Samaritan MI Opco LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 5991193989 Enrollment ID O20211025000927

Linked facilitiesFacilities

StatesStates

5 parties: 0 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Jolanda Thomas	7214209295	Individual	Operational/Managerial Control; ADP of the SNF	—
Alexander Hoffman	4789018417	Individual	5% or Greater Direct Ownership Interest	30
Isaac Gutman	1658627872	Individual	5% or Greater Direct Ownership Interest	30
Jacob Taub	3577849546	Individual	5% or Greater Direct Ownership Interest	30
Robert Kornfeld	8022406297	Individual	5% or Greater Direct Ownership Interest	10

Jolanda ThomasPAC 7214209295
IndividualOperational/Managerial Control; ADP of the SNF
Alexander HoffmanPAC 4789018417
Individual305% or Greater Direct Ownership Interest
Isaac GutmanPAC 1658627872
Individual305% or Greater Direct Ownership Interest
Jacob TaubPAC 3577849546
Individual305% or Greater Direct Ownership Interest
Robert KornfeldPAC 8022406297
Individual105% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
The Orchards at Samaritan Samaritan MI Opco LLC 100 residents		Other disclo…	3.55	Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★☆	100

The Orchards at Samaritan
Samaritan MI Opco LLC
Other disclosed role100 res3.55 HPRD
Overall 2Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
11/01/2021	The Orchards at Samaritan	Samaritan MI Opco LLC	Advantage Management Group Inc	Buyer

11/01/2021
The Orchards at Samaritan (Buyer)
Advantage Management Group Inc → Samaritan MI Opco LLC

Related CMS associates

Name match to Samaritan MI Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.