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DISTRICT HOSPITAL HOLDINGS, INC. - Florida Company Profile

Company Details

Entity Name: DISTRICT HOSPITAL HOLDINGS, 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: 25 Feb 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 23 Aug 2010 (15 years ago)
Document Number: N04000002015
FEI/EIN Number 352226306

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

Address: 1515 N. Flagler Dr., West Palm beach, FL, 33401, US
Mail Address: 1515 N. Flagler Dr., West Palm beach, FL, 33401, US
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801885413 2005-10-17 2024-01-23 1515 N FLAGLER DR STE 101, WEST PALM BEACH, FL, 334013429, US 39200 HOOKER HWY, BELLE GLADE, FL, 33430, US

Contacts

Phone +1 561-659-1270
Fax 5618045629
Phone +1 561-996-6571
Fax 5619962898

Authorized person

Name MS. DARCY J. DAVIS
Role CEO
Phone 5616591270

Taxonomy

Taxonomy Code 282NR1301X - Rural Acute Care Hospital
License Number 3992
State FL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS
Number 227
State FL
Issuer MEDICAID
Number 010144300
State FL

Key Officers & Management

Name Role Address
O'Bannon Sean Vice Chairman 1515 N. Flagler Dr., West Palm beach, FL, 33401
Caruso Tracy Director 1515 N. Flagler Dr., West Palm beach, FL, 33401
Rooney Patrick Director 1515 N. Flagler Dr., WEST PALM BEACH, FL, 33401
Icaza Bernabe Agent 1515 N. Flagler Dr., West Palm beach, FL, 33401
Vidueira Carlos Chairman 1515 N. Flagler Dr., West Palm beach, FL, 33401
Davis Darcy J Chief Executive Officer 1515 N. Flagler Dr., West Palm beach, FL, 33401
Johnson-Moore Tammy Secretary 1515 N. Flagler Dr., West Palm beach, FL, 33401

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000047304 HEALTH CARE DISTRICT LAKESIDE MEDICAL CENTER ACTIVE 2024-04-08 2029-12-31 - 1515 N. FLAGLER DR., SUITE 101, WEST PALM BEACH, FL, 33401
G15000036815 LAKESIDE PHYSICIAN PRACTICE ACTIVE 2015-04-13 2025-12-31 - 1515 N. FLAGLER DR., STE. 101, WEST PALM BEACH, FL, 33401
G09000172594 GLADES GENERAL HOSPITAL EXPIRED 2010-02-03 2015-12-31 - C/O NICHOLAS ROMANELLO, ESQ, 324 DATURA ST, SUITE 401, WEST PALM BEACH, FL, 33401
G09000125526 LAKESIDE MEDICAL GROUP EXPIRED 2009-06-24 2024-12-31 - 1515 N. FLAGLER DR., SUITE 101, WEST PALM BEACH, FL, 33401
G09000125527 LAKESIDE SPECIALTY GROUP EXPIRED 2009-06-24 2024-12-31 - 1515 N. FLAGLER DR., SUITE 101, WEST PALM BEACH, FL, 33401
G09000125528 LAKESIDE PROFESSIONAL GROUP EXPIRED 2009-06-24 2024-12-31 - 1515 N. FLAGLER DR., SUITE 101, WEST PA;M BEACH, FL, 33401
G09000125529 LAKESIDE PHYSICIAN PRACTICE EXPIRED 2009-06-24 2014-12-31 - C/O NICHOLAS W. ROMANELLO, ESQ., 324 DATURA STREET, WEST PALM BEACH, FL, 33401
G09000125530 LAKESIDE PRIMARY CARE ASSOCIATES EXPIRED 2009-06-24 2024-12-31 - 1515 N. FLAGLER DR., SUITE 101, WEST PALM BEACH, FL, 33401
G09000125531 LAKESIDE OBSTETRICAL GROUP EXPIRED 2009-06-24 2024-12-31 - 1515 N. FLAGLER DR., SUITE 101, WEST PALM BEACH, FL, 33401
G09000125532 LAKESIDE OB-GYN GROUP EXPIRED 2009-06-24 2024-12-31 - 1515 N. FLAGLER DR., SUITE 101, WEST PALM BEACH, FL, 33401

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-12 Icaza, Bernabe -
CHANGE OF PRINCIPAL ADDRESS 2018-02-01 1515 N. Flagler Dr., Suite 101, West Palm beach, FL 33401 -
CHANGE OF MAILING ADDRESS 2018-02-01 1515 N. Flagler Dr., Suite 101, West Palm beach, FL 33401 -
REGISTERED AGENT ADDRESS CHANGED 2018-02-01 1515 N. Flagler Dr., Suite 101, West Palm beach, FL 33401 -
AMENDMENT 2010-08-23 - -
AMENDMENT AND NAME CHANGE 2009-01-06 DISTRICT HOSPITAL HOLDINGS, INC. -
AMENDED AND RESTATEDARTICLES 2005-04-20 - -

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-02-01
ANNUAL REPORT 2017-01-06
Reg. Agent Change 2016-05-23
ANNUAL REPORT 2016-03-04

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
35-2226306 Corporation Unconditional Exemption 1515 N FLAGLER DR STE 101, WEST PALM BCH, FL, 33401-3429 2006-02
In Care of Name % DARCY DAVIS
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 -
Asset 10,000,000 to 49,999,999
Income 50,000,000 to greater
Filing Requirement 990 - Not required to file (instrumentalities of states or political subdivisions)
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount -
Income Amount -
Form 990 Revenue Amount -
National Taxonomy of Exempt Entities Health Care: Hospitals and Related Primary Medical Care Facilities
Sort Name LAKESIDE MEDICAL CENTER

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)

Date of last update: 02 Apr 2025

Sources: Florida Department of State