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  5. SAMARITAN MEDICAL CENTER

SAMARITAN MEDICAL CENTER

Company Details

Name: SAMARITAN MEDICAL CENTER
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 26 Mar 1904 (121 years ago)
Entity Number: 28618
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: ATTN PRESIDENT, 830 WASHINGTON STREET, WATERTOWN, NY, United States, 13601

Contact Details

Phone +1 315-387-3400

Phone +1 315-785-4000

Phone +1 315-646-7119

Phone +1 315-786-4955

Phone +1 315-755-2024

Phone +1 315-629-4525

Phone +1 315-755-3450

Phone +1 315-654-2530

Phone +1 315-785-5749

Phone +1 315-786-7300

Phone +1 315-686-2094

Phone +1 315-232-4400

Phone +1 315-782-7230

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
W9HFBYXJ2LM5 2024-12-20 830 WASHINGTON ST, WATERTOWN, NY, 13601, 4099, USA 830 WASHINGTON STREET, WATERTOWN, NY, 13601, USA

Business Information
URL www.samaritanhealth.com
Congressional District 24
State/Country of Incorporation NY, USA
Activation Date 2023-12-25
Initial Registration Date 2001-06-29
Entity Start Date 1881-10-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621420, 621511, 621512, 621610, 622110, 623110
Product and Service Codes Q201, Q301, Q401, Q403, Q501, Q502, Q504, Q505, Q507, Q509, Q510, Q511, Q513, Q514, Q515, Q516, Q518, Q519, Q520, Q521, Q522, Q523, Q524, Q525, Q602, Q701, Q802, Q999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JORDAN WALKER
Role MS.
Address 830 WASHINGTON ST., WATERTOWN, NY, 13601, USA
Government Business
Title PRIMARY POC
Name MAXINE BRIGGS
Role MS.
Address 830 WASHINGTON ST., WATERTOWN, NY, 13601, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
1QN81 Active Non-Manufacturer 2000-06-24 2024-03-10 2028-12-25 2024-12-20

Contact Information
POC MAXINE BRIGGS
Phone +1 315-785-3605
Fax +1 315-779-6610
Address 830 WASHINGTON ST, WATERTOWN, NY, 13601 4099, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN PRESIDENT, 830 WASHINGTON STREET, WATERTOWN, NY, United States, 13601

History

Start date End date Type Value
1995-06-13 1995-10-03 Address PRESIDENT, 830 WASHINGTON STREET, WATERTOWN, NY, 13601, USA (Type of address: Service of Process)
1990-08-27 1995-06-13 Address 830 WASHINGTON STREET, P.O. BOX 517, WATERTOWN, NY, 13601, USA (Type of address: Service of Process)
1971-05-10 1990-08-27 Address BOX 517, WATERTOWN, NY, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
C293155-2 2000-09-11 ASSUMED NAME CORP INITIAL FILING 2000-09-11
951003000333 1995-10-03 CERTIFICATE OF AMENDMENT 1995-10-03
950613000504 1995-06-13 CERTIFICATE OF AMENDMENT 1995-06-13
900827000395 1990-08-27 CERTIFICATE OF AMENDMENT 1990-08-27
907099-3 1971-05-10 CERTIFICATE OF AMENDMENT 1971-05-10
601Q-3 1955-01-31 CERTIFICATE OF ANNULMENT OF DISSOLUTION AND REINSTATEMENT OF CORPORATE EXISTENCE 1955-01-31
DP-864 1952-10-15 DISSOLUTION BY PROCLAMATION 1952-10-15
394Q-139 1938-12-05 CERTIFICATE OF AMENDMENT 1938-12-05
301Q-139 1930-06-07 CERTIFICATE OF AMENDMENT 1930-06-07
57Q-52 1904-03-26 CERTIFICATE OF INCORPORATION 1904-03-26

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD W91YTZ08P0937 2008-09-30 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_W91YTZ08P0937_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 40000.00
Current Award Amount 40000.00
Potential Award Amount 40000.00

Description
Title REFERENCE LAB TESTING
NAICS Code 621511: MEDICAL LABORATORIES
Product and Service Codes Q515: PATHOLOGY SERVICES

Recipient Details
Recipient SAMARITAN MEDICAL CENTER
UEI W9HFBYXJ2LM5
Legacy DUNS 077286243
Recipient Address UNITED STATES, 830 WASHINGTON ST, WATERTOWN, JEFFERSON, NEW YORK, 136014099
PURCHASE ORDER AWARD W91YTZ08P0118 2007-11-21 2008-09-30 2008-09-30
Unique Award Key CONT_AWD_W91YTZ08P0118_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 20000.00
Current Award Amount 20000.00
Potential Award Amount 20000.00

