{
  "schemaVersion": 3,
  "entityId": "pe-tracker-520116",
  "canonicalName": "WATERTOWN MEMORIAL HOSPITAL",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "WATERTOWN MEMORIAL HOSPITAL is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for WATERTOWN MEDICAL CENTER 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": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "520116",
    "npi": "1992776041",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "WATERTOWN MEDICAL CENTER LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-scionhealth-pe-tracker-520116",
      "from_entity_id": "ScionHealth",
      "to_entity_id": "pe-tracker-520116",
      "relationship_type": "owns",
      "effective_date": "",
      "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": [],
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
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      "entity_id": "pe-tracker-520116",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "102366317",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-520116-net_patient_revenue-08-31-2022",
      "entity_id": "pe-tracker-520116",
      "metric_name": "net_patient_revenue",
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      "period_end": "08/31/2022",
      "value": "107519051",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-520116-operating_expense-08-31-2024",
      "entity_id": "pe-tracker-520116",
      "metric_name": "operating_expense",
      "period_start": "09/01/2023",
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      "value": "107404512",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-520116-operating_expense-08-31-2023",
      "entity_id": "pe-tracker-520116",
      "metric_name": "operating_expense",
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      "unit": "USD",
      "better_when": "context_dependent",
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    {
      "metric_id": "pe-tracker-520116-operating_expense-08-31-2022",
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    },
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    {
      "metric_id": "pe-tracker-520116-net_income-08-31-2023",
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    },
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  ],
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    {
      "organization": "KINDRED HEALTHCARE OPERATING LLC",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "12/23/2021",
      "percentage_ownership": "",
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    },
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    },
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      "organization": "GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION INC",
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      "medical_staffing_company": false
    },
    {
      "organization": "KNIGHT HEALTH II, LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/23/2021",
      "percentage_ownership": "80",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": true,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KNIGHT HEALTHCARE NEW-D, LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/23/2021",
      "percentage_ownership": "80",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": true,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WATERTOWN HOLDING COMPANY LLC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "05/01/2015",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": true,
      "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": [
    "Precise acquisition date",
    "Official facility URL"
  ],
  "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"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "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:pe-tracker-520116",
        "label": "WATERTOWN MEMORIAL HOSPITAL",
        "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:scionhealth",
        "label": "ScionHealth",
        "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_management_company",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:watertown-partner-llc:1",
        "label": "WATERTOWN PARTNER LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:brian-craven:2",
        "label": "BRIAN CRAVEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "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:greater-watertown-community-health-foundation-inc:7",
        "label": "GREATER WATERTOWN COMMUNITY HEALTH FOUNDATION INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:knight-health-holdings-llc:8",
        "label": "KNIGHT HEALTH HOLDINGS LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:michael-bean:9",
        "label": "MICHAEL BEAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:knight-intermediate-holdings-llc:10",
        "label": "KNIGHT INTERMEDIATE HOLDINGS LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:richard-keddington:11",
        "label": "RICHARD KEDDINGTON",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:knight-health-ii-llc:12",
        "label": "KNIGHT HEALTH II, LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:knight-healthcare-new-d-llc:13",
        "label": "KNIGHT HEALTHCARE NEW-D, LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:watertown-holding-company-llc:14",
        "label": "WATERTOWN HOLDING COMPANY LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:apollo-global-management->organization:scionhealth",
        "from": "organization:apollo-global-management",
        "to": "organization:scionhealth",
        "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:scionhealth->facility:pe-tracker-520116",
        "from": "organization:scionhealth",
