Vsc Hbo, LLC

Ownership interest · 100%

Organization PAC 9234542267 Enrollment ID O20210324002349

Linked facilitiesFacilities

StatesStates

Portfolio HPRDPortfolio HPRD

10.57

n = 1

13 parties: 9 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Daniel S Larson	1951354349	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control	16.67
Sherri L Medina	3870546260	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control	16.67
David B Weiss	8820908916	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control	10
Roberta L Consolver	6305990839	Individual	W-2 Managing Employee	—
Vsc Hbo, LLC	9234542267	Organization	5% or Greater Direct Ownership Interest	100
Aha Healthbridge Partners, LLC	3476966409	Organization	5% or Greater Indirect Ownership Interest	100
Hb Tenant Holdings LLC	0749693778	Organization	5% or Greater Indirect Ownership Interest	100
Ascension Care Continuum, LLC	4880007830	Organization	5% or Greater Indirect Ownership Interest	50
Carondelet Health	8527977651	Organization	5% or Greater Indirect Ownership Interest	50
Vivra Pediatric Care, LLC	3375956303	Organization	5% or Greater Indirect Ownership Interest	50
Dodici Holdings LLC	4587995287	Organization	5% or Greater Indirect Ownership Interest	16.67
David B. Weiss Revocable Trust	4486067436	Organization	5% or Greater Indirect Ownership Interest	10
Barbara L. Weiss Irrevocable Trust	8921411976	Organization	5% or Greater Indirect Ownership Interest	6.67

Daniel S LarsonPAC 1951354349
Individual16.675% or Greater Indirect Ownership Interest; Operational/Managerial Control
Sherri L MedinaPAC 3870546260
Individual16.675% or Greater Direct Ownership Interest; Operational/Managerial Control
David B WeissPAC 8820908916
Individual105% or Greater Indirect Ownership Interest; Operational/Managerial Control
Roberta L ConsolverPAC 6305990839
IndividualW-2 Managing Employee
Vsc Hbo, LLCPAC 9234542267
Organization1005% or Greater Direct Ownership Interest
Aha Healthbridge Partners, LLCPAC 3476966409
Organization1005% or Greater Indirect Ownership Interest
Hb Tenant Holdings LLCPAC 0749693778
Organization1005% or Greater Indirect Ownership Interest
Ascension Care Continuum, LLCPAC 4880007830
Organization505% or Greater Indirect Ownership Interest
Carondelet HealthPAC 8527977651
Organization505% or Greater Indirect Ownership Interest
Vivra Pediatric Care, LLCPAC 3375956303
Organization505% or Greater Indirect Ownership Interest
Dodici Holdings LLCPAC 4587995287
Organization16.675% or Greater Indirect Ownership Interest
David B. Weiss Revocable TrustPAC 4486067436
Organization105% or Greater Indirect Ownership Interest
Barbara L. Weiss Irrevocable TrustPAC 8921411976
Organization6.675% or Greater Indirect Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Healthbridge CHILDREN'S Hospital - Orange D/P SNF Vsc Hbo, LLC 20 residents			10.57	Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM—	20

Healthbridge CHILDREN'S Hospital - Orange D/P SNF
Vsc Hbo, LLC
20 res10.57 HPRD
Overall 3Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
04/01/2021	Healthbridge CHILDREN'S Hospital - Orange D/P SNF	Vsc Hbo, LLC	Healthbridge CHILDREN'S Hospital Orange Ca LP	Buyer

04/01/2021
Healthbridge CHILDREN'S Hospital - Orange D/P SNF (Buyer)
Healthbridge CHILDREN'S Hospital Orange Ca LP → Vsc Hbo, LLC

Related CMS associates

Also appears as enrollment entity on 1 facility.

Facility	Enrollment ID	Location	City
Healthbridge CHILDREN'S Hospital - Orange D/P SNF Vsc Hbo, LLC 20 residents	O20210324002349		TUSTIN

Healthbridge CHILDREN'S Hospital - Orange D/P SNF
Vsc Hbo, LLC
20 residents
Enrollment O20210324002349 · Tustin, CA · TUSTIN

Name match to Vsc Hbo, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.