Public record

CMS Skilled Nursing Facility All Owners

Associate id: 0941198253 · 50 matching records

Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
0840714937
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-01-01
Organization name - owner
FIRST BANK OF BERNE
Address line 1 - owner
222 HERITAGE TRL
City - owner
BERNE
State - owner
IN
Zip code - owner
467112500
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
Y
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
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
0941198253
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-11-22
Organization name - owner
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as name - owner
ADAMS MEMORIAL HOSPITAL
Address line 1 - owner
1100 MERCER AVE
City - owner
DECATUR
State - owner
IN
Zip code - owner
467332303
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
Y
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
Y
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
0941198253
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2005-11-22
Organization name - owner
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as name - owner
ADAMS MEMORIAL HOSPITAL
Address line 1 - owner
1100 MERCER AVE
City - owner
DECATUR
State - owner
IN
Zip code - owner
467332303
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
Y
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
0941198253
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2005-11-22
Organization name - owner
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as name - owner
ADAMS MEMORIAL HOSPITAL
Address line 1 - owner
1100 MERCER AVE
City - owner
DECATUR
State - owner
IN
Zip code - owner
467332303
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
Y
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
1254465370
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-07-14
First name - owner
SCOTT
Middle name - owner
E
Last name - owner
LEHMAN
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
1254465370
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2020-07-14
First name - owner
SCOTT
Middle name - owner
E
Last name - owner
LEHMAN
Title - owner
BOARD MEMBER
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
2466691142
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-12-04
First name - owner
ALMA
Last name - owner
AHMETOVIC
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
2466691142
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-12-04
First name - owner
ALMA
Last name - owner
AHMETOVIC
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
3375674971
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2008-01-01
First name - owner
LARRY
Last name - owner
MACKLIN
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
3375674971
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2008-01-01
First name - owner
LARRY
Last name - owner
MACKLIN
Title - owner
BOARD MEMBER
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4183755788
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2009-09-14
First name - owner
DANE
Last name - owner
WHEELER
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4688758998
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-01-01
First name - owner
RUSSELL
Middle name - owner
W
Last name - owner
FLUECKIGER
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4688758998
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2006-01-01
First name - owner
RUSSELL
Middle name - owner
W
Last name - owner
FLUECKIGER
Title - owner
BOARD MEMBER
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4789007972
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-01-01
First name - owner
DAVID
Last name - owner
MCINTIRE
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4789007972
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2019-01-01
First name - owner
DAVID
Last name - owner
MCINTIRE
Title - owner
BOARD MEMBER
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
5698198885
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-01-01
First name - owner
CANDICE
Last name - owner
BORNE-BAUMAN
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
5698198885
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2019-01-01
First name - owner
CANDICE
Last name - owner
BORNE-BAUMAN
Title - owner
BOARD MEMBER
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
5799871083
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
Organization name - owner
BLUE MANAGEMENT SERVICES LLC
Doing business as name - owner
BLUE & CO
Address line 1 - owner
12800 N MERIDIAN ST
Address line 2 - owner
STE 400
City - owner
CARMEL
State - owner
IN
Zip code - owner
460329443
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
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
6507289790
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-01-01
First name - owner
KYLE
Last name - owner
SPRUNGER
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
7214826247
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-11-16
First name - owner
MARK
Middle name - owner
S
Last name - owner
GRESLA
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
7214826247
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-11-16
First name - owner
MARK
Middle name - owner
S
Last name - owner
GRESLA
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
7416866603
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
Organization name - owner
FORVIS MAZARS LLP
Doing business as name - owner
FORVIS MAZARS, LLP
Address line 1 - owner
910 E SAINT LOUIS ST
Address line 2 - owner
STE 400
City - owner
SPRINGFIELD
State - owner
MO
Zip code - owner
658062570
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
Y
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
Y
Other type text - owner
ACCOUNTING FIRM
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
7416866603
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
Organization name - owner
FORVIS MAZARS LLP
Doing business as name - owner
FORVIS MAZARS, LLP
Address line 1 - owner
910 E SAINT LOUIS ST
Address line 2 - owner
STE 400
City - owner
SPRINGFIELD
State - owner
MO
Zip code - owner
658062570
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
Y
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
Y
Other type text - owner
ACCOUNTING FIRM
Enrollment id
O20050624000405
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
8123211505
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-01-01
First name - owner
SCOTT
Middle name - owner
T
Last name - owner
SMITH
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
0840714937
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-01-01
Organization name - owner
FIRST BANK OF BERNE
Address line 1 - owner
222 HERITAGE TRL
City - owner
BERNE
State - owner
IN
Zip code - owner
467112500
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
Y
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
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
0941198253
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2004-04-28
