| Name: | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC NOT-FOR-PROFIT CORPORATION |
| Status: | Active |
| Date of registration: | 20 May 1936 (89 years ago) |
| Entity Number: | 38264 |
| ZIP code: | 12207 |
| County: | Broome |
| Place of Formation: | New York |
| Address: | 80 STATE STREET, ALBANY, NY, United States, 12207 |
Contact Details
Phone +1 607-798-5111
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MR9LDZZZBZW6 | 2025-04-25 | 169 RIVERSIDE DR, BINGHAMTON, NY, 13905, 4246, USA | 169 RIVERSIDE DR, BINGHAMTON, NY, 13905, 4198, USA | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Division Name | YOUTH SERVICES |
| Congressional District | 19 |
| State/Country of Incorporation | NY, USA |
| Activation Date | 2024-04-29 |
| Initial Registration Date | 2006-01-18 |
| Entity Start Date | 1936-05-20 |
| Fiscal Year End Close Date | Jun 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | GABRIELLA SNYDER |
| Role | GRANTS MANAGER |
| Address | 1345 PHILOMENA ST, STE 362, AUSTIN, TX, 78723, USA |
| Title | ALTERNATE POC |
| Name | AMY PRATT |
| Address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ROB MADSEN |
| Role | DIRECTOR-ACCOUNTING & REPORTING |
| Address | 1345 PHILOMENA ST, AUSTIN, TX, 78723, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 49KV4 | Obsolete | Non-Manufacturer | 2006-01-18 | 2024-04-29 | No data | 2025-04-25 | |||||||||||||
|
|||||||||||||||||||
| POC | ROB MADSEN |
| Phone | +1 512-324-5615 |
| Address | 169 RIVERSIDE DR, BINGHAMTON, NY, 13905 4246, 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 |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OUR LADY OF LOURDES MEMORIAL HOSPITAL EMPLOYEE HEALTH AND GROUP INSURANCE PLAN | 2012 | 150532221 | 2013-10-03 | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. | 1672 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Active participants | 1639 |
| Retired or separated participants receiving benefits | 10 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-03 |
| Name of individual signing | MARY HUGHS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-10-03 |
| Name of individual signing | DAVID PATAK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 516 |
| Effective date of plan | 1997-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 6075849459 |
| Plan sponsor’s mailing address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
| Plan sponsor’s address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
Plan administrator’s name and address
| Administrator’s EIN | 150532221 |
| Plan administrator’s name | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. |
| Plan administrator’s address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
| Administrator’s telephone number | 6075849459 |
Number of participants as of the end of the plan year
| Active participants | 2349 |
| Retired or separated participants receiving benefits | 2 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-15 |
| Name of individual signing | MARY HUGHS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-10-15 |
| Name of individual signing | DAVID PATAK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1994-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 6075849459 |
| Plan sponsor’s mailing address | 169 RIVERSID DRIVE, BINGHAMTON, NY, 13905 |
| Plan sponsor’s address | 169 RIVERSID DRIVE, BINGHAMTON, NY, 13905 |
Plan administrator’s name and address
| Administrator’s EIN | 150532221 |
| Plan administrator’s name | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. |
| Plan administrator’s address | 169 RIVERSID DRIVE, BINGHAMTON, NY, 13905 |
| Administrator’s telephone number | 6075849459 |
Number of participants as of the end of the plan year
| Active participants | 1721 |
| Retired or separated participants receiving benefits | 6 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-15 |
| Name of individual signing | MARY HUGHS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-10-15 |
| Name of individual signing | DAVID PATAK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1994-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 6075849459 |
| Plan sponsor’s mailing address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
| Plan sponsor’s address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
Plan administrator’s name and address
| Administrator’s EIN | 150532221 |
| Plan administrator’s name | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. |
| Plan administrator’s address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
| Administrator’s telephone number | 6075849459 |
Number of participants as of the end of the plan year
| Active participants | 1561 |
| Retired or separated participants receiving benefits | 25 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-27 |
