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HOLMES COUNTY HOSPITAL CORPORATION - Florida Company Profile

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Company Details

Entity Name: HOLMES COUNTY HOSPITAL CORPORATION
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: 27 Apr 1992 (33 years ago)
Last Event: AMENDMENT
Event Date Filed: 30 Nov 2004 (21 years ago)
Document Number: N48565
FEI/EIN Number 596031176

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

Address: 2600 HOSPITAL DRIVE, BONIFAY, FL, 32425
Mail Address: PO BOX 188, BONIFAY, FL, 32425
ZIP code: 32425
City: Bonifay
County: Holmes
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Goodman Jennie Vice President 1510 Jenkins Road, BONIFAY, FL, 32425
Brooks Cynthia Boar 2126 Highway 173, Bonifay, FL, 32425
Dixon Jerry Sr. Boar 3754 Highway 2, Bonifay, FL, 32425
BAKER JOANN Agent 2600 HOSPITAL DRIVE, BONIFAY, FL, 32425

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
7EES1
UEI Expiration Date:
2021-03-26

Business Information

Doing Business As:
DOCTORS MEMORIAL HOSPITAL
Activation Date:
2020-03-26
Initial Registration Date:
2015-06-26

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
7EES1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-09
CAGE Expiration:
2029-10-09
SAM Expiration:
2025-10-07

Contact Information

POC:
JOANN BAKER
Corporate URL:
https://doctorsmemorial.org/

National Provider Identifier

NPI Number:
1548856693
Certification Date:
2020-12-14

Authorized Person:

Name:
TRACEY LONG
Role:
ADMINISTRATIVE ASSISTANT
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8505478025

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000075817 DOCTORS MEMORIAL HOSPITAL ACTIVE 2022-06-23 2027-12-31 - 2600 HOSPITAL DRIVE, BONIFAY, FL, 32425
G20000157472 DEFUNIAK SPRINGS HEALTH CLINIC ACTIVE 2020-12-11 2025-12-31 - P.O. BOX 188, BONIFAY, FL, 32425
G20000128404 DOCTORS MEMORIAL HEALTH CLINIC ACTIVE 2020-10-02 2025-12-31 - P.O. BOX 188, BONIFAY, FL, 32425
G20000120162 BONIFAY RURAL HEALTH CLINIC ACTIVE 2020-09-15 2025-12-31 - 2910 HOSPITAL DRIVE, P.O. BOX 188, BONIFAY, FL, 32425
G16000092495 DOCTORS MEDICAL CLINIC EXPIRED 2016-08-25 2021-12-31 - P.O. BOX 188, 2910 HOSPITAL DRIVE, BONIFAY, FL, 32425

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-08-10 BAKER, JOANN -
REGISTERED AGENT ADDRESS CHANGED 2021-08-10 2600 HOSPITAL DRIVE, BONIFAY, FL 32425 -
CHANGE OF PRINCIPAL ADDRESS 2008-03-24 2600 HOSPITAL DRIVE, BONIFAY, FL 32425 -
CHANGE OF MAILING ADDRESS 2006-07-18 2600 HOSPITAL DRIVE, BONIFAY, FL 32425 -
AMENDMENT 2004-11-30 - -
EVENT CONVERTED TO NOTES 1992-04-27 - -

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-07-12
ANNUAL REPORT 2022-04-11
Reg. Agent Change 2021-08-10
ANNUAL REPORT 2021-07-28
ANNUAL REPORT 2020-01-29
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-20

USAspending Awards / Financial Assistance

Date:
2022-09-14
Awarding Agency Name:
Department of Agriculture
Transaction Description:
COMMUNITY FACILITY 2019 DISASTER GRANTS - HURRICANE MICHAEL
Obligated Amount:
75000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2022-08-12
Awarding Agency Name:
Department of Agriculture
Transaction Description:
ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES
Obligated Amount:
1000000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-09-16
Awarding Agency Name:
Department of Agriculture
Transaction Description:
COMMUNITY FACILITY 2019 DISASTER GRANTS - HURRICANE MICHAEL
Obligated Amount:
40100.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-16
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:
1117100.00
Total Face Value Of Loan:
1117100.00
Date:
2016-08-01
Awarding Agency Name:
Department of Agriculture
Transaction Description:
DIRECT COMMUNITY FACILITY LOANS
Obligated Amount:
0.00
Face Value Of Loan:
375000.00
Total Face Value Of Loan:
375000.00

Tax Exempt

Employer Identification Number (EIN) :
59-6031176
In Care Of Name:
% JOANN BAKER
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:
2004-12
National Taxonomy Of Exempt Entities:
Health Care: Hospital, General

Paycheck Protection Program

Jobs Reported:
120
Initial Approval Amount:
$1,117,100
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,117,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,123,129.28
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $1,117,100

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Date of last update: 02 Jul 2025

Sources: Florida Department of State