        "to": "facility:pe-tracker-520116",
        "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:pe-tracker-520116",
        "from": "cms-owner:kindred-healthcare-operating-llc:0",
        "to": "facility:pe-tracker-520116",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 12/23/2021"
      },
      {
        "id": "cms-owner:watertown-partner-llc:1->facility:pe-tracker-520116",
        "from": "cms-owner:watertown-partner-llc:1",
        "to": "facility:pe-tracker-520116",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 80% reported ownership · associated 05/01/2015"
      },
      {
        "id": "cms-owner:brian-craven:2->facility:pe-tracker-520116",
        "from": "cms-owner:brian-craven:2",
        "to": "facility:pe-tracker-520116",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 04/12/2022"
      },
      {
        "id": "cms-owner:jacquelyn-davis:3->facility:pe-tracker-520116",
        "from": "cms-owner:jacquelyn-davis:3",
        "to": "facility:pe-tracker-520116",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · associated 12/16/2023"
      },
      {
        "id": "cms-owner:scott-graeser:4->facility:pe-tracker-520116",
        "from": "cms-owner:scott-graeser:4",
        "to": "facility:pe-tracker-520116",
        "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:pe-tracker-520116",
        "from": "cms-owner:dana-rock:5",
        "to": "facility:pe-tracker-520116",
        "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:pe-tracker-520116",
        "from": "cms-owner:johnetta-traylor:6",
        "to": "facility:pe-tracker-520116",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 12/09/2024"
      },
      {
        "id": "cms-owner:greater-watertown-community-health-foundation-inc:7->facility:pe-tracker-520116",
        "from": "cms-owner:greater-watertown-community-health-foundation-inc:7",
        "to": "facility:pe-tracker-520116",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 20% reported ownership · associated 09/01/2015"
      },
      {
        "id": "cms-owner:knight-health-holdings-llc:8->facility:pe-tracker-520116",
        "from": "cms-owner:knight-health-holdings-llc:8",
        "to": "facility:pe-tracker-520116",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 80% reported ownership · associated 12/23/2021"
      },
      {
        "id": "cms-owner:michael-bean:9->facility:pe-tracker-520116",
        "from": "cms-owner:michael-bean:9",
        "to": "facility:pe-tracker-520116",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/21/2022"
      },
      {
        "id": "cms-owner:knight-intermediate-holdings-llc:10->facility:pe-tracker-520116",
        "from": "cms-owner:knight-intermediate-holdings-llc:10",
        "to": "facility:pe-tracker-520116",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 80% reported ownership · associated 12/23/2021"
      },
      {
        "id": "cms-owner:richard-keddington:11->facility:pe-tracker-520116",
        "from": "cms-owner:richard-keddington:11",
        "to": "facility:pe-tracker-520116",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · associated 09/14/2015"
      },
      {
        "id": "cms-owner:knight-health-ii-llc:12->facility:pe-tracker-520116",
        "from": "cms-owner:knight-health-ii-llc:12",
        "to": "facility:pe-tracker-520116",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 80% reported ownership · associated 12/23/2021"
      },
      {
        "id": "cms-owner:knight-healthcare-new-d-llc:13->facility:pe-tracker-520116",
        "from": "cms-owner:knight-healthcare-new-d-llc:13",
        "to": "facility:pe-tracker-520116",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 80% reported ownership · associated 12/23/2021"
      },
      {
        "id": "cms-owner:watertown-holding-company-llc:14->facility:pe-tracker-520116",
        "from": "cms-owner:watertown-holding-company-llc:14",
        "to": "facility:pe-tracker-520116",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/01/2015"
      }
    ],
    "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": 107519051,
      "latestValue": 108246956,
      "absoluteChange": 727905,
      "percentChange": 0.6770009530683079,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 105990925,
      "latestValue": 107404512,
      "absoluteChange": 1413587,
      "percentChange": 1.33368682271619,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 4622635,
      "latestValue": 3695363,
      "absoluteChange": -927272,
      "percentChange": -20.059381716272213,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 68313986,
      "latestValue": 67144611,
      "absoluteChange": -1169375,
      "percentChange": -1.7117651427922826,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 19487811,
      "latestValue": -10529398,
      "absoluteChange": -30017209,
      "percentChange": -154.03068615556668,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "08/31/2021",
      "latestPeriod": "08/31/2024",
      "earliestValue": 1028971,
      "latestValue": 344661,
      "absoluteChange": -684310,
      "percentChange": -66.50430381419885,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 510.74,
      "latestValue": 492.56,
      "absoluteChange": -18.180000000000007,
      "percentChange": -3.5595410580726017,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 76,
      "latestValue": 76,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 7165,
      "latestValue": 6114,
      "absoluteChange": -1051,
      "percentChange": -14.668527564549896,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 2038,
      "latestValue": 2011,
      "absoluteChange": -27,
      "percentChange": -1.324828263002944,
      "unit": "discharges"
    }
  ]
}