| Name of individual signing | MARY HUGHS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-29 |
| Name of individual signing | DAVID PATAK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 516 |
| Effective date of plan | 1997-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 6075849459 |
| Plan sponsor’s mailing address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
| Plan sponsor’s address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
Plan administrator’s name and address
| Administrator’s EIN | 150532221 |
| Plan administrator’s name | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC |
| Plan administrator’s address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
| Administrator’s telephone number | 6075849459 |
Number of participants as of the end of the plan year
| Active participants | 2199 |
| Retired or separated participants receiving benefits | 3 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-29 |
| Name of individual signing | MARY HUGHS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-29 |
| Name of individual signing | DAVID PATAK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1994-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 6075849459 |
| Plan sponsor’s mailing address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
| Plan sponsor’s address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
Plan administrator’s name and address
| Administrator’s EIN | 150532221 |
| Plan administrator’s name | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC |
| Plan administrator’s address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
| Administrator’s telephone number | 6075849459 |
Number of participants as of the end of the plan year
| Active participants | 1509 |
| Retired or separated participants receiving benefits | 26 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-26 |
| Name of individual signing | MARY HUGHS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-26 |
| Name of individual signing | DAVID PATAK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 516 |
| Effective date of plan | 1997-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 6075849459 |
| Plan sponsor’s mailing address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
| Plan sponsor’s address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
Plan administrator’s name and address
| Administrator’s EIN | 150532221 |
| Plan administrator’s name | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC |
| Plan administrator’s address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 |
| Administrator’s telephone number | 6075849459 |
Number of participants as of the end of the plan year
| Active participants | 2122 |
| Retired or separated participants receiving benefits | 4 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-26 |
| Name of individual signing | MARY HUGHS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-26 |
| Name of individual signing | DAVID PATAK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| C/O CORPORATION SERVICE COMPANY | DOS Process Agent | 80 STATE STREET, ALBANY, NY, United States, 12207 |
| Name | Role | Address |
|---|---|---|
| N/A: THE CORP | Agent | 169 RIVERSIDE DR., BINGHAMTON, NY, 13905 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2017-10-31 | 2024-02-02 | Address | 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process) |
| 2000-02-24 | 2017-10-31 | Address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905, USA (Type of address: Service of Process) |
| 1997-09-22 | 2000-02-24 | Address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13901, USA (Type of address: Service of Process) |
| 1995-05-12 | 1997-09-22 | Address | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13901, USA (Type of address: Service of Process) |
| 1973-09-20 | 2024-02-02 | Address | 169 RIVERSIDE DR., BINGHAMTON, NY, 13905, USA (Type of address: Registered Agent) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 240202001412 | 2024-02-01 | RESTATED CERTIFICATE | 2024-02-01 |
| 171031000629 | 2017-10-31 | CERTIFICATE OF CHANGE | 2017-10-31 |
| 151222000495 | 2015-12-22 | CERTIFICATE OF AMENDMENT | 2015-12-22 |
| 20101108032 | 2010-11-08 | ASSUMED NAME CORP INITIAL FILING | 2010-11-08 |
| 000224000819 | 2000-02-24 | CERTIFICATE OF AMENDMENT | 2000-02-24 |
| 991215000528 | 1999-12-15 | CERTIFICATE OF AMENDMENT | 1999-12-15 |
| 970922000275 | 1997-09-22 | CERTIFICATE OF AMENDMENT | 1997-09-22 |
| 950512000238 | 1995-05-12 | CERTIFICATE OF AMENDMENT | 1995-05-12 |
| C094825-4 | 1990-01-09 | CERTIFICATE OF AMENDMENT | 1990-01-09 |
