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MEMORIAL HOSPITAL, INC.

MEMORIAL HOSPITAL, INC.

Company Details

Name:	MEMORIAL HOSPITAL, INC.
Jurisdiction:	Kentucky
Profit or Non-Profit:	Non-profit
Legal type:	Kentucky Corporation
Status:	Active
Standing:	Good
File Date:	03 Nov 1917 (107 years ago)
Organization Date:	03 Nov 1917 (107 years ago)
Last Annual Report:	27 Jan 2025 (2 days ago)
Organization Number:	0034970
Industry:	Health Services
Number of Employees:	Small (0-19)
ZIP code:	40962
Primary County:	Clay
Principal Office:	210 MARIE LANGDON DRIVE, MANCHESTER, KY 40962
Place of Formation:	KENTUCKY

Unique Entity ID

Expiration Date

Physical Address

Mailing Address

N7AGRP32EUH6

2024-11-13

210 MARIE LANGDON DR, MANCHESTER, KY, 40962, 6388, USA

210 MARIE LANGDON DRIVE, MANCHESTER, KY, 40962, 6388, USA

Business Information

Doing Business As	ADVENTHEALTH MANCHESTER
URL	https://www.adventhealth.com/hospital/adventhealth-manchester
Division Name	MEMORIAL HOSPITAL, INC. (D/B/A ADVENTHEALTH MANCHESTER)
Congressional District	05
State/Country of Incorporation	KY, USA
Activation Date	2023-11-16
Initial Registration Date	2004-04-01
Entity Start Date	1917-11-03
Fiscal Year End Close Date	Dec 31

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	CRYSTAL DAY
Role	MARKETING DIRECTOR
Address	210 MARIE LANGDON DRIVE, MANCHESTER, KY, 40962, USA

Title	ALTERNATE POC
Name	MARK GOLDSTEIN
Role	GRANT WRITER
Address	233 TAMPA CIR, ARDEN, NC, 28704, USA

Government Business
Title	PRIMARY POC
Name	JESSE KLEVEN
Role	CFO
Address	210 MARIE LANGDON DRIVE, MANCHESTER, KY, 40962, USA

Title	ALTERNATE POC
Name	SISSEL JACOB
Role	CEO
Address	210 MARIE LANGDON DRIVE, MANCHESTER, KY, 40962, USA

Past Performance
Title	PRIMARY POC
Name	CRYSTAL DAY
Role	MARKETING DIRECTOR
Address	210 MARIE LANGDON DRIVE, MANCHESTER, KY, 40962, USA

Title	ALTERNATE POC
Name	JESSE KLEVEN
Role	CFO
Address	210 MARIE LANGDON DRIVE, MANCHESTER, KY, 40962, USA

Officer

Name	Role
Mandy Brady	Officer
David Banks	Officer
Lynn Addiscott	Officer
David Huffman	Officer
Toni Berrios	Officer
Haney Vincent	Officer
Jeff Graff	Officer
Michael Saunders	Officer
Robert Foltz	Officer

President

Name	Role
Nick Bejarano	President

Director

Name	Role
Shane Gabbard	Director
Karsten G Randolph	Director
Shawn R Gorden	Director
Michael J Thompson	Director
Marshall Bruce House	Director
Gregory Wilkens	Director
Lucas Shepherd	Director
Alan Guyton	Director
James Philips	Director
Anita Cornett	Director
Mike Hewitt	Director
Reecia Samples	Director
ADELINE MCCONNVILLE M. D	Director
Jennifer Hancock	Director
W. W. RAWLINGS	Director
REV. J. A. BURNS	Director

Incorporator

Name	Role
REV. J. A. BURNS	Incorporator
W. W. RAWLINGS	Incorporator
ADELINE MCCONVILLE M. D.	Incorporator

Registered Agent

Name	Role
C T CORPORATION SYSTEM	Registered Agent

Former Company Names

Name	Action
MARTIN COUNTY HOME HEALTH CARE, INC.	Merger
ONEIDA MOUNTAIN HOSPITAL	Old Name

