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

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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

Key Officers & Management

Name Role Address
SALE JAMES Director PO BOX 732, MADISON, FL, 32341
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

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
TBGBKA1JDCC7
CAGE Code:
84PL7
UEI Expiration Date:
2026-05-01

Business Information

Doing Business As:
MADISON COUNTY MEMORIAL HOSPITAL
Division Name:
MADISON COUNTY HOSPITAL HEALTH SYSTEMS, INC.
Division Number:
MADISON CO
Activation Date:
2025-05-08
Initial Registration Date:
2018-06-25

National Provider Identifier

NPI Number:
1952115578
Certification Date:
2025-03-25

Authorized Person:

Name:
SCOTT RICHARDSON
Role:
BUSINESS OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8509732818

Form 5500 Series

Employer Identification Number (EIN):
592319288
Plan Year:
2023
Number Of Participants:
140
Sponsors Telephone Number:

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

Date:
2022-09-09
Awarding Agency Name:
Department of Agriculture
Transaction Description:
COMMUNITY FACILITY GRANTS
Obligated Amount:
200000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2022-09-09
Awarding Agency Name:
Department of Agriculture
Transaction Description:
PERSISTENT POVERTY CF GRANT
Obligated Amount:
199800.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2022-05-13
Awarding Agency Name:
Department of Agriculture
Transaction Description:
ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES
Obligated Amount:
5011500.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2022-03-21
Awarding Agency Name:
Department of Agriculture
Transaction Description:
COMMUNITY FACILITY 2019 DISASTER GRANTS - HURRICANE MICHAEL
Obligated Amount:
188376.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2022-03-21
Awarding Agency Name:
Department of Agriculture
Transaction Description:
COMMUNITY FACILITY 2019 DISASTER GRANTS - HURRICANE MICHAEL
Obligated Amount:
226400.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
59-2319288
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)
Ruling Date:
1983-12
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
987931.87
Current Approval Amount:
987931.87
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
996109.75

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Date of last update: 02 Jun 2025

Sources: Florida Department of State