Public record

CMS Hospice All Owners

Associate id: 6507858735 · 50 matching records

Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
0941569818
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-07-13
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
N
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
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
1153389176
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2004-01-01
Organization name - owner
OPTIMAL HEALTH SERVICES, INC.
Address line 1 - owner
206 N 2100 W
Address line 2 - owner
SUITE 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
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
Owned by another org or ind - owner
Y
Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
1254715485
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-01
First name - owner
ALEX
Middle name - owner
EDWARD
Last name - owner
MAURICIO
Title - owner
CEO/PRESIDENT
Percentage ownership
0
Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
1254724859
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-25
Organization name - owner
WEBSTER EQUITY PARTNERS BRISTOL CF LP
Address line 1 - owner
1000 WINTER ST
City - owner
WALTHAM
State - owner
MA
Zip code - owner
024511436
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
N
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
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
2264607035
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-09-01
First name - owner
JOHN
Middle name - owner
CHARLES
Last name - owner
GARBARINO
Title - owner
TREASURER/SECRETARY
Percentage ownership
0
Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
2264607035
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-13
First name - owner
JOHN
Middle name - owner
CHARLES
Last name - owner
GARBARINO
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
3072906676
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-25
Organization name - owner
WEBSTER EQUITY PARTNERS IV BRISTOL CF LP
Address line 1 - owner
1000 WINTER ST
City - owner
WALTHAM
State - owner
MA
Zip code - owner
024511436
Percentage ownership
6.43
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
N
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
N
Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
4688868102
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2018-05-17
First name - owner
OWEN
Middle name - owner
C
Last name - owner
KIM
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
4981097581
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-25
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
N
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
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
N
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
N
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
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
7012355274
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-01-10
First name - owner
JAMES
Last name - owner
RAMOS
Title - owner
AD;
Percentage ownership
0
Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
7911910880
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-07-13
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
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
Y
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
8224374095
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2019-02-01
First name - owner
ALIREZA
Last name - owner
SOLEIMANI FARD
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
N
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
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
9234584970
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-09-01
First name - owner
MEE
Last name - owner
YANG
Title - owner
AD;
Percentage ownership
100
Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
9537112990
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-09-01
First name - owner
DAVID
Middle name - owner
A
Last name - owner
MALM
Title - owner
VICE PRESIDENT
Percentage ownership
0
Enrollment id
O20040330001506
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
9537112990
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-13
First name - owner
DAVID
Middle name - owner
A
Last name - owner
MALM
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
0345333423
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2017-07-01
First name - owner
TODD
Middle name - owner
A
Last name - owner
FARRER
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
0941569818
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-07-13
Organization name - owner
BRISTOL HOSPICE HOLDINGS INC
Address line 1 - owner
206 N 2100 W
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841164740
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
N
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
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
1153389176
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2004-01-01
Organization name - owner
OPTIMAL HEALTH SERVICES, 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
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
Owned by another org or ind - owner
Y
Enrollment id
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
1254724859
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-25
Organization name - owner
WEBSTER EQUITY PARTNERS BRISTOL CF LP
Address line 1 - owner
1000 WINTER ST
City - owner
WALTHAM
State - owner
MA
Zip code - owner
024511436
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
Y
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
Y
Other type text - owner
LIMITED PARTNERSHIP
Owned by another org or ind - owner
N
Enrollment id
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
2264497684
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2008-12-01
First name - owner
ALBERT
Middle name - owner
J
Last name - owner
PEINADO
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
2264607035
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-09-01
First name - owner
JOHN
Middle name - owner
CHARLES
Last name - owner
GARBARINO
Title - owner
TREASURER/SECRETARY
Percentage ownership
0
Enrollment id
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
2264607035
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-13
First name - owner
JOHN
Middle name - owner
CHARLES
Last name - owner
GARBARINO
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
3072906676
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-25
Organization name - owner
WEBSTER EQUITY PARTNERS IV BRISTOL CF LP
Address line 1 - owner
1000 WINTER ST
City - owner
WALTHAM
State - owner
MA
Zip code - owner
024511436
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
Y
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
Y
Other type text - owner
LIMITED PARTNERSHIP
Owned by another org or ind - owner
N
Enrollment id
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
4981097581
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-25
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
N
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
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
N
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
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
7911910880
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-07-13
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
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
Y
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
8921369000
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-04-20
First name - owner
COREY
Middle name - owner
R
Last name - owner
GAROUTTE
Title - owner
AD;
Percentage ownership
0
Enrollment id
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
9032478904
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-07-13
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
N
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
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
9537112990
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-09-01
First name - owner
DAVID
Middle name - owner
A
Last name - owner
MALM
Title - owner
VICE PRESIDENT
Percentage ownership
0
Enrollment id
O20041222000330
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
9537112990
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-13
First name - owner
DAVID
Middle name - owner
A
Last name - owner
MALM
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20051228000707
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
0941569818
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-07-13
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
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
Owned by another org or ind - owner
Y
Enrollment id
O20051228000707
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
1153389176
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2004-01-01
Organization name - owner
OPTIMAL HEALTH SERVICES, 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
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
Owned by another org or ind - owner
Y
Enrollment id
O20051228000707
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
O20051228000707
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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
O20051228000707
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
1254715485
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
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
O20051228000707
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
1254724859
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-25
Organization name - owner
WEBSTER EQUITY PARTNERS BRISTOL CF LP
Address line 1 - owner
1000 WINTER ST
City - owner
WALTHAM
State - owner
MA
Zip code - owner
024511436
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
Y
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
Y
Other type text - owner
LIMITED PARTNERSHIP
Owned by another org or ind - owner
N
Enrollment id
O20051228000707
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
2264607035
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-09-01
First name - owner
JOHN
Middle name - owner
CHARLES
Last name - owner
GARBARINO
Title - owner
SECRETARY/TREASURER
Percentage ownership
0
Enrollment id
O20051228000707
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
2264607035
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-13
First name - owner
JOHN
Middle name - owner
CHARLES
Last name - owner
GARBARINO
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20051228000707
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
Associate id - owner
3072906676
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-25
Organization name - owner
WEBSTER EQUITY PARTNERS IV BRISTOL CF LP
Address line 1 - owner
1000 WINTER ST
City - owner
WALTHAM
State - owner
MA
Zip code - owner
024511436
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
Y
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
Y
Other type text - owner
LIMITED PARTNERSHIP
Owned by another org or ind - owner
N
Enrollment id
O20051228000707
Associate id
6507858735
Organization name
OPTIMAL HOSPICE, INC.
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

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