Tift Regional Health System Inc

Ownership interest

Organization PAC 2062745169 Enrollment ID O20200117002091

Linked facilitiesFacilities

StatesStates

Portfolio HPRDPortfolio HPRD

4.49

n = 1

14 parties: 1 organizations · 13 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Tift Regional Health System Inc	2062745169	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF	100
Mark Kimball	5698785848	Individual	Corporate Officer; Operational/Managerial Control; ADP of the SNF	0
Christopher Dorman	3870920317	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Direct Ownership Interest	0
Unknown party	0244756658	Individual	ADP of the SNF; Direct Ownership Interest	0
Unknown party	8426574849	Individual	ADP of the SNF; Direct Ownership Interest	0
John Lawal	4183760838	Individual	Corporate Officer; ADP of the SNF; Direct Ownership Interest	0
Unknown party	4880110204	Individual	ADP of the SNF; Direct Ownership Interest	0
Unknown party	7416473830	Individual	ADP of the SNF; Direct Ownership Interest	0
Unknown party	9234655655	Individual	ADP of the SNF; Direct Ownership Interest	0
Thomas D Fausett	6507886421	Individual	Corporate Officer; ADP of the SNF; Direct Ownership Interest	0
Unknown party	2062938483	Individual	ADP of the SNF; Direct Ownership Interest	0
Unknown party	4880110295	Individual	ADP of the SNF; Direct Ownership Interest	0
Unknown party	6608392014	Individual	ADP of the SNF; Direct Ownership Interest	0
Troy Brooks	7719060557	Individual	Corporate Officer; ADP of the SNF	0

Tift Regional Health System IncPAC 2062745169
Organization1005% or Greater Direct Ownership Interest; Operational/Managerial Control
Mark KimballPAC 5698785848
Individual0Corporate Officer; Operational/Managerial Control
Christopher DormanPAC 3870920317
Individual05% or Greater Direct Ownership Interest; Corporate Officer
Unknown partyPAC 0244756658
Individual0ADP of the SNF; Direct Ownership Interest
Unknown partyPAC 8426574849
Individual0ADP of the SNF; Direct Ownership Interest
John LawalPAC 4183760838
Individual0Corporate Officer; ADP of the SNF
Unknown partyPAC 4880110204
Individual0ADP of the SNF; Direct Ownership Interest
Unknown partyPAC 7416473830
Individual0ADP of the SNF; Direct Ownership Interest
Unknown partyPAC 9234655655
Individual0ADP of the SNF; Direct Ownership Interest
Thomas D FausettPAC 6507886421
Individual0Corporate Officer; ADP of the SNF
Unknown partyPAC 2062938483
Individual0ADP of the SNF; Direct Ownership Interest
Unknown partyPAC 4880110295
Individual0ADP of the SNF; Direct Ownership Interest
Unknown partyPAC 6608392014
Individual0ADP of the SNF; Direct Ownership Interest
Troy BrooksPAC 7719060557
Individual0Corporate Officer; ADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Southwell Health and Rehabilitation Tift Regional Health System Inc 84 residents			4.49	Ovr★★★★★Stf★★★★★Ins★★★★☆QM★★★★☆	84

Southwell Health and Rehabilitation
Tift Regional Health System Inc
84 res4.49 HPRD
Overall 5Staffing Staff 5

Related CMS associates

Also appears as enrollment entity on 1 facility.

Facility	Enrollment ID	Location	City
Southwell Health and Rehabilitation Tift Regional Health System Inc 84 residents	O20200117002091		ADEL

Southwell Health and Rehabilitation
Tift Regional Health System Inc
84 residents
Enrollment O20200117002091 · ADEL, GA · ADEL

Name match to Tift Regional Health System Inc in FEC filings. Similar names may appear—confirm on FEC.gov.