Javon Bea Hospital

Enrollment entity

Provider / enrollment organization Enrollment PAC 1850299967 Enrollment ID O20210225002523

Linked facilitiesFacilities

StatesStates

23 parties: 1 organizations · 22 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Joseph Malas	6305266065	Individual	Corporate Officer; Operational/Managerial Control; ADP of the SNF	0
John T Dorsey	6002728524	Individual	Corporate Officer; Operational/Managerial Control; ADP of the SNF	0
Katherine M Kus	5890971055	Individual	Corporate Director; Operational/Managerial Control; ADP of the SNF	—
Mercy Health Corporation	5496070906	Organization	5% or Greater Direct Ownership Interest; ADP of the SNF	100
Robert Brinkerhoff	6406291202	Individual	Corporate Officer	0
Bradley Olson	7214372010	Individual	Corporate Officer	0
Tyler Killpack	9032554837	Individual	Corporate Officer	0
Amy Whitaker	9133505209	Individual	Corporate Officer	0
Ali Olia	0345627840	Individual	Corporate Officer	0
Kara Sankey	3779984943	Individual	Corporate Officer	0
Kimberly Scaccia	7810327434	Individual	Corporate Officer	0
Ladd Udy	9830439454	Individual	Corporate Officer	0
Mark L Goelzer	7416860382	Individual	Corporate Officer; Corporate Director	0
Joanna Benning	6406177674	Individual	Corporate Officer	0
Edward P Cranley	7214258482	Individual	Corporate Officer	0
Jennifer A Hallatt	4688833189	Individual	Corporate Officer	0
Javon R Bea	9931012804	Individual	Corporate Officer; Corporate Director	0
Katherine A Schack	6305032343	Individual	Corporate Director	0
Thomas D Budd	5597772772	Individual	Corporate Director	0
Thomas R Pool	9436062304	Individual	Corporate Director	0
Wesley M Jost	8527244789	Individual	Corporate Director	0
Carlos Arevalo	4789821257	Individual	Corporate Director	—
Kathi J Palches	0143380287	Individual	ADP of the SNF	—

Joseph MalasPAC 6305266065
Individual0Corporate Officer; Operational/Managerial Control
John T DorseyPAC 6002728524
Individual0Corporate Officer; Operational/Managerial Control
Katherine M KusPAC 5890971055
IndividualCorporate Director; Operational/Managerial Control
Mercy Health CorporationPAC 5496070906
Organization1005% or Greater Direct Ownership Interest; ADP of the SNF
Robert BrinkerhoffPAC 6406291202
Individual0Corporate Officer
Bradley OlsonPAC 7214372010
Individual0Corporate Officer
Tyler KillpackPAC 9032554837
Individual0Corporate Officer
Amy WhitakerPAC 9133505209
Individual0Corporate Officer
Ali OliaPAC 0345627840
Individual0Corporate Officer
Kara SankeyPAC 3779984943
Individual0Corporate Officer
Kimberly ScacciaPAC 7810327434
Individual0Corporate Officer
Ladd UdyPAC 9830439454
Individual0Corporate Officer
Mark L GoelzerPAC 7416860382
Individual0Corporate Officer; Corporate Director
Joanna BenningPAC 6406177674
Individual0Corporate Officer
Edward P CranleyPAC 7214258482
Individual0Corporate Officer
Jennifer A HallattPAC 4688833189
Individual0Corporate Officer
Javon R BeaPAC 9931012804
Individual0Corporate Officer; Corporate Director
Katherine A SchackPAC 6305032343
Individual0Corporate Director
Thomas D BuddPAC 5597772772
Individual0Corporate Director
Thomas R PoolPAC 9436062304
Individual0Corporate Director
Wesley M JostPAC 8527244789
Individual0Corporate Director
Carlos ArevaloPAC 4789821257
IndividualCorporate Director
Kathi J PalchesPAC 0143380287
IndividualADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Mercyhealth Javon Bea Hospital -SNF Javon Bea Hospital		Other disclo…	—	Ovr★★★★☆Stf★☆☆☆☆Ins★★★★★QM—	—

Mercyhealth Javon Bea Hospital -SNF
Javon Bea Hospital
Other disclosed role
Overall 4Staffing Staff 1

Related CMS associates

Name match to Javon Bea Hospital in FEC filings. Similar names may appear—confirm on FEC.gov.