| C003093-7 | 1989-04-25 | CERTIFICATE OF AMENDMENT | 1989-04-25 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No data | IDV | VA528P0260 | 2007-12-11 | No data | No data | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Title | ENDOSCOPY IN BINGHAMTON |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q505: GASTROENTEROLOGY SERVICES |
Recipient Details
| Recipient | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| UEI | MR9LDZZZBZW6 |
| Legacy DUNS | 071599021 |
| Recipient Address | UNITED STATES, 169 RIVERSIDE DR, BINGHAMTON, 139054198 |
| Unique Award Key | CONT_AWD_V528C84041_3600_VA528P0260_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | ENDOSCOPY IN BINGHAMTON |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q505: GASTROENTEROLOGY SERVICES |
Recipient Details
| Recipient | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| UEI | MR9LDZZZBZW6 |
| Legacy DUNS | 071599021 |
| Recipient Address | UNITED STATES, 169 RIVERSIDE DR, BINGHAMTON, 139054198 |
| Unique Award Key | CONT_AWD_VA528C94268_3600_VA528P0571_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | GASTRO SUPPORT SERVICES |
| NAICS Code | 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS |
| Product and Service Codes | Q505: GASTROENTEROLOGY SERVICES |
Recipient Details
| Recipient | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| UEI | MR9LDZZZBZW6 |
| Legacy DUNS | 071599021 |
| Recipient Address | UNITED STATES, 169 RIVERSIDE DR, BINGHAMTON, 139054198 |
| Unique Award Key | CONT_IDV_VA528P0571_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | GASTRO SUPPORT SERVICES |
| NAICS Code | 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS |
| Product and Service Codes | Q505: GASTROENTEROLOGY SERVICES |
Recipient Details
| Recipient | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| UEI | MR9LDZZZBZW6 |
| Legacy DUNS | 071599021 |
| Recipient Address | UNITED STATES, 169 RIVERSIDE DR, BINGHAMTON, 139054198 |
| Unique Award Key | CONT_AWD_VA528C94030_3600_VA528P0260_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | GI SERVICES |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q505: GASTROENTEROLOGY SERVICES |
Recipient Details
| Recipient | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| UEI | MR9LDZZZBZW6 |
| Legacy DUNS | 071599021 |
| Recipient Address | UNITED STATES, 169 RIVERSIDE DR, BINGHAMTON, 139054198 |
| Unique Award Key | CONT_AWD_VA528C94039_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| NAICS Code | 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS |
| Product and Service Codes | C114: HOSPITAL BUILDINGS |
Recipient Details
| Recipient | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| UEI | MR9LDZZZBZW6 |
| Legacy DUNS | 071599021 |
| Recipient Address | UNITED STATES, 169 RIVERSIDE DR, BINGHAMTON, 139054198 |
| Unique Award Key | CONT_AWD_VA528C04055_3600_VA528P0571_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | GASTRO SUPPORT SERVICES |
| NAICS Code | 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS |
| Product and Service Codes | Q505: GASTROENTEROLOGY SERVICES |
Recipient Details
| Recipient | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| UEI | MR9LDZZZBZW6 |
| Legacy DUNS | 071599021 |
| Recipient Address | UNITED STATES, 169 RIVERSIDE DR, BINGHAMTON, 139054198 |
| Unique Award Key | CONT_AWD_VA528C04053_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | IMAGING SERVICES |
| NAICS Code | 621512: DIAGNOSTIC IMAGING CENTERS |
| Product and Service Codes | Q522: RADIOLOGY SERVICES |
Recipient Details
| Recipient | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| UEI | MR9LDZZZBZW6 |
| Legacy DUNS | 071599021 |
| Recipient Address | UNITED STATES, 169 RIVERSIDE DR, BINGHAMTON, 139054198 |
| Unique Award Key | CONT_AWD_V528C04053_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | MEDICAL SERVICES |
| Product and Service Codes | Q522: RADIOLOGY SERVICES |
Recipient Details
| Recipient | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| UEI | MR9LDZZZBZW6 |
| Legacy DUNS | 071599021 |
| Recipient Address | UNITED STATES, 169 RIVERSIDE DR, BINGHAMTON, 139054198 |
| Unique Award Key | CONT_AWD_VA528C14038_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | IMAGING |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q522: RADIOLOGY SERVICES |
Recipient Details
| Recipient | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| UEI | MR9LDZZZBZW6 |
| Legacy DUNS | 071599021 |
