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  5. GOOD SAMARITAN HOSPITAL

GOOD SAMARITAN HOSPITAL

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Company Details

Legal Name: GOOD SAMARITAN HOSPITAL
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: August 22nd 1975
Expiration date: 31 Aug 2011
UBI Number: 275 003 631
FEIN Number: 91-0961134
Purpose: Health - general & rehabilitative, mental health, crisis intervention, disease/disorder/medical disciplines (multi-purpose)
ZIP code: 98372
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 407 14TH AVE SE, PUYALLUP, WA, 98372, UNITED STATES

Contact Details

E-Mail: loredana.lonescu@multicare.org
Website: www.goodsamhealth.org
Phone Number: +1 253-459-8141

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Registered Agent Information

Name Role Address
ERIK RASMUSSEN Registered Agent 222 NORTH J ST STE B, TACOMA, WA, 98403, UNITED STATES

Key Officers & Management

Name Role Address
MARCUS GASPARD Governing Person 203 5TH AVE NW, PUYALLUP, WA, 98371, UNITED STATES
DIANE CECCHETINI Governing Person 315 MARTIN LUTHER KING JR WAY, TACOMA, WA, 98405, UNITED STATES
FREDERIC JOHNSTONE, MD Governing Person 3801 5TH ST SE STE 110, PUYALLUP, WA, 98374, UNITED STATES
MICHAEL NELSON Governing Person 15713 136TH CR E, PUYALLUP, WA, 98374, UNITED STATES
BRUCE DAMMEIER Governing Person 2803 41ST ST. SE, PUYALLUP, WA, 98374, UNITED STATES
L. DALE SOWELL Governing Person 1217 SUNSET DR S, TACOMA, WA, 98465, UNITED STATES
GREG GUSTAFSON Governing Person 437 29TH ST NE STE G, PUYALLUP, WA, 98371, UNITED STATES
LINDA GUTMANN Governing Person 108 ROSE PLACE, PUYALLUP, WA, 98371, UNITED STATES
BISHOP DAVID WOLD Governing Person 1506 136TH ST CT S, TACOMA, WA, 98444, UNITED STATES
JOHN LONG Governing Person 407 14TH AVE SE, PUYALLUP, WA, 98371, UNITED STATES

Links between entities

Type:
Headquarter of
Company Number:
617348
State:
NEW YORK
NEW YORK profile:
GOOD SAMARITAN HOSPITAL (NY)
Type:
Headquarter of
Company Number:
697475
State:
NEW YORK
NEW YORK profile:
GOOD SAMARITAN HOSPITAL (NY)
Type:
Headquarter of
Company Number:
766582
State:
NEW YORK
NEW YORK profile:
GOOD SAMARITAN HOSPITAL (NY)

National Provider Identifier

NPI Number:
1336160969
Link:
View on NPI website

Authorized Person:

Name:
MS. KIMBERLY A. LINTOTT
Role:
CHIEF FINANCIAL OFFICER
Phone:
2536977344

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
207RI0011X - Interventional Cardiology Physician
Is Primary:
No
Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
No
Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
No

Contacts:

Phone:
+1 253-697-7345
Fax:
2536977293
Phone:
+1 253-697-4000

Form 5500 Series

Employer Identification Number (EIN):
910961134
Plan Year:
2009
Number Of Participants:
6
Sponsor's telephone number:
2534031306
Plan Administrator / Signatory:
KIMBERLY A LINTOTT(Plan administrator) KIMBERLY A LINTOTT(Employer/plan sponsor)
Plan Year:
2009
Number Of Participants:
6
Sponsor's telephone number:
2534031306
File:
View File
Plan Administrator / Signatory:
KIMBERLY A LINTOTT(Plan administrator) KIMBERLY A LINTOTT(Employer/plan sponsor)
Plan Year:
2009
Number Of Participants:
6
Sponsor's telephone number:
2534031306
Plan Administrator / Signatory:
KIMBERLY A LINTOTT(Plan administrator) KIMBERLY A LINTOTT(Employer/plan sponsor)
Plan Year:
2009
Number Of Participants:
6
Sponsor's telephone number:
2534031306
Plan Administrator / Signatory:
KIMBERLY A. LINTOTT(Plan administrator)

