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  5. METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL

METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL

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Company Details

Name: METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 26 Jan 1998 (27 years ago)
Business ID: 652005
ZIP code: 38654
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 4250 Bethel RoadOlive Branch, MS 38654

Agent

Name Role Address
Kathryn R Gilchrist Agent 609 Steed Road, Ridgeland, MS 39157

Incorporator

Name Role Address
W STEVEN WEST Incorporator 1211 UNION AVE #700, MEMPHIS, TN 38104

Director

Name Role Address
David Baytos Director 4250 Bethel Road, Olive Branch, MS 38654
Jamie Steen Director 6760 Autumn Oaks Drive, Olive Branch, MS 38654
Michael Bellipanni Director 4600 Northcentral Way, Olive Branch, MS 38654
Mayor Ken Adams Director 9200 Pigeon Roost Road, Olive Branch, MS 38654
Rev. Zachary Beasley Director 225 East College Avenue, Holly Springs, MS 38635
Michael Hatcher Director 8365 Center Hill Road, Olive Branch, MS 38654
Jason Shifflett Director P.O. Box 236, Olive Branch, MS 38654
Dr. Amy Woods Director 3451 Goodman Road, Suite 115, Southaven, MS 38672
Dr. Tony Wright Director 4250 Bethel Road, Olive Branch, MS 38654

President

Name Role Address
David Baytos President 4250 Bethel Road, Olive Branch, MS 38654

Assistant Secretary

Name Role Address
Monica N. Wharton Assistant Secretary 1211 Union Avenue, Suite 700, Memphis, TN 38104

Treasurer

Name Role Address
Kris Sanders Treasurer 4520 Bethel Road, Olive Branch, MS 38654

Secretary

Name Role Address
Jamie Steen Secretary 6760 Autumn Oaks Drive, Olive Branch, MS 38654

Chairman

Name Role Address
Michael Bellipanni Chairman 4600 Northcentral Way, Olive Branch, MS 38654

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.

Unique Entity ID:
G21VGJBXL363
UEI Expiration Date:
2025-09-24

Business Information

URL:
https://www.methodisthealth.org
Activation Date:
2024-09-26
Initial Registration Date:
2022-09-14

National Provider Identifier

NPI Number:
1912341439
Link:
View on NPI website

Authorized Person:

Name:
KRIS SANDERS
Role:
CFO
Phone:
6629329019

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
Yes

Contacts:

Phone:
+1 901-516-0721
Phone:
+1 662-932-9000
Fax:
6629329015

Filings

Type Status Filed Date Description
Non-Profit Annual Report Filed 2025-03-06 Annual Report For METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL
Non-Profit Status Report Filed 2020-04-24 Status Report For METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL
Amendment Form Filed 2018-10-01 Amendment For METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL
Registered Agent Change of Address Filed 2015-01-02 Agent Address Change For Gilchrist, Kathryn R
Amendment Form Filed 2013-04-01 Amendment
Amendment Form Filed 2011-03-30 Amendment
Amendment Form Filed 2003-02-14 Amendment
Name Reservation Form Filed 1998-01-26 Name Reservation

Tax Exempt

Employer Identification Number (EIN) :
64-0889822
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:
2014-06
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)

Determination Letters

Link:
Download file

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Kathryn R Gilchrist

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W STEVEN WEST

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Monica N. Wharton

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Kris Sanders

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Jason Shifflett

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Related by address

4250 Bethel RoadOlive Branch, MS 38654

METHODIST/LEBONHEUR HEALTHCARE OLIVE BRANCH SURGERY CENTER, LLC Kimberly F. Womback, M.D., P.C.

Date of last update: 01 May 2025

Sources: Company Profile on Mississippi Secretary of State Website

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