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NORTHERN WESTCHESTER HOSPITAL ASSOCIATION

Company Details

Name: NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 24 Feb 1916 (109 years ago)
Entity Number: 13576
ZIP code: 10549
County: Westchester
Place of Formation: New York
Address: ATTN: PRESIDENT AND CEO, 400 EAST MAIN STREET, MT. KISCO, NY, United States, 10549

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
54930002G4U1H6PVU669 13576 US-NY GENERAL ACTIVE No data

Addresses

Legal Davis Avenue at East Post Road, White Plains, US-NY, US, 10601
Headquarters 400 East Main Street, Mount Kisco, US-NY, US, 10549

Registration details

Registration Date 2013-10-09
Last Update 2023-08-04
Status LAPSED
Next Renewal 2014-10-07
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 13576

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHERN WESTCHESTER HOSPITAL ASSOC PENSION PLAN 2020 131740118 2021-10-15 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION 626
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1951-01-01
Business code 622000
Sponsor’s telephone number 9146661310
Plan sponsor’s mailing address 400 EAST MAIN STREET, MT. KISCO, NY, 105490000
Plan sponsor’s address 400 EAST MAIN STREET, MT. KISCO, NY, 105490000

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2021-10-15
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
NORTHERN WESTCHESTER HOSPITAL 401(A) RETIREMENT SAVINGS PLAN 2020 131740118 2021-10-15 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION 1022
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 9146661310
Plan sponsor’s mailing address 400 EAST MAIN STREET, MOUNT KISCO, NY, 105490000
Plan sponsor’s address 400 EAST MAIN STREET, MOUNT KISCO, NY, 105490000

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
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 2021-10-12
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
NORTHERN WESTCHESTER HOSPITAL 403(B) SAVINGS PLUS PLAN 2020 131740118 2021-10-15 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION 1536
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-04-01
Business code 622000
Sponsor’s telephone number 9146661310
Plan sponsor’s mailing address 400 EAST MAIN STREET, MOUNT KISCO, NY, 105490000
Plan sponsor’s address 400 EAST MAIN STREET, MOUNT KISCO, NY, 105490000

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
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 2021-10-12
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION PENSION PLAN 2019 131740118 2020-10-29 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION 1632
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1951-01-01
Business code 622000
Sponsor’s telephone number 9146661310
Plan sponsor’s mailing address 400 EAST MAIN STREET, MT. KISCO, NY, 105490000
Plan sponsor’s address 400 EAST MAIN STREET, MT. KISCO, NY, 105490000

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 304
Other retired or separated participants entitled to future benefits 702

Signature of

Role Plan administrator
Date 2020-10-27
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-27
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION PENSION PLAN 2019 131740118 2020-10-15 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION 1632
Three-digit plan number (PN) 001
Effective date of plan 1951-01-01
Business code 622000
Sponsor’s telephone number 9146661310
Plan sponsor’s mailing address 400 EAST MAIN STREET, MT. KISCO, NY, 105490000
Plan sponsor’s address 400 EAST MAIN STREET, MT. KISCO, NY, 105490000

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 304
Other retired or separated participants entitled to future benefits 702

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION PENSION PLAN 2019 131740118 2020-10-15 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION 1632
Three-digit plan number (PN) 001
Effective date of plan 1951-01-01
Business code 622000
Sponsor’s telephone number 9146661310
Plan sponsor’s mailing address 400 EAST MAIN STREET, MT. KISCO, NY, 105490000
Plan sponsor’s address 400 EAST MAIN STREET, MT. KISCO, NY, 105490000

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 304
Other retired or separated participants entitled to future benefits 702

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
NORTHERN WESTCHESTER HOSPITAL 401(A) RETIREMENT SAVINGS PLAN 2019 131740118 2020-10-14 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION 1022
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 9146661979
Plan sponsor’s mailing address 400 EAST MAIN STREET, MOUNT KISCO, NY, 105490000
Plan sponsor’s address 400 EAST MAIN STREET, MOUNT KISCO, NY, 10549

