Beaver Dam Community Hospitals Inc.

Enrollment entity
Provider / enrollment organization Enrollment PAC 2567370539 Enrollment ID O20120210000534

Details

Linked facilitiesFacilities
1
StatesStates
1

22 parties: 3 organizations · 19 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Mchs Hospitals Inc5698071173Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Jeffrey Douglas Poppen4688715899IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF0
Jolyn Joy Munson2567616295IndividualOperational/Managerial Control
Nicholas Wayne Olson9335589902IndividualOperational/Managerial Control
Tony Lee Morrison1355348376IndividualOperational/Managerial Control
Laurie A Mckuen3476076829IndividualOperational/Managerial Control; ADP of the SNF
Lindsey A Buswell Cleary1759479611IndividualOperational/Managerial Control; ADP of the SNF
Sanford7416089834Organization5% or Greater Indirect Ownership Interest; ADP of the SNF100
Marshfield Clinic Health System Inc9133425614Organization5% or Greater Indirect Ownership Interest; ADP of the SNF100
Edward G Fernandez4789692518IndividualCorporate Officer; Corporate Director0
Samantha L Klebe5698089639IndividualCorporate Officer; Corporate Director; ADP of the SNF0
Brian D Hoerneman1355254343IndividualCorporate Officer; Corporate Director0
John F Baltus1557268299IndividualCorporate Officer; Corporate Director0
Dennis H Smith4183955826IndividualCorporate Director0
Everett W Newcomb7810086113IndividualCorporate Director0
Linda Laverne Procci6204732092IndividualCorporate Director
Douglas Mathison9234023318IndividualCorporate Director
Marnie Lynn Ventling-herrmann1153753546IndividualTrustee of the SNF
Unknown party1254839095IndividualTrustee of the SNF
Unknown party3173021912IndividualTrustee of the SNF
Unknown party6800394743IndividualTrustee of the SNF
Unknown party9436657277IndividualTrustee of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Hillside Manor
Beaver Dam Community Hospitals Inc.
56 residents
Other disclo…
3.88Ovr☆☆☆☆Stf★★★★Ins☆☆☆☆QM★★★☆☆56
  • Beaver Dam Community Hospitals Inc.
    Other disclosed role56 res3.88 HPRD
    Overall 1Staffing Staff 4
Related CMS associates

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Name match to Beaver Dam Community Hospitals Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.