| Recipient Address | UNITED STATES, 169 RIVERSIDE DR, BINGHAMTON, 139054198 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C76HF09114 | Department of Health and Human Services | 93.887 - HEALTH CARE AND OTHER FACILITIES | 2008-09-01 | 2009-08-31 | HEALTH CARE AND OTHER FACILITIES | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| APHPA006014 | Department of Health and Human Services | 93.995 - ADOLESCENT FAMILY LIFE_DEMONSTRATION PROJECTS | 2004-09-01 | 2009-08-31 | 2004 AFL ABSTINENCE EDUCATION PREVENTION GRANTS; HELPING OUR PARENTS TO BE EDUCATORS - HOPE PROJECT | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Mark | US Serial Number | Application Filing Date | US Registration Number | Registration Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| L | 73514007 | 1984-12-17 | 1345311 | 1985-06-25 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Mark Literal Elements | L |
| Standard Character Claim | No |
| Mark Drawing Type | 5 - AN ILLUSTRATION DRAWING WITH WORD(S)/LETTER(S)/NUMBER(S) IN STYLIZED FORM |
Goods and Services
| For | HEALTH CARE SERVICES |
| International Class(es) | 042 - Primary Class |
| U.S Class(es) | 100 |
| Class Status | SECTION 8 - CANCELLED |
| First Use | Jul. 01, 1984 |
| Use in Commerce | Aug. 01, 1984 |
Basis Information (Case Level)
| Filed Use | Yes |
| Currently Use | Yes |
| Filed ITU | No |
| Currently ITU | No |
| Filed 44D | No |
| Currently 44D | No |
| Filed 44E | No |
| Currently 44E | No |
| Filed 66A | No |
| Currently 66A | No |
| Filed No Basis | No |
| Currently No Basis | No |
Current Owner(s) Information
| Owner Name | OUR LADY OF LOURDES MEMORIAL HOSPITAL |
| Owner Address | 169 RIVERSIDE DRIVE BINGHAMTON, NEW YORK UNITED STATES 13905 |
| Legal Entity Type | CORPORATION |
| State or Country Where Organized | NEW YORK |
Attorney/Correspondence Information
| Attorney Name | CLIFFORD E. BARNES |
| Correspondent Name/Address | CLIFFORD E BARNES, EPSTEIN BECKER BORSODY & GREEN, PC, 1140 19TH ST N W, WASHINGTON, DISTRICT OF COLUMBIA UNITED STATES 20036 |
Prosecution History
| Date | Description |
|---|---|
| 1991-12-19 | CANCELLED SEC. 8 (6-YR) |
| 1985-06-25 | REGISTERED-PRINCIPAL REGISTER |
| 1985-04-16 | PUBLISHED FOR OPPOSITION |
| 1985-03-20 | NOTICE OF PUBLICATION |
| 1985-02-19 | APPROVED FOR PUB - PRINCIPAL REGISTER |
| 1985-02-15 | ASSIGNED TO EXAMINER |
| 1985-02-09 | ASSIGNED TO EXAMINER |
TM Staff and Location Information
| Current Location | FILE DESTROYED |
| Date in Location | 1996-11-30 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 345830863 | 0215800 | 2022-03-11 | 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905 | |||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||
| Type | Inspection |
| Activity Nr | 1509747 |
| Health | Yes |
| Inspection Type | Complaint |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 2021-08-19 |
| Case Closed | 2021-11-19 |
Related Activity
| Type | Complaint |
| Activity Nr | 1713134 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19100134 F02 |
| Issuance Date | 2021-08-20 |
| Current Penalty | 9753.0 |
| Initial Penalty | 9753.0 |
| Final Order | 2021-09-07 |
| Nr Instances | 1 |
| Nr Exposed | 7 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(f)(2): Employee(s) using tight-fitting facepiece respirators were not fit tested prior to initial use of the respirator or annually refitted: a) Our Lady of Lourdes Memorial Hospital, Inc., 169 Riverside Drive, Binghamton, NY 13905, on or about February 6, 2021 and thereafter: The employer did not provide an annual fit test to all employees including but not limited to: phlebotomists required to wear N95 filtering facepiece respirators. The employer required phlebotomists to wear N95 filtering facepiece respirators to protect against the SARS-CoV-2 virus while providing care to suspected and confirmed positive COVID-19 patients. |
| Inspection Type | Fat/Cat |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 2021-09-27 |
| Case Closed | 2022-02-03 |
Related Activity
| Type | Referral |
| Activity Nr | 1675906 |
| Health | Yes |
| Type | Accident |
| Activity Nr | 1682896 |
| Inspection Type | Complaint |
| Scope | Partial |
| Safety/Health | Safety |
| Close Conference | 2020-03-04 |
| Case Closed | 2020-08-27 |
Related Activity
| Type | Complaint |
| Activity Nr | 1530374 |
| Safety | Yes |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2133265 | Intrastate Non-Hazmat | 2024-07-08 | 39000 | 2020 | 6 | 5 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 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 | SPF0138838 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2023-07-12 |
| ID that indicates the level of inspection | Walk-around |
| State abbreviation that indicates where the inspection occurred | NY |
| Time weight of the inspection | 1 |
| 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 | FRHT |
| License plate of the main unit | 13359MM |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 1FVACXFE6JHJS3431 |
| 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 |
Date of last update: 19 Mar 2025
Sources: New York Secretary of State
