Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Pinellas
    4. ›
  4. 34698
    5. ›
  5. BAYCARE ALLIANT HOSPITAL, INC.

BAYCARE ALLIANT HOSPITAL, INC. - Florida Company Profile

Company Details

Entity Name: BAYCARE ALLIANT HOSPITAL, 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: 09 Feb 2004 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Oct 2013 (12 years ago)
Document Number: N04000001310
FEI/EIN Number 050615150

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 601 MAIN STREET, MS #402, DUNEDIN, FL, 34698
Mail Address: 601 MAIN STREET, MS #402, DUNEDIN, FL, 34698
ZIP code: 34698
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174716955 2007-08-24 2019-11-21 601 MAIN ST, MAILSTOP 402, DUNEDIN, FL, 346985848, US 601 MAIN ST, MAILSTOP 402, DUNEDIN, FL, 346985848, US

Contacts
Phone +1 727-281-9479
Fax 7277346486
Phone +1 727-734-6302

Authorized person
Name MS. ANITA RUSSELL
Role EXECUTIVE DIRECTOR
Phone 7277346302

Taxonomy
Taxonomy Code 282E00000X - Long Term Care Hospital
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAYCARE ALLIANT RETIREMENT PLAN 2013 050615150 2014-04-08 BAYCARE ALLIANT HOSPITAL, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 7277346302
Plan sponsor’s mailing address 601 MAIN STREET, DUNEDIN, FL, 34698
Plan sponsor’s address 601 MAIN STREET, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 050615150
Plan administrator’s name BAYCARE ALLIANT HOSPITAL, INC.
Plan administrator’s address 601 MAIN STREET, DUNEDIN, FL, 34698
Administrator’s telephone number 7277346302

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-04-08
Name of individual signing DARLENE SHELTON
Valid signature Filed with authorized/valid electronic signature
BAYCARE ALLIANT RETIREMENT PLAN 2012 050615150 2013-04-29 BAYCARE ALLIANT HOSPITAL, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 7277346302
Plan sponsor’s mailing address 601 MAIN STREET, DUNEDIN, FL, 34698
Plan sponsor’s address 601 MAIN STREET, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 050615150
Plan administrator’s name BAYCARE ALLIANT HOSPITAL, INC.
Plan administrator’s address 601 MAIN STREET, DUNEDIN, FL, 34698
Administrator’s telephone number 7277346302

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-04-29
Name of individual signing DARLENE SHELTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-29
Name of individual signing DARLENE SHELTON
Valid signature Filed with authorized/valid electronic signature
BAYCARE ALLIANT RETIREMENT PLAN 2011 050615150 2012-05-04 BAYCARE ALLIANT HOSPITAL, INC. 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 7277346782
Plan sponsor’s mailing address 601 MAIN STREET, DUNEDIN, FL, 34698
Plan sponsor’s address 601 MAIN STREET, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 050615150
Plan administrator’s name BAYCARE ALLIANT HOSPITAL, INC.
Plan administrator’s address 601 MAIN STREET, DUNEDIN, FL, 34698
Administrator’s telephone number 7277346782

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 132
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 132
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-05-04
Name of individual signing DARLENE SHELTON
Valid signature Filed with authorized/valid electronic signature
BAYCARE ALLIANT RETIREMENT PLAN 2010 050615150 2011-04-08 BAYCARE ALLIANT HOSPITAL, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 7277346302
Plan sponsor’s mailing address 601 MAIN STREET, DUNEDIN, FL, 34698
Plan sponsor’s address 601 MAIN STREET, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 050615150
Plan administrator’s name BAYCARE ALLIANT HOSPITAL, INC.
Plan administrator’s address 601 MAIN STREET, DUNEDIN, FL, 34698
Administrator’s telephone number 7277346302

Number of participants as of the end of the plan year
Active participants 80
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 23
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 102
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 22

Signature of
Role Plan administrator
Date 2011-04-08
Name of individual signing DARLENE SHELTON
Valid signature Filed with authorized/valid electronic signature
BAYCARE ALLIANT RETIREMENT PLAN 2009 050615150 2010-04-12 BAYCARE ALLIANT HOSPITAL, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 7277346302
Plan sponsor’s mailing address 601 MAIN STREET, DUNEDIN, FL, 34698
Plan sponsor’s address 601 MAIN STREET, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 050615150
Plan administrator’s name BAYCARE ALLIANT HOSPITAL, INC.
Plan administrator’s address 601 MAIN STREET, DUNEDIN, FL, 34698
Administrator’s telephone number 7277346302

Number of participants as of the end of the plan year
Active participants 73
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 15
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 83
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 15

