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  5. ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES, INC.

ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES, INC. - Florida Company Profile

Company Details

Entity Name: ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES, 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: 05 Aug 2014 (11 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 14 Oct 2019 (5 years ago)
Document Number: N14000007256
FEI/EIN Number 47-1881744

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 14055 Riveredge Drive, Tampa, FL, 33637, US
Mail Address: 14055 Riveredge Drive, Tampa, FL, 33637, US
ZIP code: 33637
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Otatti David Chairman 14055 Riveredge Drive, Tampa, FL, 33637
Didenko Vadym Treasurer 14055 Riveredge Drive, Tampa, FL, 33637
ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION Member -
Presswood Clay Director 14055 Riveredge Drive, Tampa, FL, 33637
Addiscott Lynn Assi 900 Hope Way, Altamonte Springs, FL, 32714
Banks David Assi 900 Hope Way, Altamonte Springs, FL, 32714
Schuman Jessica Agent 14055 Riveredge Drive, Tampa, FL, 33637

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000047800 ADVENTHEALTH CARE PAVILION CENTRAL PASCO ACTIVE 2023-04-14 2028-12-31 - 2435 BEXLEY VILLAGE DRIVE, LAND O' LAKES, FL, 34838
G22000119521 ADVENTHEALTH CARE PAVILION HEATHBROOK ACTIVE 2022-09-21 2027-12-31 - 3949 SW COLLEGE ROAD, OCALA, FL, 34474
G21000068676 ADVENTHEALTH MEDICAL GROUP SURGICAL SPECIALISTS AT DALE MABRY ACTIVE 2021-05-20 2026-12-31 - 3617 WEST HAMILTON AVE, TAMPA, FL, 33614-4055
G21000066895 ADVENTHEALTH CARE PAVILION WESTCHASE ACTIVE 2021-05-17 2026-12-31 - 10987 SHELDON ROAD, TAMPA, FL, 33626
G21000066903 ADVENTHEALTH CARE PAVILION NEW TAMPA ACTIVE 2021-05-17 2026-12-31 - 8702 HUNTERS LAKE DRIVE, TAMPA, FL, 33647

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-09-13 Schuman, Jessica -
NAME CHANGE AMENDMENT 2019-10-14 ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES, INC. -
CHANGE OF PRINCIPAL ADDRESS 2019-06-26 14055 Riveredge Drive, Suite 250, Tampa, FL 33637 -
CHANGE OF MAILING ADDRESS 2019-06-26 14055 Riveredge Drive, Suite 250, Tampa, FL 33637 -
REGISTERED AGENT ADDRESS CHANGED 2019-06-26 14055 Riveredge Drive, Suite 250, Tampa, FL 33637 -
AMENDMENT 2018-08-15 - -
AMENDMENT 2014-10-15 - -

Documents

Name Date
ANNUAL REPORT 2025-01-03
AMENDED ANNUAL REPORT 2024-10-01
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-01-17
AMENDED ANNUAL REPORT 2022-09-13
ANNUAL REPORT 2022-05-03
ANNUAL REPORT 2021-08-02
ANNUAL REPORT 2020-07-20
Name Change 2019-10-14
ANNUAL REPORT 2019-06-26

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
47-1881744 Corporation Unconditional Exemption 14055 RIVEREDGE DR STE 250, TAMPA, FL, 33637-2141 2017-02
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 Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 50,000,000 to greater
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 Dec
Asset Amount 90342386
Income Amount 5112801
Form 990 Revenue Amount 5112207
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)

Determination Letter
Final Letter(s) FinalLetter_47-1881744_WESTFLORIDAHEALTHINC_11292016_02.tif
FinalLetter_47-1881744_WESTFLORIDAHEALTHINC_11292016_01.tif
FinalLetter_47-1881744_WESTFLORIDAHEALTHINC_11292016_03.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC
EIN 47-1881744
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC
EIN 47-1881744
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC
EIN 47-1881744
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC
EIN 47-1881744
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC
EIN 47-1881744
Tax Period 201812
Filing Type P
Return Type 990
File View File
Organization Name WEST FLORIDA HEALTH INC
EIN 47-1881744
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name WEST FLORIDA HEALTH INC
EIN 47-1881744
Tax Period 201612
Filing Type P
Return Type 990
File View File

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
3376348 Intrastate Non-Hazmat 2024-09-03 228 2023 2 2 Auth. For Hire
Legal Name ADVENTHEALTH WEST FLORIDA AMBULATORY SERVICES INC
DBA Name -
Physical Address 14055 RIVEREDGE DR SUITE 250, TAMPA, FL, 33637, US
Mailing Address 14055 RIVEREDGE DR SUITE 250, TAMPA, FL, 33637, US
Phone (813) 601-1925
Fax (813) 436-8437
E-mail GENIA.EVARTS@ADVENTHEALTH.COM

Safety Measurement System - All Transportation
Total Number of Inspections for the measurement period (24 months) 2
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 2
Vehicle Maintenance BASIC Roadside Performance measure value 12
Total Number of Vehicle Inspections for the measurement period 1
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Inspections
Unique report number of the inspection 2618000723
State abbreviation that indicates the state the inspector is from FL
The date of the inspection 2023-09-29
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred FL
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit FRHT
License plate of the main unit JUFG23
License state of the main unit FL
Vehicle Identification Number of the main unit 1FVACWFC4JHJP7223
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection 1476005196
State abbreviation that indicates the state the inspector is from FL
The date of the inspection 2023-05-23
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred FL
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit FRHT
License plate of the main unit JUFG23
License state of the main unit FL
Vehicle Identification Number of the main unit 1FVACWFC4JHJP7223
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 2
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 2
Number of Hazardous Materials Compliance BASIC violations 0