OSHA's Inspections within Industry

Inspection Summary

Date:
2013-09-11
Type:
Referral
Address:
407 14TH AVE SE, PUYALLUP, WA, 98371
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
2011-06-14
Type:
Complaint
Address:
407 14TH AVE SE, PUYALLUP, WA, 98371
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
2010-03-24
Type:
Complaint
Address:
407 14TH AVE SE, PUYALLUP, WA, 98371
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
2009-07-23
Type:
Referral
Address:
407 14TH AVE SE, PUYALLUP, WA, 98371
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
2002-03-22
Type:
Complaint
Address:
407 14TH AVE SE, PUYALLUP, WA, 98371
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Court Cases

Filing Date:
2012-01-27
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Neither plaintiff nor defendant demands jury
Nature Of Suit:
Other Civil Rights
Parties:
BANTA CORPORATION - Plaintiff
GOOD SAMARITAN HOSPITAL - Defendant
Filing Date:
2012-01-19
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Neither plaintiff nor defendant demands jury
Nature Of Suit:
Insurance
Parties:
GOOD SAMARITAN HOSPITAL - Plaintiff
LEXINGTON INSURANCE COM, - Defendant

Facilities

FRS ID:
110005359753
Facility Address:
407 14TH AVE SE, PUYALLUP, PIERCE, WA, 98372
Link:
View a detailed facility report on Enforcement and Compliance History (ECHO)

Facility NAICS Codes

System:
RCRAINFO
Identifier:
WAD988484796
NAICS Code:
622110

Facility SIC Codes

System:
NPDES
Identifier:
WAR010580
SIC Code:
1794

Labor Condition Applications

Case Number:
I-08078-4018979
Program:
H-1B
Job Title:
PHYSICAIN - INTERNIST/NEPHROLOGIST
SOC (ONET/OES) occupation title:
PHYSICIANS AND SURGEONS
Begin Date:
2008-04-01
End Date:
2011-04-01

Employment and Wage Information

Address:
Puyallup, WA
Wage Rate Paid to Nonimmigrant Workers:
$72
Per:
hr
Prevailing Wage Rate:
$70.82

Charity/Fundraiser/Trust

Registration Number:
1124160
Type:
CHARITABLE ORGANIZATION
Status:
Merged
Renewal Date:
2012-11-30

Financial History

Fiscal Begin Date:
2011-01-01
Fiscal End Date:
2011-03-31
Begin Assets:
$917,855,611.00
Revenue:
$88,308,876.00
Program Services:
$59,985,610.00
Expenses:
$68,716,623.00
% To Program Services:
87%
Fiscal Begin Date:
2010-01-01
Fiscal End Date:
2010-12-31
Begin Assets:
$846,285,370.00
Revenue:
$344,448,183.00
Program Services:
$223,755,773.00
Expenses:
$264,588,150.00
End Assets:
$917,855,611.00
% To Program Services:
85%
Fiscal Begin Date:
2009-01-01
Fiscal End Date:
2009-12-31
Begin Assets:
$545,024,593.00
Revenue:
$313,098,816.00
Program Services:
$205,357,602.00
Expenses:
$238,214,902.00
End Assets:
$846,285,370.00
% To Program Services:
86%
Fiscal Begin Date:
2008-01-01
Fiscal End Date:
2008-12-31
Begin Assets:
$392,718,147.00
Revenue:
$266,716,141.00
Program Services:
$192,418,538.00
Expenses:
$233,785,844.00
End Assets:
$545,024,593.00
% To Program Services:
83%
Fiscal Begin Date:
2007-01-01
Fiscal End Date:
2007-12-31
Begin Assets:
$169,166,946.00
Revenue:
$263,130,846.00
Program Services:
$175,229,297.00
Expenses:
$211,478,421.00
End Assets:
$392,718,147.00
% To Program Services:
83%

Related by address

407 14TH AVE SE, PUYALLUP, WA, 98372, UNITED STATES

GOOD SAMARITAN OUTREACH SERVICES
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GOOD SAMARITAN SUPPORT ORGANIZATION
WA NONPROFIT CORPORATION - Inactive
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