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  5. DOCTORS' MEMORIAL HOSPITAL, INC.

DOCTORS' MEMORIAL HOSPITAL, INC. - Florida Company Profile

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Company Details

Entity Name: DOCTORS' MEMORIAL HOSPITAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
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
Address: 333 N BYRON BUTLER PKWY, PERRY, FL, 32347
Mail Address: 333 N BYRON BUTLER PKWY, PERRY, FL, 32347
ZIP code: 32347
City: Perry
County: Taylor
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Parker-Pace Nelda Secretary 333 N. BYRON BUTLER PKWY, PERRY, FL, 32347
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
MOORE G.CLINE Agent 316 WEST GREEN STREET, PERRY, FL, 32347

Unique Entity ID

CAGE Code:
6SQH1
UEI Expiration Date:
2020-11-21

Business Information

Activation Date:
2019-11-22
Initial Registration Date:
2012-09-28

National Provider Identifier

NPI Number:
1578327896
Certification Date:
2025-03-27
Link:
View on NPI website

Authorized Person:

Name:
SARA A GRAMBLING
Role:
CHIEF OPERATING OFFICER
Phone:
8505840643

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 850-584-0643
Fax:
8502232308

Form 5500 Series

Employer Identification Number (EIN):
593122517
Plan Year:
2024
Number Of Participants:
224
Sponsors Telephone Number:
8505840628
File:
View File
Plan Year:
2023
Number Of Participants:
247
Sponsors Telephone Number:
8505840635
File:
View File

Fictitious Names

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

Events

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 - -

Documents

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

USAspending Awards / Financial Assistance

Date:
2020-04-11
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
2024985.00
Total Face Value Of Loan:
2024985.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2012-10-05
Type:
Planned
Address:
555 N. BYRON BUTLER PARKWAY, PERRY, FL, 32347
Safety Health:
Health
Scope:
Complete

Inspection Summary

Date:
2012-10-04
Type:
Planned
Address:
1209 1ST AVE SOUTH, STEINHATCHEE, FL, 32359
Safety Health:
Health
Scope:
Complete

Tax Exempt

Employer Identification Number (EIN) :
59-3122517
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)
Ruling Date:
1993-09
National Taxonomy Of Exempt Entities:
Health Care: Hospital, General
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
204
Initial Approval Amount:
$2,024,985
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$2,024,985
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$2,050,283.44
Servicing Lender:
Capital City Bank
Use of Proceeds:
Payroll: $2,024,985

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333 N BYRON BUTLER PKWY, PERRY, FL, 32347

DOCTOR'S MEMORIAL HOSPITAL FOUNDATION, INC.
Domestic Non-Profit
DOCTOR'S MEMORIAL HOSPITAL FOUNDATION, INC., which currently Active, has registered address 333 N BYRON BUTLER PKWY, PERRY, FL, 32347.
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DOCTOR'S MEMORIAL HOSPITAL FOUNDATION, INC., which currently Active, has registered address 333 N BYRON BUTLER PKWY, PERRY, FL, 32347.
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333 N BYRON BUTLER PKWY, PERRY, FL, 32347

DOCTOR'S MEMORIAL HOSPITAL FOUNDATION, INC.
Domestic Non-Profit
DOCTOR'S MEMORIAL HOSPITAL FOUNDATION, INC., which currently Active, has registered address 333 N BYRON BUTLER PKWY, PERRY, FL, 32347.
DOCTOR'S MEMORIAL HOSPITAL FOUNDATION, INC.
Domestic Non-Profit
DOCTOR'S MEMORIAL HOSPITAL FOUNDATION, INC., which currently Active, has registered address 333 N BYRON BUTLER PKWY, PERRY, FL, 32347.
AIR MEDIC ONE, INC.
Domestic Non-Profit
AIR MEDIC ONE, INC., which currently Inactive, had registered address 333 N BYRON BUTLER PKWY, PERRY, FL, 32347.
AIR MEDIC ONE, INC.
Domestic Non-Profit
AIR MEDIC ONE, INC., which currently Inactive, had registered address 333 N BYRON BUTLER PKWY, PERRY, FL, 32347.

Date of last update: 01 Aug 2025

Sources: Florida Department of State

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