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MADISON COUNTY HOSPITAL HEALTH SYSTEMS, INC. - Florida Company Profile

Company Details

Entity Name: MADISON COUNTY HOSPITAL HEALTH SYSTEMS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 07 Apr 1983 (42 years ago)
Document Number: 767866
FEI/EIN Number 592319288

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 224 NW Crane Ave., MADISON, FL, 32340, US
Mail Address: 224 NW Crane Ave., MADISON, FL, 32340, US
ZIP code: 32340
County: Madison
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083684856 2006-01-25 2015-01-05 224 NW CRANE AVENUE, MADISON, FL, 323401400, US 224 NW CRANE AVENUE, MADISON, FL, 323401400, US

Contacts

Phone +1 850-973-2271
Fax 8509732818

Authorized person

Name MR. PATRICK MCGEE
Role C.F.O.
Phone 8509732271

Taxonomy

Taxonomy Code 275N00000X - Medicare Defined Swing Bed Hospital Unit
License Number 4346
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 020053100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MADISON COUNTY MEMORIAL HOSPITAL 401(K) SAVINGS PLAN 2023 592319288 2024-10-02 MADISON COUNTY HOSPITAL HEALTH SYSTEMS, INC. 140
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 622000
Sponsor’s telephone number 8509732271
Plan sponsor’s address 224 NW CRANE AVENUE, MADISON, FL, 32340

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing PATRICK MCGEE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SALE JAMES Director PO BOX 732, MADISON, FL, 32341
HARRIS BEN Director 5340 S. SR 53, MADISON, FL, 32340
JOHNSON ANNETTE Director 4773 WEST US HWY. 90, MADISON, FL, 32340
RICHARDSON ROSA Secretary 259 SE BAMBOO TRAIL, MADISON, FL, 32340
FICO JUANITA Vice Chairman 248 NE College Terrace, Madison, FL, 32340
McGee PATRICK C Agent 224 NW Crane Ave., MADISON, FL, 32340
JOSEPH SHIRLEY Chairman 111 S.E. TOMPKINS AVENUE, MADISON, FL, 32340

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000038781 MADISON COUNTY MEMORIAL HOSPITAL ACTIVE 2018-03-23 2028-12-31 - 224 NW CRANE AVENUE, MADISON, FL, 32340

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-04-29 224 NW Crane Ave., MADISON, FL 32340 -
CHANGE OF MAILING ADDRESS 2015-04-29 224 NW Crane Ave., MADISON, FL 32340 -
REGISTERED AGENT NAME CHANGED 2015-04-29 McGee, PATRICK CFO -
REGISTERED AGENT ADDRESS CHANGED 2015-04-29 224 NW Crane Ave., MADISON, FL 32340 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J14000553817 LAPSED 1000000613107 MADISON 2014-04-17 2024-05-01 $ 5,959.17 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LAKE CITY SERVICE CENTER, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123

Documents

Name Date
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-03-27
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-03-04
ANNUAL REPORT 2020-01-07
ANNUAL REPORT 2019-03-05
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-04-29

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
CF86859007 Department of Agriculture 10.766 - COMMUNITY FACILITIES LOANS AND GRANTS 2010-09-16 2010-09-16 DIRECT COMMUNITY FACILITY LOANS
Recipient MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
Recipient Name Raw MADISON COUNTY HEALTH & HOSPITAL DIST
Recipient UEI TBGBKA1JDCC7
Recipient DUNS 078318243
Recipient Address 309 NE MARION ST., MADISON, MADISON, FLORIDA, 32340-2511, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 59518.00
Face Value of Direct Loan 4543400.00
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CF17520607 Department of Agriculture 10.766 - COMMUNITY FACILITIES LOANS AND GRANTS 2010-09-16 2010-09-16 DIRECT COMMUNITY FACILITY LOANS
Recipient MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
Recipient Name Raw MADISON COUNTY HEALTH & HOSPITAL DIST
Recipient UEI TBGBKA1JDCC7
Recipient DUNS 078318243
Recipient Address 309 NE MARION ST., MADISON, MADISON, FLORIDA, 32340-2511, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 117900.00
Face Value of Direct Loan 9000000.00
Link View Page
CF86857007 Department of Agriculture 10.766 - COMMUNITY FACILITIES LOANS AND GRANTS 2010-09-16 2010-09-16 DIRECT COMMUNITY FACILITY LOANS
Recipient MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
Recipient Name Raw MADISON COUNTY HEALTH & HOSPITAL DIST
Recipient UEI TBGBKA1JDCC7
Recipient DUNS 078318243
Recipient Address 309 NE MARION ST., MADISON, MADISON, FLORIDA, 32340-2511, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 117900.00
Face Value of Direct Loan 9000000.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-2319288 Corporation Unconditional Exemption 224 NW CRANE AVE, MADISON, FL, 32340-1400 1983-12
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-09
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 20535844
Income Amount 13664061
Form 990 Revenue Amount 13664061
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
EIN 59-2319288
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
EIN 59-2319288
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
EIN 59-2319288
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
EIN 59-2319288
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
EIN 59-2319288
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
EIN 59-2319288
Tax Period 201609
Filing Type E
Return Type 990
File View File
Organization Name MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
EIN 59-2319288
Tax Period 201509
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9339587102 2020-04-15 0491 PPP 224 NW CRANE AVE, MADISON, FL, 32340-1400
Loan Status Date 2021-03-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 987931.87
Loan Approval Amount (current) 987931.87
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123975
Servicing Lender Name Madison County Community Bank
Servicing Lender Address 301 E Base St, MADISON, FL, 32340-2405
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address MADISON, MADISON, FL, 32340-1400
Project Congressional District FL-02
Number of Employees 147
NAICS code 622110
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Non-Profit Organization
Originating Lender ID 123975
Originating Lender Name Madison County Community Bank
Originating Lender Address MADISON, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 996109.75
Forgiveness Paid Date 2021-02-16

Date of last update: 02 Apr 2025

Sources: Florida Department of State