Public record

CMS Hospice All Owners

Associate id: 2769484203 · 18 matching records

Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
0941569818
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-12-01
Organization name - owner
BRISTOL HOSPICE HOLDINGS INC
Address line 1 - owner
206 N 2100 W
Address line 2 - owner
STE 202
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841164741
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
1254715485
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-01-01
First name - owner
ALEX
Middle name - owner
EDWARD
Last name - owner
MAURICIO
Title - owner
PRESIDENT CEO
Percentage ownership
0
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
1254715485
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
ALEX
Middle name - owner
EDWARD
Last name - owner
MAURICIO
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
1254724859
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-09-01
Organization name - owner
WEBSTER EQUITY PARTNERS BRISTOL CF LP
Address line 1 - owner
206 N 2100 W
Address line 2 - owner
STE 202
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841164741
Percentage ownership
69.8
Created for acquisition - owner
N
Corporation - owner
N
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
Y
Non profit - owner
N
Private equity company - owner
Y
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
LIMITED PARTNERSHIP
Owned by another org or ind - owner
N
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
2264607035
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-02-27
First name - owner
JOHN
Middle name - owner
CHARLES
Last name - owner
GARBARINO
Title - owner
TREASURER
Percentage ownership
0
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
2264607035
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-02-27
First name - owner
JOHN
Middle name - owner
CHARLES
Last name - owner
GARBARINO
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
2365928025
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2026-01-07
First name - owner
MARY JOY
Middle name - owner
BALICAO
Last name - owner
GANO
Title - owner
AD;
Percentage ownership
0
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
3072906676
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-09-01
Organization name - owner
WEBSTER EQUITY PARTNERS IV BRISTOL CF LP
Address line 1 - owner
206 N 2100 W
Address line 2 - owner
STE 202
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841164741
Percentage ownership
5.72
Created for acquisition - owner
N
Corporation - owner
N
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
Y
Non profit - owner
N
Private equity company - owner
Y
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
LIMITED PARTNERSHIP
Owned by another org or ind - owner
N
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
3779937040
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-09-01
First name - owner
MICHAEL
Last name - owner
DERRICK
Title - owner
CFO
Percentage ownership
0
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
3971410895
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-13
First name - owner
BETTY
Middle name - owner
J
Last name - owner
BRENNAN
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
4981097581
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-09-01
Organization name - owner
BRISTOL ULTIMATE HOLDCO, LP
Address line 1 - owner
206 N 2100 W
Address line 2 - owner
STE 202
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841164741
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
LIMITED PARTNERSHIP
Owned by another org or ind - owner
Y
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
5496723744
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2023-12-01
First name - owner
BARON
Last name - owner
WONG
Title - owner
MEDICAL DIRECTOR
Percentage ownership
0
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
5799093696
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-10-26
First name - owner
HYRUM
Last name - owner
KIRTON
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
6709386857
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-24
Organization name - owner
AWARE SUPER PTY, LTD.
Address line 1 - owner
388 GEORGE ST.
City - owner
SYDNEY
State - owner
IN
Zip code - owner
66049
Percentage ownership
8.28
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
Y
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
7911910880
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-10-12
Organization name - owner
BRISTOL HOSPICE, L.L.C.
Doing business as name - owner
BRISTOL HOSPICE THURSTON
Address line 1 - owner
206 N 2100 W
Address line 2 - owner
STE 202
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841164741
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
Y
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
9032478904
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-12-01
Organization name - owner
BRISTOL HOSPICE TOPCO INC
Address line 1 - owner
206 N 2100 W
Address line 2 - owner
STE 202
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841164741
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
9537112990
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-02-27
First name - owner
DAVID
Middle name - owner
A
Last name - owner
MALM
Title - owner
VICE PRESIDENT
Percentage ownership
0
Enrollment id
O20070212000723
Associate id
2769484203
Organization name
BRISTOL HOSPICE - HAWAII, L.L.C.
Associate id - owner
9537112990
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-02-27
First name - owner
DAVID
Middle name - owner
A
Last name - owner
MALM
Title - owner
DIRECTOR
Percentage ownership
0

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