Violations
The date of the inspection 2023-05-23
Code of the violation 39617C
Name of the BASIC Vehicle Maintenance
The violation is identified as Out-Of-Service violation N
The weight that is assigned to a violation if it's identified as an Out-Of-Service violation 0
The severity weight that is assigned to a violation 4
The time weight that is assigned to a violation 1
The description of a violation Operating a CMV without proof of a periodic inspection
The description of the violation group Inspection Reports
The unit a violation is cited against Vehicle main unit
The date of the inspection 2023-05-23
Code of the violation 39375C
Name of the BASIC Vehicle Maintenance
The violation is identified as Out-Of-Service violation N
The weight that is assigned to a violation if it's identified as an Out-Of-Service violation 0
The severity weight that is assigned to a violation 8
The time weight that is assigned to a violation 1
The description of a violation Tire-other tread depth less than 2/32 of inch measured in a major tread groove
The description of the violation group Tires
The unit a violation is cited against Vehicle main unit

Companies related by officers

Didenko Vadym

ADVENTHEALTH WEST FLORIDA IMAGING, INC. - Active
Domestic Non-Profit (2019 )
TARPON SPRINGS HOSPITAL FOUNDATION, INC. - Active
Domestic Non-Profit (1970 )
EMPLOYER CHOICE INSURANCE COMPANY, INC. - Inactive
Domestic Profit (2009 - 2024)
WEST FLORIDA HEALTH COMPANY - Inactive
Domestic Profit (2015 - 2019)

ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION

WEST FLORIDA HEALTH POST-ACUTE CARE, LLC - Inactive
Florida Limited Liability Co. (2015 - 2017)
FLORIDA HOSPITAL WATERMAN BOND LLC - Inactive
Florida Limited Liability Co. (2005 - 2006)
WEST CENTRAL FLORIDA HEALTH ALLIANCE, LLC - Inactive
Florida Limited Liability Co. (2014 - 2015)
CARE FOR THE CARE GIVER, L.L.C. - Inactive
Florida Limited Liability Co. (2008 - 2010)

Presswood Clay

ADVENTHEALTH WEST FLORIDA IMAGING, INC. - Active
Domestic Non-Profit (2019 )
WEST FLORIDA HEALTH HOME CARE, INC. - Active
Foreign Non-Profit (2014 )

Addiscott Lynn

TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. - Inactive
Domestic Non-Profit (2014 - 2024)
ADVENTIST CARE CENTERS - COURTLAND, INC. - Inactive
Domestic Non-Profit (2006 - 2024)
ADVENTHEALTH HOME CARE EAST FLORIDA, LLC - Active
Florida Limited Liability Co. (2019 )
ADVENTHEALTH PALM COAST PARKWAY, INC. - Active
Domestic Non-Profit (2021 )
ADVENTHEALTH POLK NORTH, INC. - Active
Domestic Non-Profit (2019 )
THE COMFORTER HEALTH CARE GROUP, INC. - Active
Domestic Non-Profit (2010 )
SOUTHEAST VOLUSIA HEALTHCARE CORPORATION - Active
Domestic Non-Profit (2015 )
MISSION STRATEGIES OF GEORGIA, INC. - Active
Foreign Non-Profit (2013 )
MEMORIAL HOSPITAL - WEST VOLUSIA, INC. - Active
Domestic Non-Profit (1994 )
FLORIDA HOSPITAL PHYSICIAN GROUP, INC. - Active
Domestic Non-Profit (2013 )

Banks David

RURAL COMMUNITY INSURANCE AGENCY, INC. - Inactive
Foreign Profit (1993 - 2018)
FLORIDA HOSPITAL HEALTHCARE SYSTEM, INC. - Active
Domestic Non-Profit (1993 )
NORTH AMERICAN HEALTH SERVICES, INC. - Active
Foreign Profit (1979 )
MUNROE HMA PHYSICIAN HEALTH PARTNERS, LLC - Inactive
Florida Limited Liability Co. (2013 - 2020)

Schuman Jessica

FLORIDA HOSPITAL ZEPHYRHILLS, INC. - Active
Domestic Non-Profit (1998 )
ADVENTHEALTH POLK NORTH, INC. - Active
Domestic Non-Profit (2019 )
ADVENTHEALTH WEST FLORIDA IMAGING, INC. - Active
Domestic Non-Profit (2019 )
FLORIDA HOSPITAL PHYSICIAN GROUP, INC. - Active
Domestic Non-Profit (2013 )
ADVENTHEALTH RIVERVIEW, INC. - Active
Domestic Non-Profit (2021 )
TARPON SPRINGS HOSPITAL FOUNDATION, INC. - Active
Domestic Non-Profit (1970 )
FLORIDA HOSPITAL DADE CITY, INC. - Active
Domestic Non-Profit (2017 )
UNIVERSITY COMMUNITY HOSPITAL FOUNDATION, INC. - Active
Domestic Non-Profit (1985 )
FLORIDA HOSPITAL OCALA, INC. - Active
Domestic Non-Profit (2017 )
UNIVERSITY COMMUNITY HOSPITAL, INC. - Active
Domestic Non-Profit (1966 )

Companies related by address

14055 Riveredge Drive, Tampa, FL, 33637, US

HEALTHCARE BUSINESS INTELLIGENCE CONSULTANTS, LLC WEST FLORIDA HEALTH NETWORK, LLC DATALINK SERVICE FUND SOLUTIONS, LLC DATALINK, LLC

14055 Riveredge Drive, Tampa, FL, 33637, US

HEALTHCARE BUSINESS INTELLIGENCE CONSULTANTS, LLC WEST FLORIDA HEALTH NETWORK, LLC DATALINK SERVICE FUND SOLUTIONS, LLC DATALINK, LLC

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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