Montrose Health Center Operations LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 9032547757 Enrollment ID O20200311002365

Linked facilitiesFacilities

StatesStates

5 parties: 2 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Healthcare of Iowa Inc	0547231813	Organization	Operational/Managerial Control	100
David M Payne	1759557143	Individual	W-2 Managing Employee	100
Mark Holtkamp	2769810480	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director	50, 100
Kevin Kidwell	3678901394	Individual	5% or Greater Direct Ownership Interest; Corporate Director	50
Lee County Bank	1850729575	Organization	5% or Greater Security Interest	100

Healthcare of Iowa IncPAC 0547231813
Organization100Operational/Managerial Control
David M PaynePAC 1759557143
Individual100W-2 Managing Employee
Mark HoltkampPAC 2769810480
Individual50, 1005% or Greater Direct Ownership Interest; Corporate Officer
Kevin KidwellPAC 3678901394
Individual505% or Greater Direct Ownership Interest; Corporate Director
Lee County BankPAC 1850729575
Organization1005% or Greater Security Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Montrose Health Center Montrose Health Center Operations LLC 40 residents		Other disclo…	3.32	Ovr★★★☆☆Stf★★★★☆Ins★★☆☆☆QM★★★★★	40

Montrose Health Center
Montrose Health Center Operations LLC
Other disclosed role40 res3.32 HPRD
Overall 3Staffing Staff 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
03/01/2020	Montrose Health Center	Montrose Health Center Operations LLC	Montrose Health Center, Inc.	Buyer

03/01/2020
Montrose Health Center (Buyer)
Montrose Health Center, Inc. → Montrose Health Center Operations LLC

Related CMS associates

Name match to Montrose Health Center Operations LLC in FEC filings. Similar names may appear—confirm on FEC.gov.