Assumed Names

Name	Status	Expiration Date
ADVENTHEALTH PINEVILLE CLINIC	Active	2029-01-25
ADVENTHEALTH MEDICAL GROUP ORTHOPEDICS & SPINE AT MANCHESTER	Active	2028-10-06
ADVENTHEALTH MEDICAL GROUP EAR, NOSE & THROAT AT MANCHESTER	Active	2028-10-06
ADVENTHEALTH MEDICAL GROUP RADIOLOGY	Active	2028-10-06
ADVENTHEALTH MEDICAL GROUP UROLOGY AT MANCHESTER	Active	2028-10-06
ADVENHEALTH SPORTS MED & REHAB LONDON	Active	2028-10-06
ADVENTHEALTH MEDICAL GROUP	Active	2028-10-06
ADVENTHEALTH MEDICAL GROUP MANCHESTER ADMIN OFFICE	Active	2028-10-06
ADVENTHEALTH MEDICAL GROUP ONCOLOGY AT MANCHESTER	Active	2028-10-06
ADVENTHEALTH MEDICAL GROUP FAMILY MEDICINE AT LONDON PARKWAY	Active	2028-10-06
ADVENT MEDICAL GROUP GENERAL SURGERY AT LONDON	Active	2026-06-03
ADVENTHEALTH HOME CARE MANCHESTER	Inactive	2024-06-07
ENT & ALLERGY CENTER	Inactive	2023-11-24
ADVENTHEALTH SPORTS MED & REHAB LONDON	Inactive	2023-09-21
ADVENTHEALTH SPORTS MED & REHAB GARRAND	Inactive	2023-09-21
ADVENTHEALTH SPORTS MED & REHAB MT. VERNON	Inactive	2023-09-21
ADVENTHEALTH SPORTS MED & REHAB MANCHESTER	Inactive	2023-09-21
ADVENTHEALTH SPORTS MED & REHAB BOONEVILLE	Inactive	2023-09-21
ADVENTHEALTH SPORTS MED & REHAB MCKEE	Inactive	2023-09-21
ADVENTHEALTH TRANSITIONAL CARE HOME CARE MANCHESTER	Inactive	2023-08-28
ADVENTHEALTH RED BIRD CLINIC	Inactive	2023-08-28
ADVENTHEALTH PRIMARY CARE CLINIC	Inactive	2023-08-28
ADVENTHEALTH ONEIDA CLINIC	Inactive	2023-08-28
ADVENTHEALTH MANCHESTER	Inactive	2023-08-21
MEMORIAL HOSPITAL HOME HEALTH	Inactive	2023-07-15
MANCHESTER MEMORIAL HOSPITAL PARKWAY MEDICAL ASSOCIATED	Inactive	2023-02-13
MANCHESTER MEMORIAL HOSPITAL	Inactive	2022-11-25
PHYSICIAN SERVICES OF MEMORIAL HOSPITAL	Inactive	2022-11-01
MOUNTAIN MEDICAL ASSOCIATES	Inactive	2022-02-22
MANCHESTER PEDIATRICS AND PRIMARY CARE	Inactive	2021-05-11
WILLOWBROOK WOMENS CENTER AND FAMILY PRACTICE	Inactive	2021-05-11
WILLOWBROOK WOMENS CENTER	Inactive	2021-04-10
MANCHESTER PEDIATRICS	Inactive	2021-04-10
MOUNTAIN MEDICAL PHYSICAL THERAPY	Inactive	2019-09-09
MANCHESTER SURGERY CENTER	Inactive	2019-09-09
CLAY COUNTY PHYSICAL THERAPY AND FITNESS	Inactive	2019-09-09
MEMORIAL HOSPITAL PHYSICAL THERAPY	Inactive	2019-09-09
MOUNTAIN MEDICAL ASSOCIATES PEDIATRIC AND FAMILY PRACTICE	Inactive	2019-09-09
CLAY COUNTY PRIMARY CARE CENTER	Inactive	2019-09-09
FAMILY MEDICAL CARE OF CLAY COUNTY	Inactive	2019-09-09
MARTIN COUNTY HOME HEALTH	Inactive	2019-02-19

Filings

Name	File Date
Annual Report Amendment	2025-01-27
Annual Report Amendment	2025-01-27
Annual Report	2025-01-27
Annual Report	2024-06-18
Annual Report	2024-06-18
Certificate of Assumed Name	2024-01-25
Certificate of Assumed Name	2023-10-06
Certificate of Assumed Name	2023-10-06
Certificate of Assumed Name	2023-10-06
Certificate of Assumed Name	2023-10-06
Name Renewal	2023-10-06
Certificate of Assumed Name	2023-10-06
Certificate of Assumed Name	2023-10-06
Name Renewal	2023-10-06
Certificate of Assumed Name	2023-10-06
Name Renewal	2023-10-06
Name Renewal	2023-10-06
Certificate of Assumed Name	2023-10-06
Name Renewal	2023-10-06
Name Renewal	2023-10-06

Date of last update: 28 Jan 2025

Sources: Kentucky Secretary of State