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  5. THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.

THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.

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Company Details

Name: THE IRA DAVENPORT MEMORIAL HOSPITAL, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 03 Nov 1958 (67 years ago)
Entity Number: 114331
ZIP code: 14810
County: Steuben
Place of Formation: New York
Address: 7571 STATE ROUTE 54, BATH, NY, United States, 14810

Contact Details

Phone +1 607-776-8714

Phone +1 607-776-8500

Phone +1 607-776-8501

Agent

Name Role Address
N/A: THE CORP. Agent P.O.BOX 350, BATH, NY, 14810

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 7571 STATE ROUTE 54, BATH, NY, United States, 14810

Unique Entity ID

Unique Entity ID:
F5YYVLJ2DUV6
CAGE Code:
37VU3
UEI Expiration Date:
2025-12-30

Business Information

Doing Business As:
IRA DAVENPORT MEMORIAL HOSPITAL INC
URL:
http://www.arnothealth.org/ira-davenport-memorial-hospital
Activation Date:
2025-01-01
Initial Registration Date:
2005-03-31

Commercial and government entity program

CAGE number:
37VU3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-01
CAGE Expiration:
2030-01-01
SAM Expiration:
2025-12-30

Contact Information

POC:
ELYSE BELLINGER
Corporate URL:
http://www.arnothealth.org/ira-davenport-memorial-hospital

National Provider Identifier

NPI Number:
1972835957
Link:
View on NPI website

Authorized Person:

Name:
MR. JONATHAN I. LAWRENCE
Role:
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone:
6077374100

Taxonomy:

Selected Taxonomy:
282NC0060X - Critical Access Hospital
Is Primary:
Yes

Contacts:

Phone:
+1 607-776-8564
Fax:
6077768817

Form 5500 Series

Employer Identification Number (EIN):
160835446
Plan Year:
2023
Number Of Participants:
48
Sponsors Telephone Number:
6077374507
File:
View File
Plan Year:
2022
Number Of Participants:
52
Sponsors Telephone Number:
6077374507
File:
View File
Plan Year:
2021
Number Of Participants:
58
Sponsors Telephone Number:
6077378142
File:
View File
Plan Year:
2018
Number Of Participants:
66
Sponsors Telephone Number:
6077768832
File:
View File
Plan Year:
2017
Number Of Participants:
77
Sponsors Telephone Number:
6077768832
File:
View File

Filings

Filing Number Date Filed Type Effective Date
090921000625 2009-09-21 CERTIFICATE OF AMENDMENT 2009-09-21
980805000174 1998-08-05 CERTIFICATE OF AMENDMENT 1998-08-05
C107075-2 1990-02-12 ASSUMED NAME CORP INITIAL FILING 1990-02-12
A627391-7 1979-12-13 CERTIFICATE OF AMENDMENT 1979-12-13
A96255-2 1973-08-30 CERTIFICATE OF AMENDMENT 1973-08-30

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24223D0047
Link:
View Award on USAspending website
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-06-01
Description:
COMMUNITY NURSING HOME SERVICES TO ELIGIBLE BENEFICIARIES OF THE VA FINGER LAKES HEALTH CARE SYSTEM
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24222K0192
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
24718.50
Base And Exercised Options Value:
24718.50
Base And All Options Value:
24718.50
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-04-01
Description:
EXPRESS REPORT: FISCAL YEAR 2022 QTR 3 & QTR 4 EXPENDITURES: 04/01/2022 - 09/30/2022 FOR VA FINGER LAKES HEALTH CARE SYSTEM COMMUNITY NURSING HOME
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24222N0003
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
2000.00
Base And Exercised Options Value:
2000.00
Base And All Options Value:
2000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2021-10-01
Description:
STAT REFERENCE LAB SEND-OUT TESTING SERVICES FOR BATH VAMC
Naics Code:
621511: MEDICAL LABORATORIES
Product Or Service Code:
Q301: MEDICAL- LABORATORY TESTING

USAspending Awards / Financial Assistance

Date:
2022-02-18
Link:
View on USAspending
Awarding Agency Name:
Department of Agriculture
Transaction Description:
ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES
Obligated Amount:
0.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-30
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:
1961000.00
Total Face Value Of Loan:
1961000.00
Date:
2017-09-20
Link:
View on USAspending
Awarding Agency Name:
Department of Agriculture
Transaction Description:
TELEMEDICINE GRANT
Obligated Amount:
96775.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2017-09-20
Link:
View on USAspending
Awarding Agency Name:
Department of Agriculture
Transaction Description:
TELEMEDICINE GRANT
Obligated Amount:
96775.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2007-05-01
Type:
Planned
Address:
7571 STATE ROUTE 54, BATH, NY, 14810
Safety Health:
Health
Scope:
Complete
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
2007-04-12
Type:
Planned
Address:
7571 STATE ROUTE 54, BATH, NY, 14810
Safety Health:
Safety
Scope:
Complete
Inspection Link:
View Inspection data on OSHA website

Tax Exempt

Employer Identification Number (EIN) :
16-0835446
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:
1959-02
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
255
Initial Approval Amount:
$1,961,000
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,961,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$2,001,200.5
Servicing Lender:
Chemung Canal Trust Company
Use of Proceeds:
Payroll: $1,961,000

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State

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