Avera St Lukes

Enrollment entity
Provider / enrollment organization Enrollment PAC 6406764927 Enrollment ID O20031024000030, O20051205000322

Details

Linked facilitiesFacilities
1
StatesStates
1

23 parties: 3 organizations · 20 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Avera Health8224945860Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control100
Paula Rae Henrickson5698259471IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
James Francis Dover0345133344IndividualCorporate Officer; Operational/Managerial Control
Daniel Bjerknes6406115658IndividualCorporate Officer; Operational/Managerial Control
Michael J Knapp1153323308IndividualCorporate Director; Operational/Managerial Control; ADP of the SNF
Carmen Louise Weber2769404649IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Susan M Ostrowski4082615059IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
David Merrill Mcneil3678074036IndividualCorporate Director; Managing Control - Governing Body0
Erin Hogan Fouberg1850892217IndividualCorporate Director; Managing Control - Governing Body0
Blake Anthony Heinz9931414596IndividualCorporate Director; Managing Control - Governing Body0
Paula Jane Jensen3072966704IndividualCorporate Director; Managing Control - Governing Body0
Shane Franks9931571320IndividualCorporate Director; Managing Control - Governing Body0
Kristen Fauth2466843180IndividualCorporate Director; Managing Control - Governing Body0
Michael Herman1557752276IndividualCorporate Director; Managing Control - Governing Body0
Garret M Wobst0941448351IndividualCorporate Director; Managing Control - Governing Body0
Heidi Golz1254684525IndividualCorporate Director; Managing Control - Governing Body0
Kathleen Bierne1850498510IndividualCorporate Director; Managing Control - Governing Body0
Marietta Kerkvliet7810260536IndividualCorporate Director; Managing Control - Governing Body0
Kathleen Kay Panowicz3476609710IndividualCorporate Director; Managing Control - Governing Body0
Julie Lautt6709989338IndividualCorporate Officer
Amanda Marie Schutz4688928997IndividualCorporate Officer
Unknown party1052895836OrganizationGeneral Partnership Interest; Limited Partnership Interest; ADP of the SNF
Unknown party6305329475OrganizationGeneral Partnership Interest; Limited Partnership Interest; ADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Other disclo…
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Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Avera St Lukes in FEC filings. Similar names may appear—confirm on FEC.gov.