Loma Linda SNF Healthcare LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 7113362682 Enrollment ID O20240224000268

Linked facilitiesFacilities

StatesStates

16 parties: 7 organizations · 9 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Joel Dimaunahan	1759804453	Individual	Operational/Managerial Control	—
Kenneth Jardine	0941723647	Individual	Operational/Managerial Control; ADP of the SNF	—
Frederick G Apt	4486043916	Individual	Operational/Managerial Control	—
John T Mitchell	0648429498	Individual	Operational/Managerial Control	—
Joshua O Jergensen	6800024092	Individual	Operational/Managerial Control	—
Shantharam Pai	8123198892	Individual	Operational/Managerial Control; ADP of the SNF	—
Trevor D. Lords	2264658228	Individual	Operational/Managerial Control; ADP of the SNF	—
Loma Linda Master Tenant LLC	9931544400	Organization	5% or Greater Direct Ownership Interest	100
Pacs Holdings, LLC	6103289202	Organization	5% or Greater Indirect Ownership Interest	100
Providence Group Nh, LLC	5294198396	Organization	5% or Greater Indirect Ownership Interest	100
Pacs Group, Inc.	7911360011	Organization	5% or Greater Indirect Ownership Interest	100
Jason H Murray	0648228304	Individual	5% or Greater Indirect Ownership Interest	50
Mark D Hancock	9830337005	Individual	5% or Greater Indirect Ownership Interest	50
Providence Administrative Consulting Services Inc	6406094671	Organization	ADP of the SNF	—
Unknown party	0446773220	Organization	ADP of the SNF	—
Truist Bank	6709306079	Organization	5% or Greater Security Interest	100

Joel DimaunahanPAC 1759804453
IndividualOperational/Managerial Control
Kenneth JardinePAC 0941723647
IndividualOperational/Managerial Control; ADP of the SNF
Frederick G AptPAC 4486043916
IndividualOperational/Managerial Control
John T MitchellPAC 0648429498
IndividualOperational/Managerial Control
Joshua O JergensenPAC 6800024092
IndividualOperational/Managerial Control
Shantharam PaiPAC 8123198892
IndividualOperational/Managerial Control; ADP of the SNF
Trevor D. LordsPAC 2264658228
IndividualOperational/Managerial Control; ADP of the SNF
Loma Linda Master Tenant LLCPAC 9931544400
Organization1005% or Greater Direct Ownership Interest
Pacs Holdings, LLCPAC 6103289202
Organization1005% or Greater Indirect Ownership Interest
Providence Group Nh, LLCPAC 5294198396
Organization1005% or Greater Indirect Ownership Interest
Pacs Group, Inc.PAC 7911360011
Organization1005% or Greater Indirect Ownership Interest
Jason H MurrayPAC 0648228304
Individual505% or Greater Indirect Ownership Interest
Mark D HancockPAC 9830337005
Individual505% or Greater Indirect Ownership Interest
Providence Administrative Consulting Services IncPAC 6406094671
OrganizationADP of the SNF
Unknown partyPAC 0446773220
OrganizationADP of the SNF
Truist BankPAC 6709306079
Organization1005% or Greater Security Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Loma Linda Post Acute Loma Linda SNF Healthcare LLC 78 residents		Other disclo…	4.24	Ovr★★★★☆Stf★★☆☆☆Ins★★★★☆QM★★★★☆	78

Loma Linda Post Acute
Loma Linda SNF Healthcare LLC
Other disclosed role78 res4.24 HPRD
Overall 4Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
06/29/2023	Loma Linda Post Acute	Loma Linda SNF Healthcare LLC	Chancellor Health Care of California I Inc	Buyer

06/29/2023
Loma Linda Post Acute (Buyer)
Chancellor Health Care of California I Inc → Loma Linda SNF Healthcare LLC

Related CMS associates

Name match to Loma Linda SNF Healthcare LLC in FEC filings. Similar names may appear—confirm on FEC.gov.