Signature of
Role Plan administrator
Date 2010-04-12
Name of individual signing DARLENE SHELTON
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Brethauer Jon Director 611 Druid Road East, CLEARWATER, FL, 33756
HOLDERITH ALAN Chairman 620 DREW STREET, CLEARWATER, FL, 33755
HAMILTON KEN Director 10 BAY ESPLANADE, CLEARWATER, FL, 34630
Soriano Su Director 2851 Tampa Road, Palm Harbor, FL, 34684
May Brandon Director 6600 Madison Street, New Port Richey, FL, 34652
Beamon Ron Director 2985 Drew Street, Clearwater, FL, 33759
Perez Maya Agent 601 MAIN STREET, DUNEDIN, FL, 34698

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-01 Perez, Maya -
REINSTATEMENT 2013-10-08 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2008-04-16 601 MAIN STREET, MS #402, DUNEDIN, FL 34698 -
CHANGE OF MAILING ADDRESS 2008-04-16 601 MAIN STREET, MS #402, DUNEDIN, FL 34698 -
REGISTERED AGENT ADDRESS CHANGED 2008-04-16 601 MAIN STREET, MS #402, DUNEDIN, FL 34698 -
AMENDMENT AND NAME CHANGE 2007-08-16 BAYCARE ALLIANT HOSPITAL, INC. -

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-03-07
AMENDED ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-06-17
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-02-06
ANNUAL REPORT 2016-03-01

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
345482467 0420600 2021-08-18 601 MAIN STREET, DUNEDIN, FL, 34698
Inspection Type Planned
Scope Partial
Safety/Health Health
Close Conference 2021-08-18
Emphasis N: COVID-19, P: COVID-19
Case Closed 2022-02-14

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-0615150 Corporation Unconditional Exemption 601 MAIN ST, DUNEDIN, FL, 34698-5848 2007-01
In Care of Name % MARCI METZLER MANAGERFINAN
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 2023-12
Asset 5,000,000 to 9,999,999
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 Dec
Asset Amount 8508464
Income Amount 21660635
Form 990 Revenue Amount 21660635
National Taxonomy of Exempt Entities Health Care: Hospital, Specialty
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 BAYCARE ALLIANT HOSPITAL INC
EIN 05-0615150
Tax Period 202212
Filing Type E
Return Type 990T
File View File
Organization Name BAYCARE ALLIANT HOSPITAL INC
EIN 05-0615150
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name BAYCARE ALLIANT HOSPITAL INC
EIN 05-0615150
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name BAYCARE ALLIANT HOSPITAL INC
EIN 05-0615150
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name BAYCARE ALLIANT HOSPITAL INC
EIN 05-0615150
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name BAYCARE ALLIANT HOSPITAL INC
EIN 05-0615150
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name BAYCARE ALLIANT HOSPITAL INC
EIN 05-0615150
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name BAYCARE ALLIANT HOSPITAL INC
EIN 05-0615150
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name BAYCARE ALLIANT HOSPITAL INC
EIN 05-0615150
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name BAYCARE ALLIANT HOSPITAL INC
EIN 05-0615150
Tax Period 201512
Filing Type E
Return Type 990
File View File

Companies related by officers

HAMILTON KEN

KDHW, LLC - Inactive
Florida Limited Liability Co. (2003 - 2012)
HAMILTON & NEWMAN-FL, LLC - Active
Foreign Limited Liability Co. (2018 )
ESC COMPUTER SERVICES, INC. - Inactive
Domestic Profit (1994 - 1995)
CONSOLIDATED EXPORT, INC. - Inactive
Domestic Profit (1993 - 1994)
CONSOLIDATED EXPORT, INC. - Inactive
Domestic Profit (1993 - 1994)
PRIORITY-1, INC. - Active
Foreign Profit (2018 )
PRIORITY-1, INC. - Active
Foreign Profit (2018 )
PRIORITY WIRE & CABLE, INC. - Active
Foreign Profit (2016 )
PRIORITY WIRE & CABLE, INC. - Active
Foreign Profit (2016 )

May Brandon

MAYCOM INTERACTIVE, LLC - Active
Florida Limited Liability Co. (2019 )

Beamon Ron

BAY LINEN, INC. - Active
Domestic Non-Profit (1990 )
NORTHSIDE PROPERTIES, INC. - Active
Domestic Non-Profit (1982 )
BEHAVIORAL HEALTH MANAGEMENT SERVICES, INC. - Active
Domestic Non-Profit (1994 )
BAYCARE MANATEE, INC. - Active
Domestic Non-Profit (2021 )
HBHCI HOME CORPORATION - Active
Domestic Non-Profit (1993 )
NORTHSIDE BEHAVIORAL HEALTH CENTER, INC. - Active
Domestic Non-Profit (1975 )
BAYCARE BEHAVIORAL HEALTH, INC. - Active
Domestic Non-Profit (1971 )

Companies related by address

No other companies in our directory share the same address as BAYCARE ALLIANT HOSPITAL, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated