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SPEKTRUM HEALTH, INC. - Florida Company Profile

Company Details

Entity Name: SPEKTRUM 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: 25 Oct 2018 (7 years ago)
Document Number: N18000011408
FEI/EIN Number 83-2342838

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

Address: 5205 SOUTH ORANGE AVENUE SUITE 110, Orlando, FL, 32809, US
Mail Address: 5205 south orange avenue, orlando, FL, 32809, US
ZIP code: 32809
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467921767 2018-11-15 2022-01-26 5205 S ORANGE AVE STE 110, ORLANDO, FL, 328093067, US 5205 S ORANGE AVE STE 110, ORLANDO, FL, 328093067, US

Contacts

Phone +1 407-454-1363
Fax 3212477391

Authorized person

Name MR. JOSEPH ANTHONY KNOLL
Role CEO
Phone 4074541363

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer FLORIDA BLUE
Number 0WDSQ
State FL
Issuer MEDICAID
Number 015139500
State FL
Issuer CIGNA
Number 1061098
State FL

Key Officers & Management

Name Role Address
KNOLL JOSEPH President 5217 DRISCOLL CT., BELLE ISLE, FL, 32812
Hagen Kathryn Secretary 290 Montego Bay Ct, Merritt Island, FL, 32953
RIOS MARITZA Director 3700 CLEMWOOD ST., ORLANDO, FL, 32803
Stockley Samantha Secretary 5205 south orange avenue, orlando, FL, 32809
Salyer Michelle Director 5205 south orange avenue, orlando, FL, 32809
KNOLL JOSEPH Agent 5205 SOUTH ORANGE AVENUE SUITE 110, Orlando, FL, 32809

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-03-31 5205 SOUTH ORANGE AVENUE SUITE 110, Orlando, FL 32809 -
CHANGE OF PRINCIPAL ADDRESS 2021-09-24 5205 SOUTH ORANGE AVENUE SUITE 110, Orlando, FL 32809 -
CHANGE OF MAILING ADDRESS 2021-09-09 5205 SOUTH ORANGE AVENUE SUITE 110, Orlando, FL 32809 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-03-31
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-04-14
ANNUAL REPORT 2019-02-19
Domestic Non-Profit 2018-10-25

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
83-2342838 Corporation Unconditional Exemption 5205 S ORANGE AVE STE 110, ORLANDO, FL, 32809-3067 2018-11
In Care of Name % JOSEPH KNOLL
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, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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 2024-06
Asset 100,000 to 499,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 116666
Income Amount 1528269
Form 990 Revenue Amount 1522499
National Taxonomy of Exempt Entities Health Care: Ambulatory Health Center, Community Clinic
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 SPEKTRUM HEALTH
EIN 83-2342838
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name SPEKTRUM HEALTH
EIN 83-2342838
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name SPEKTRUM HEALTH
EIN 83-2342838
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name SPEKTRUM HEALTH
EIN 83-2342838
Tax Period 201906
Filing Type P
Return Type 990PR
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2483007705 2020-05-01 0491 PPP 2100 N ORANGE AVE STE A, ORLANDO, FL, 32804
Loan Status Date 2021-05-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 30000
Loan Approval Amount (current) 30000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address ORLANDO, ORANGE, FL, 32804-1100
Project Congressional District FL-10
Number of Employees 6
NAICS code 621991
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 30289.92
Forgiveness Paid Date 2021-04-22

Date of last update: 01 May 2025

Sources: Florida Department of State