported ownership · associated 05/02/2022"
      },
      {
        "id": "cms-owner:deanna-schiavone:9->facility:0023394577",
        "from": "cms-owner:deanna-schiavone:9",
        "to": "facility:0023394577",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 08/22/2022"
      },
      {
        "id": "cms-owner:knight-health-holdings-llc:10->facility:0023394577",
        "from": "cms-owner:knight-health-holdings-llc:10",
        "to": "facility:0023394577",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/23/2021"
      },
      {
        "id": "cms-owner:michael-bean:11->facility:0023394577",
        "from": "cms-owner:michael-bean:11",
        "to": "facility:0023394577",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 09/12/2014"
      },
      {
        "id": "cms-owner:knight-health-llc:12->facility:0023394577",
        "from": "cms-owner:knight-health-llc:12",
        "to": "facility:0023394577",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/23/2021"
      },
      {
        "id": "cms-owner:knight-intermediate-holdings-llc:13->facility:0023394577",
        "from": "cms-owner:knight-intermediate-holdings-llc:13",
        "to": "facility:0023394577",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/23/2021"
      },
      {
        "id": "cms-owner:kentucky-hospital-holdings-jv-lp:14->facility:0023394577",
        "from": "cms-owner:kentucky-hospital-holdings-jv-lp:14",
        "to": "facility:0023394577",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/02/2018"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.",
      "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 56939549,
      "latestValue": 61557333,
      "absoluteChange": 4617784,
      "percentChange": 8.109976424295176,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 69253562,
      "latestValue": 68488708,
      "absoluteChange": -764854,
      "percentChange": -1.1044255023301186,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": -12166500,
      "latestValue": -6775845,
      "absoluteChange": 5390655,
      "percentChange": 44.30736037479966,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 50468907,
      "latestValue": 47971818,
      "absoluteChange": -2497089,
      "percentChange": -4.947777054097882,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 72015120,
      "latestValue": 89184293,
      "absoluteChange": 17169173,
      "percentChange": 23.84106698704383,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "08/31/2020",
      "latestPeriod": "08/31/2022",
      "earliestValue": 1735215,
      "latestValue": 4843056,
      "absoluteChange": 3107841,
      "percentChange": 179.10408796604455,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 255.7,
      "latestValue": 246.3,
      "absoluteChange": -9.399999999999977,
      "percentChange": -3.676183026984739,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 99,
      "latestValue": 99,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 24396,
      "latestValue": 24418,
      "absoluteChange": 22,
      "percentChange": 0.09017871782259387,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 363,
      "latestValue": 319,
      "absoluteChange": -44,
      "percentChange": -12.121212121212121,
      "unit": "discharges"
    }
  ]
}