Organization name - owner
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as name - owner
ADAMS MEMORIAL HOSPITAL
Address line 1 - owner
1100 MERCER AVE
City - owner
DECATUR
State - owner
IN
Zip code - owner
467332303
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
Y
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
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
0941198253
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2004-04-28
Organization name - owner
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as name - owner
ADAMS MEMORIAL HOSPITAL
Address line 1 - owner
1100 MERCER AVE
City - owner
DECATUR
State - owner
IN
Zip code - owner
467332303
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
Y
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
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
0941198253
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2004-04-28
Organization name - owner
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as name - owner
ADAMS MEMORIAL HOSPITAL
Address line 1 - owner
1100 MERCER AVE
City - owner
DECATUR
State - owner
IN
Zip code - owner
467332303
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
Y
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
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
1254465370
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-07-14
First name - owner
SCOTT
Middle name - owner
E
Last name - owner
LEHMAN
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
1254465370
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2020-07-14
First name - owner
SCOTT
Middle name - owner
E
Last name - owner
LEHMAN
Title - owner
BOARD MEMBER
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
2466943568
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-10-09
First name - owner
NATASHA
Last name - owner
GRAVES
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
2466943568
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-10-09
First name - owner
NATASHA
Last name - owner
GRAVES
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
3375674971
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2008-01-01
First name - owner
LARRY
Last name - owner
MACKLIN
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
3375674971
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2008-01-01
First name - owner
LARRY
Last name - owner
MACKLIN
Title - owner
BOARD MEMBER
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4688075021
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-12-01
First name - owner
VIJAY
Last name - owner
VEERULA
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4688075021
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-08-07
First name - owner
VIJAY
Last name - owner
VEERULA
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4688758998
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-01-01
First name - owner
RUSSELL
Middle name - owner
W
Last name - owner
FLUECKIGER
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4688758998
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2006-01-01
First name - owner
RUSSELL
Middle name - owner
W
Last name - owner
FLUECKIGER
Title - owner
BOARD MEMBER
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4789007972
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-01-01
First name - owner
DAVID
Last name - owner
MCINTIRE
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4789007972
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2019-01-01
First name - owner
DAVID
Last name - owner
MCINTIRE
Title - owner
BOARD MEMBER
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
4789152919
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-03-25
First name - owner
ANDY
Last name - owner
MYERS
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
5698198885
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-01-01
First name - owner
CANDICE
Last name - owner
BORNE-BAUMAN
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
5698198885
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2019-01-01
First name - owner
CANDICE
Last name - owner
BORNE-BAUMAN
Title - owner
BOARD MEMBER
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
5799871083
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
Organization name - owner
BLUE MANAGEMENT SERVICES LLC
Doing business as name - owner
BLUE & CO
Address line 1 - owner
12800 N MERIDIAN ST
Address line 2 - owner
STE 400
City - owner
CARMEL
State - owner
IN
Zip code - owner
46032
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
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
6507289790
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-01-01
First name - owner
KYLE
Last name - owner
SPRUNGER
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
7416866603
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
Organization name - owner
FORVIS MAZARS LLP
Doing business as name - owner
FORVIS MAZARS, LLP
Address line 1 - owner
901 E ST LOUIS ST
Address line 2 - owner
STE 400
City - owner
SPRINGFIELD
State - owner
MO
Zip code - owner
658062570
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
Y
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
Y
Other type text - owner
ACCOUNTING FIRM
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
7416866603
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
Organization name - owner
FORVIS MAZARS LLP
Doing business as name - owner
FORVIS MAZARS, LLP
Address line 1 - owner
901 E ST LOUIS ST
Address line 2 - owner
STE 400
City - owner
SPRINGFIELD
State - owner
MO
Zip code - owner
658062570
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
Y
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
Y
Other type text - owner
ACCOUNTING FIRM
Enrollment id
O20111208000323
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
8123211505
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-01-01
First name - owner
SCOTT
Middle name - owner
T
Last name - owner
SMITH
Enrollment id
O20120702000151
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
0840714937
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-01-01
Organization name - owner
FIRST BANK OF BERNE
Address line 1 - owner
222 HERITAGE TRL
City - owner
BERNE
State - owner
IN
Zip code - owner
467112500
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
Y
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
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20120702000151
Associate id
0941198253
Organization name
ADAMS COUNTY MEMORIAL HOSPITAL
Associate id - owner
0941198253
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-05-01
Organization name - owner
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as name - owner
ADAMS MEMORIAL HOSPITAL
Address line 1 - owner
1100 MERCER AVE
City - owner
DECATUR
State - owner
IN
Zip code - owner
467332303
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
Y
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
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N

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