| Entity Name: | DOCTORS' MEMORIAL 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: | 01 Apr 1992 (33 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Aug 2013 (12 years ago) |
| Document Number: | N48162 |
| FEI/EIN Number |
593122517
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 333 N BYRON BUTLER PKWY, PERRY, FL, 32347 |
| Mail Address: | 333 N BYRON BUTLER PKWY, PERRY, FL, 32347 |
| ZIP code: | 32347 |
| County: | Taylor |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| O'BRYANT MARK | Director | 333 N BYRON BUTLER PKWY, PERRY, FL, 32347 |
| Faison-Clark Lauren | Chief Executive Officer | 333 N BYRON BUTLER PKWY, PERRY, FL, 32347 |
| MCGREW DEBRA | Director | 333 N BYRON BUTLER PKWY, PERRY, FL, 32347 |
| BARBAREE RIENZI | Chairman | 333 N BYRON BUTLER PKWY, PERRY, FL, 32347 |
| TRIPP PRISCILLA | Vice Chairman | 333 N BYRON BUTLER PKWY, PERRY, FL, 32347 |
| Parker-Pace Nelda | Secretary | 333 N. BYRON BUTLER PKWY, PERRY, FL, 32347 |
| MOORE G.CLINE | Agent | 316 WEST GREEN STREET, PERRY, FL, 32347 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000106514 | DOCTORS' MEMORIAL HOSPITAL HOME HEALTH | EXPIRED | 2011-11-01 | 2016-12-31 | - | 1209 N CENTER STREET, PERRY, FL, 32347 |
| G00222900168 | DOCTORS' MEMORIAL FAMILY MEDICINE | ACTIVE | 2000-08-09 | 2025-12-31 | - | 333 N BYRON BUTLER PKWY, PERRY, FL, 32347 |
| G00222900169 | DOCTORS' MEMORIAL FAMILY PRACTICE | ACTIVE | 2000-08-09 | 2025-12-31 | - | 333 N BYRON BUTLER PKWY, PERRY, FL, 32347 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2013-08-21 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-08-21 | MOORE, G.CLINE | - |
| CHANGE OF MAILING ADDRESS | 2013-08-21 | 333 N BYRON BUTLER PKWY, PERRY, FL 32347 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-08-21 | 333 N BYRON BUTLER PKWY, PERRY, FL 32347 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-08-21 | 316 WEST GREEN STREET, PERRY, FL 32347 | - |
| REINSTATEMENT | 2010-10-01 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| AMENDMENT | 2008-09-11 | - | - |
| AMENDMENT | 2005-02-07 | - | - |
| AMENDMENT | 1998-11-06 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-02-15 |
| ANNUAL REPORT | 2015-01-29 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 336718788 | 0419700 | 2012-10-05 | 555 N. BYRON BUTLER PARKWAY, PERRY, FL, 32347 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 IV |
| Issuance Date | 2012-11-28 |
| Abatement Due Date | 2012-12-24 |
| Current Penalty | 1530.0 |
| Initial Penalty | 2550.0 |
| Final Order | 2012-12-07 |
| Nr Instances | 1 |
| Nr Exposed | 4 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(iv): The Exposure Control Plan was not reviewed and updated at least annually: a. On or about October 5, 2012, the employer did not conduct an annual review of the Exposure Control Plan. |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 V |
| Issuance Date | 2012-11-28 |
| Abatement Due Date | 2012-12-24 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2012-12-07 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan: a. On or about October 5, 2012, the employer did not solicit input from employees who were potentially exposed to injuries from contaminated sharps on the identification, evaluation, and selection of effective engineering controls. |
| Citation ID | 02001A |
| Citaton Type | Other |
| Standard Cited | 19101200 E01 |
| Issuance Date | 2012-11-28 |
| Abatement Due Date | 2012-12-24 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2012-12-07 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1200(e)(1): The employer did not develop, implement, and/or maintain at the workplace a written hazard communication program which describes how the criteria specified in 29 CFR 1910.1200(f), (g), and (h) will be met: a. On or about October 5, 2012, the employer did not develop and implement the written hazard communication program which described how requirements of 29 CFR 1910.1200(f), (g), and (h) would be met for employees who have exposure to hazardous materials such as but not limited to sodium hypochlorite and ethanol. |
| Citation ID | 02001B |
| Citaton Type | Other |
| Standard Cited | 19101200 H01 |
| Issuance Date | 2012-11-28 |
| Abatement Due Date | 2012-12-24 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2012-12-07 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1200(h)(1): Employees were not provided effective information and training on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard that the employees had not been previously trained about was introduced into their work area: a. On or about October 5, 2012, the employer did not provide information and training to employees who had exposure to hazardous materials such as but not limited to sodium hypochlorite and ethanol. |
| Inspection Type | Planned |
| Scope | Complete |
| Safety/Health | Health |
| Close Conference | 2012-10-04 |
| Emphasis | L: EISAX, L: EISAOF, L: SHARPS |
| Case Closed | 2012-12-11 |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 IV |
| Issuance Date | 2012-11-28 |
| Abatement Due Date | 2012-12-24 |
| Current Penalty | 1530.0 |
| Initial Penalty | 2550.0 |
| Final Order | 2012-12-07 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(iv): The Exposure Control Plan was not reviewed and updated at least annually: a. On or about October 4, 2012, the employer did not conduct an annual review of the Exposure Control Plan. |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 V |
| Issuance Date | 2012-11-28 |
| Abatement Due Date | 2012-12-24 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2012-12-07 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan: a. On or about October 4, 2012, the employer did not solicit input from employees who were potentially exposed to injuries from contaminated sharps on the identification, evaluation, and selection of effective engineering controls. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2826777106 | 2020-04-11 | 0491 | PPP | 333 N Byron Butler Pkwy, Perry, FL, 32347-2300 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
