Public record

CMS Hospice All Owners

Associate id: 2365341211 · 32 matching records

Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
0244149060
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2013-04-11
Organization name - owner
HOSPITAL SISTERS HEALTH SYSTEM
Doing business as name - owner
HSHS
Address line 1 - owner
4936 LAVERNA ROAD
City - owner
SPRINGFIELD
State - owner
IL
Zip code - owner
627070004
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
0244149060
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-04-11
Organization name - owner
HOSPITAL SISTERS HEALTH SYSTEM
Doing business as name - owner
HSHS
Address line 1 - owner
4936 LAVERNA ROAD
City - owner
SPRINGFIELD
State - owner
IL
Zip code - owner
627070004
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
0446159354
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
KELLY
Middle name - owner
H
Last name - owner
HALLER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
0749657419
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-06-01
First name - owner
JAMES
Middle name - owner
DENNIS
Last name - owner
WATSON
Title - owner
MANAGER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
0749657419
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-06-01
First name - owner
JAMES
Middle name - owner
DENNIS
Last name - owner
WATSON
Title - owner
MANAGER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
0840667838
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-06-01
First name - owner
MARK
Middle name - owner
D
Last name - owner
EVARD
Title - owner
VP OF REVENUE CYCLE
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
1052665460
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
ROBERT
Last name - owner
SCHULTZ
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
1153342340
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-01-01
First name - owner
ERIC
Last name - owner
ZELLER
Title - owner
VICE CHAIRPERSON
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
1153342340
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
ERIC
Last name - owner
ZELLER
Title - owner
CHAIRPERSON
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
1557605581
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
THERESA
Last name - owner
LIGON
Title - owner
DIRECTOR, HOSPITAL BILLING & COLLEC
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
1557605581
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-01-01
First name - owner
THERESA
Last name - owner
LIGON
Title - owner
DIRECTOR, HOSPITAL BILLING & COLLEC
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
1759890148
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-01-01
First name - owner
JEFFERY
Last name - owner
STERLING
Title - owner
VICE PRESIDENT - MANAGED CARE
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
1759890148
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2026-01-01
First name - owner
JEFFERY
Last name - owner
STERLING
Title - owner
VICE PRESIDENT - MANAGED CARE
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
2365352895
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-05-01
First name - owner
DAVID
Last name - owner
NOSACKA
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
2365352895
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-05-01
First name - owner
DAVID
Last name - owner
NOSACKA
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
2668849654
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-06-01
First name - owner
JEAN
Middle name - owner
A
Last name - owner
HIGHLAND
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
2961756374
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
ALLIE
Last name - owner
WEBER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
3274899158
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-06-01
First name - owner
MONICA
Middle name - owner
SUE
Last name - owner
KRUEP
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
3274899158
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-06-01
First name - owner
MONICA
Middle name - owner
SUE
Last name - owner
KRUEP
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
3678482569
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
MARGUERITE
Middle name - owner
MAE
Last name - owner
COOK
Title - owner
BOARD MEMBER
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
4284973728
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
KAYLA
Middle name - owner
R
Last name - owner
VANDERBILT BOYD
Title - owner
DIVISION DIRECTOR OF REVENUE CYCLE
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
4284973728
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-01-01
First name - owner
KAYLA
Middle name - owner
R
Last name - owner
VANDERBILT BOYD
Title - owner
DIVISION DIRECTOR OF REVENUE CYCLE
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
4587640263
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2026-01-01
First name - owner
PAUL
Middle name - owner
G
Last name - owner
MALCHAREK
Title - owner
MD;
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
5092776559
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
LANA
Last name - owner
SCHMIDT
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
6608068093
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-06-01
First name - owner
ERIC
Middle name - owner
ANTHONY
Last name - owner
BLOEMER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
7214411891
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2026-01-01
First name - owner
AMY
Last name - owner
FREDERKING
Title - owner
AD;DIRECTOR-POST ACUTE CARE
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
7416971445
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-08-01
First name - owner
CHAD
Middle name - owner
P
Last name - owner
MARKHAM
Title - owner
PRESIDENT & CEO
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
8325392731
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-06-01
First name - owner
CARRIE
Last name - owner
RODMAN
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
8729033568
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-01-01
First name - owner
THERESA
Middle name - owner
J
Last name - owner
RUTHERFORD
Title - owner
PRESIDENT & CEO
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
9234483645
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
MICHAL
Last name - owner
ROSA
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
9537659016
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-01-01
First name - owner
ANN
Last name - owner
BOND
Title - owner
SYSTEM DIRECTOR - GOVERNMENT REI
Percentage ownership
0
Enrollment id
O20130613000252
Associate id
2365341211
Organization name
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD
Associate id - owner
9739163023
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-06-01
First name - owner
KIMBERLY
Middle name - owner
ANN
Last name - owner
HODGKINSON
Title - owner
SVP & CFO
Percentage ownership
0

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