Public record

CMS Home Health Agency All Owners

Associate id: 5092619387 · 17 matching records

Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
2961982541
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-01-01
First name - owner
PAUL
Last name - owner
MCLELLAN
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
3779742929
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-09-01
First name - owner
JAMES
Last name - owner
ROOT
Title - owner
ADMINISTRATOR
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
3779742929
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2007-01-01
First name - owner
JAMES
Last name - owner
ROOT
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
3870073455
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-01-01
First name - owner
RICHARD
Last name - owner
VAPLON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
4183092620
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-11-30
Organization name - owner
BELLIN GUNDERSEN HEALTH SYSTEM INC
Address line 1 - owner
1836 SOUTH AVE
City - owner
LA CROSSE
State - owner
WI
Zip code - owner
546015429
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
4183092620
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-11-30
Organization name - owner
BELLIN GUNDERSEN HEALTH SYSTEM INC
Address line 1 - owner
1836 SOUTH AVE
City - owner
LA CROSSE
State - owner
WI
Zip code - owner
546015429
Percentage ownership
100
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
5799837472
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-09-01
First name - owner
PAUL
Middle name - owner
R
Last name - owner
FISCH
Title - owner
BOARD MEMBER
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
6204208465
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
EMILY
Last name - owner
DURAND
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
6507395308
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
REECE
Last name - owner
RYKAL
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
6800791112
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-01
First name - owner
MICHAEL
Middle name - owner
J
Last name - owner
EBERSOLD
Title - owner
BOARD MEMBER
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
7012389273
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
BEVERLY
Last name - owner
YOUNGBAUER
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
7416986500
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1992-01-01
First name - owner
JOHN
Middle name - owner
K
Last name - owner
WOLFE
Title - owner
CFO
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
7416986500
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
1992-01-01
First name - owner
JOHN
Middle name - owner
K
Last name - owner
WOLFE
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
7911807805
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-09-01
Organization name - owner
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
Address line 1 - owner
1836 SOUTH AVE
City - owner
LA CROSSE
State - owner
WI
Zip code - owner
546015429
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
7911807805
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-08-01
Organization name - owner
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
Address line 1 - owner
1836 SOUTH AVE
City - owner
LA CROSSE
State - owner
WI
Zip code - owner
546015429
Percentage ownership
100
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
8527204171
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-10-01
First name - owner
CINDY
Last name - owner
DENK
Title - owner
BOARD SECRETARY/TREASURER
Enrollment id
O20060314000172
Associate id
5092619387
Organization name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Associate id - owner
8921441288
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
DANIEL
Last name - owner
COENEN
Title - owner
BOARD MEMBER
Percentage ownership
0

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