Description
Title REFERENCE LAB TESTING
NAICS Code 621511: MEDICAL LABORATORIES
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient SAMARITAN MEDICAL CENTER
UEI W9HFBYXJ2LM5
Legacy DUNS 077286243
Recipient Address UNITED STATES, 830 WASHINGTON ST, WATERTOWN, JEFFERSON, NEW YORK, 136014099
PURCHASE ORDER AWARD W91YTZ09P1012 2009-10-01 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_W91YTZ09P1012_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 46148.83
Current Award Amount 46148.83
Potential Award Amount 46148.83

Description
Title EMERGENCY LAB TESTING
NAICS Code 621511: MEDICAL LABORATORIES
Product and Service Codes Q515: PATHOLOGY SERVICES

Recipient Details
Recipient SAMARITAN MEDICAL CENTER
UEI W9HFBYXJ2LM5
Legacy DUNS 077286243
Recipient Address UNITED STATES, 830 WASHINGTON ST, WATERTOWN, JEFFERSON, NEW YORK, 136014099
No data IDV W91YTZ11A0070 2011-10-01 No data No data
Unique Award Key CONT_IDV_W91YTZ11A0070_9700
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 100000.00

Description
Title BPA FOR EMERGENCY LAB TESTING SERVICES
NAICS Code 621511: MEDICAL LABORATORIES
Product and Service Codes Q515: PATHOLOGY SERVICES

Recipient Details
Recipient SAMARITAN MEDICAL CENTER
UEI W9HFBYXJ2LM5
Legacy DUNS 077286243
Recipient Address UNITED STATES, 830 WASHINGTON ST, WATERTOWN, JEFFERSON, NEW YORK, 136014099
PURCHASE ORDER AWARD W91YTZ11P0028 2011-02-03 2011-09-30 2011-09-30
Unique Award Key CONT_AWD_W91YTZ11P0028_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 2.00
Current Award Amount 2.00
Potential Award Amount 2.00

Description
Title EMERGENCY LAB TESTING
NAICS Code 621511: MEDICAL LABORATORIES
Product and Service Codes Q515: PATHOLOGY SERVICES

Recipient Details
Recipient SAMARITAN MEDICAL CENTER
UEI W9HFBYXJ2LM5
Legacy DUNS 077286243
Recipient Address UNITED STATES, 830 WASHINGTON ST, WATERTOWN, JEFFERSON, NEW YORK, 136014099

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C76HF15080 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2009-07-01 2010-06-30 HEALTH CARE AND OTHER FACILITIES
Recipient SAMARITAN MEDICAL CENTER
Recipient Name Raw SAMARITAN MEDICAL CENTER
Recipient UEI W9HFBYXJ2LM5
Recipient DUNS 077286243
Recipient Address 830 WASHINGTON STREET, WATERTOWN, JEFFERSON, NEW YORK, 13601, UNITED STATES
Obligated Amount 188100.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
304586969 0215800 2001-07-27 830 WASHINGTON STREET, WATERTOWN, NY, 13601
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 2001-10-03
Case Closed 2001-10-25

Related Activity
Type Complaint
Activity Nr 203098553
Health Yes

Violation Items
Citation ID 01001A
Citaton Type Serious
Standard Cited 19101027 K05
Issuance Date 2001-10-05
Abatement Due Date 2001-10-11
Current Penalty 600.0
Initial Penalty 975.0
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Complaint
Gravity 01
Citation ID 01001B
Citaton Type Serious
Standard Cited 19101027 K07
Issuance Date 2001-10-05
Abatement Due Date 2001-10-11
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Complaint
Gravity 01

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
15-0533577 Corporation Unconditional Exemption 830 WASHINGTON ST, WATERTOWN, NY, 13601-4034 1944-07
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 282296477
Income Amount 349264015
Form 990 Revenue Amount 349190909
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name SAMARITAN MEDICAL CENTER
EIN 15-0533577
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN MEDICAL CENTER
EIN 15-0533577
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN MEDICAL CENTER
EIN 15-0533577
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN MEDICAL CENTER
EIN 15-0533577
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN MEDICAL CENTER
EIN 15-0533577
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN MEDICAL CENTER
EIN 15-0533577
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name SAMARITAN MEDICAL CENTER
EIN 15-0533577
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN MEDICAL CENTER
EIN 15-0533577
Tax Period 201512
Filing Type E
Return Type 990
File View File

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
3407842 Intrastate Non-Hazmat 2024-04-19 15000 2023 1 5 Private(Property)
Legal Name SAMARITAN MEDICAL CENTER
DBA Name -
Physical Address 830 WASHINGTON ST, WATERTOWN, NY, 13601, US
Mailing Address 830 WASHINGTON ST, WATERTOWN, NY, 13601, US
Phone (315) 785-5798
Fax -
E-mail ASHORT@SHSNY.COM

Safety Measurement System - All Transportation
Total Number of Inspections for the measurement period (24 months) 1
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 1
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 1
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Inspections
Unique report number of the inspection SPB0402595
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2024-06-06
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 2
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit ISU
License plate of the main unit 74174ME
License state of the main unit NY
Vehicle Identification Number of the main unit 54DC4W1B0KS806637
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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