Number of participants as of the end of the plan year

Active participants 1022
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 108
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 1130
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 2020-10-13
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
NORTHERN WESTCHESTER HOSPITAL 403(B) SAVINGS PLUS PLAN 2019 131740118 2020-10-14 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION 1503
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-04-01
Business code 622000
Sponsor’s telephone number 9146661310
Plan sponsor’s mailing address 400 EAST MAIN STREET, MOUNT KISCO, NY, 105490000
Plan sponsor’s address 400 EAST MAIN STREET, MOUNT KISCO, NY, 105490000

Number of participants as of the end of the plan year

Active participants 1536
Retired or separated participants receiving benefits 11
Other retired or separated participants entitled to future benefits 501
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 2048
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 2020-10-13
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION PENSION PLAN 2018 131740118 2019-10-18 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION 1685
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1951-01-01
Business code 622000
Sponsor’s telephone number 9146661310
Plan sponsor’s mailing address 400 EAST MAIN STREET, MT. KISCO, NY, 105490000
Plan sponsor’s address 400 EAST MAIN STREET, MT. KISCO, NY, 105490000

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 295
Other retired or separated participants entitled to future benefits 710

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
NORTHERN WESTCHESTER HOSPITAL 403(B) SAVINGS PLUS PLAN 2018 131740118 2019-10-15 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION 1431
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-04-01
Business code 622000
Sponsor’s telephone number 9146661310
Plan sponsor’s mailing address 400 EAST MAIN STREET, MOUNT KISCO, NY, 105490000
Plan sponsor’s address 400 EAST MAIN STREET, MOUNT KISCO, NY, 105490000

Number of participants as of the end of the plan year

Active participants 1503
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 473
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 1986
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 2019-10-14
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing JAMES MCCULLAGH
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: PRESIDENT AND CEO, 400 EAST MAIN STREET, MT. KISCO, NY, United States, 10549

Agent

Name Role Address
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION Agent 420 MAIN ST., MT KISCO, NY

History

Start date End date Type Value
1999-04-22 2018-10-22 Address ATTN: PRESIDENT, DAVIS AVENUE AT EAST POST ROAD, WHITE PLAINS, NY, 10601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
181022000371 2018-10-22 CERTIFICATE OF AMENDMENT 2018-10-22
140109000310 2014-01-09 CERTIFICATE OF AMENDMENT 2014-01-09
990422000241 1999-04-22 CERTIFICATE OF AMENDMENT 1999-04-22
A921971-2 1982-11-19 ASSUMED NAME CORP INITIAL FILING 1982-11-19
938780-2 1971-10-13 CERTIFICATE OF AMENDMENT 1971-10-13
579724-7 1966-09-28 CERTIFICATE OF AMENDMENT 1966-09-28
346361 1962-10-04 CERTIFICATE OF AMENDMENT 1962-10-04
20EX-377 1951-06-07 CERTIFICATE OF AMENDMENT 1951-06-07
502Q-121 1948-07-19 CERTIFICATE OF AMENDMENT 1948-07-19
147Q-60 1916-02-24 CERTIFICATE OF INCORPORATION 1916-02-24

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
13-1740118 Corporation Unconditional Exemption 972 BRUSH HOLLOW RD 5TH FL, WESTBURY, NY, 11590-1740 1938-07
In Care of Name % NORTHWELL HEALTH INC
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 634564846
Income Amount 760563272
Form 990 Revenue Amount 519048123
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 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201812
Filing Type P
Return Type 990
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201712
Filing Type P
Return Type 990T
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201612
Filing Type P
Return Type 990
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201612
Filing Type P
Return Type 990
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201612
Filing Type P
Return Type 990T
File View File
Organization Name NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
EIN 13-1740118
Tax Period 201512
Filing Type P
Return Type 990T
File View File

Date of last update: 19 Mar 2025

Sources: New York Secretary of State