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  5. GENESIS COMMUNITY HEALTH, INC.

GENESIS COMMUNITY HEALTH, INC. - Florida Company Profile

Company Details

Entity Name: GENESIS COMMUNITY HEALTH, 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: 17 Mar 2009 (16 years ago)
Document Number: N09000002682
FEI/EIN Number 800374741

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 639 East Ocean Ave, BOYNTON BEACH, FL, 33435, US
Mail Address: 639 E Ocean Ave, Boynton Beach, FL, 33435-5011, US
ZIP code: 33435
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437930815 2023-10-11 2024-11-04 639 E OCEAN AVE STE 409, BOYNTON BEACH, FL, 334355017, US 2455 W ATLANTIC AVE RM 5-107, DELRAY BEACH, FL, 334454425, US

Contacts
Phone +1 561-806-6835
Phone +1 561-266-0961

Authorized person
Name DEANNA WARREN
Role CEO
Phone 5618066835

Taxonomy
Taxonomy Code 261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 006608619
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF GENESIS COMMUNITY HEALTH, INC. 2023 800374741 2024-10-14 GENESIS COMMUNITY HEALTH, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621112
Sponsor’s telephone number 5612499993
Plan sponsor’s address 639 E OCEAN AVE STE 409, BOYNTON BEACH, FL, 334355017

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF GENESIS COMMUNITY HEALTH, INC. 2022 800374741 2023-10-16 GENESIS COMMUNITY HEALTH, INC. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621112
Sponsor’s telephone number 5612499993
Plan sponsor’s address 639 E OCEAN AVE STE 409, BOYNTON BEACH, FL, 334355017

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF GENESIS COMMUNITY HEALTH, INC. 2022 800374741 2023-10-16 GENESIS COMMUNITY HEALTH, INC. 56
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621112
Sponsor’s telephone number 5612499993
Plan sponsor’s address 639 E OCEAN AVE STE 409, BOYNTON BEACH, FL, 334355017

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF GENESIS COMMUNITY HEALTH, INC. 2021 800374741 2022-10-26 GENESIS COMMUNITY HEALTH, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621112
Sponsor’s telephone number 5612499993
Plan sponsor’s address 639 E OCEAN AVE STE 409, BOYNTON BEACH, FL, 334355017

Signature of
Role Plan administrator
Date 2022-10-26
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF GENESIS COMMUNITY HEALTH, INC. 2020 800374741 2021-08-17 GENESIS COMMUNITY HEALTH, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621112
Sponsor’s telephone number 5612499993
Plan sponsor’s address 2623 S SEACREST BLVD STE 65, BOYNTON BEACH, FL, 334357541

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF GENESIS COMMUNITY HEALTH, INC. 2019 800374741 2020-10-08 GENESIS COMMUNITY HEALTH, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621112
Sponsor’s telephone number 5618066835
Plan sponsor’s address 2623 S SEACREST BLVD STE 65, BOYNTON BEACH, FL, 334357541

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF GENESIS COMMUNITY HEALTH, INC. 2018 800374741 2019-10-11 GENESIS COMMUNITY HEALTH, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621112
Sponsor’s telephone number 5612499993
Plan sponsor’s address 2623 S SEACREST BLVD STE 65, BOYNTON BEACH, FL, 334357541

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF GENESIS COMMUNITY HEALTH INC 2017 800374741 2018-10-11 GENESIS COMMUNITY HEALTH INC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621112
Sponsor’s telephone number 5612499993
Plan sponsor’s address 2623 S SEACREST BLVD STE 65, BOYNTON BEACH, FL, 334357541

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF GENESIS COMMUNITY HEALTH, INC. 2016 800374741 2017-07-20 GENESIS COMMUNITY HEALTH, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621112
Sponsor’s telephone number 5617356553
Plan sponsor’s address 2623 SOUTH SEACREST BLVD., SUITE 65, BOYNTON BEACH, FL, 33435

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-20
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF GENESIS COMMUNITY HEALTH, INC. 2015 800374741 2016-06-30 GENESIS COMMUNITY HEALTH, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-04-01
Business code 621112
Sponsor’s telephone number 5612499993
Plan sponsor’s address 564 E WOOLBRIGHT RD, BOYNTON BEACH, FL, 33435

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-30
Name of individual signing JOHN DENOON
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
WARREN DEANNA Chief Executive Officer 639 East Ocean Ave, BOYNTON BEACH, FL, 33435
DeFrancesco David Chairman 639 East Ocean Ave, BOYNTON BEACH, FL, 33435
Schrubb Terry L Vice Chairman 639 East Ocean Ave, BOYNTON BEACH, FL, 33435
Papadimitriou George Mr 639 East Ocean Ave, BOYNTON BEACH, FL, 33435
Bush Kemberly Mrs 639 East Ocean Ave, BOYNTON BEACH, FL, 33435
WARREN DEANNA M Agent 639 East Ocean Ave, BOYNTON BEACH, FL, 33435
Petty Ricky Mr 639 East Ocean Ave, BOYNTON BEACH, FL, 33435

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-26 639 East Ocean Ave, Suite 409, BOYNTON BEACH, FL 33435 -
CHANGE OF MAILING ADDRESS 2021-01-26 639 East Ocean Ave, Suite 409, BOYNTON BEACH, FL 33435 -
REGISTERED AGENT ADDRESS CHANGED 2021-01-26 639 East Ocean Ave, Suite 409, BOYNTON BEACH, FL 33435 -
REGISTERED AGENT NAME CHANGED 2012-04-23 WARREN, DEANNA M -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-31
ANNUAL REPORT 2019-01-27
AMENDED ANNUAL REPORT 2018-05-02
ANNUAL REPORT 2018-02-06
ANNUAL REPORT 2017-05-03
ANNUAL REPORT 2016-03-07

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
80-0374741 Corporation Unconditional Exemption 639 E OCEAN AVE STE 409, BOYNTON BEACH, FL, 33435-5017 2009-07
In Care of Name % DEANNA WARREN
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 Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-09
Asset 1,000,000 to 4,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 4463522
Income Amount 6518271
Form 990 Revenue Amount 6518271
National Taxonomy of Exempt Entities Health Care: Health Treatment Facilities, Primarily Outpatient
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 GENESIS COMMUNITY HEALTH INC
EIN 80-0374741
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH INC
EIN 80-0374741
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH INC
EIN 80-0374741
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH INC
EIN 80-0374741
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH INC
EIN 80-0374741
Tax Period 201609
Filing Type E
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH INC
EIN 80-0374741
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
7259647707 2020-05-01 0455 PPP 2623 S SEACREST BLVD, BOYNTON BEACH, FL, 33435-7541
Loan Status Date 2021-07-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 455400
Loan Approval Amount (current) 455400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Unanswered
Project Address BOYNTON BEACH, PALM BEACH, FL, 33435-7541
Project Congressional District FL-22
Number of Employees 39
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 460194.35
Forgiveness Paid Date 2021-06-03

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Companies related by address

No other companies in our directory share the same address as GENESIS COMMUNITY HEALTH, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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