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  5. MEDISYS HEALTH NETWORK INC.

MEDISYS HEALTH NETWORK INC.

Company Details

Name: MEDISYS HEALTH NETWORK INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 01 May 1995 (30 years ago)
Entity Number: 1917794
ZIP code: 11418
County: Queens
Place of Formation: New York
Address: 89TH AVENUE AND VAN WYCK EXPWY, JAMAICA, NY, United States, 11418

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2023 113316802 2024-10-15 MEDISYS HEALTH NETWORK, INC. 1506
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1561
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2022 113316802 2023-10-15 MEDISYS HEALTH NETWORK, INC. 1450
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1506
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2021 113316802 2022-10-16 MEDISYS HEALTH NETWORK, INC. 1530
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1450
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2020 113316802 2021-10-15 MEDISYS HEALTH NETWORK, INC. 1533
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY #4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1530
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2019 113316802 2020-10-15 MEDISYS HEALTH NETWORK, INC 1514
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1533

Signature of
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
MEDISYS HEALTH NETWORK EMPLOYEE BENEFITS PLAN 2019 113316802 2020-10-15 MEDISYS HEALTH NETWORK, INC 1514
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1533

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
MEDISYS HEALTH NETWORK, INC 2018 113316802 2019-10-15 MEDISYS HEALTH NETWORK, INC. 1546
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY # 4N, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1514

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
MEDISYS HEALTH NETWORK, INC. 2017 113316802 2018-10-15 MEDISYS HEALTH NETWORK, INC. 1530
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY # 5K, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY # 5K, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1546

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
MEDISYS HEALTH NETWORK, INC. EMPLOYEE BENEFITS PLAN 2016 113316802 2017-10-16 MEDISYS HEALTH NETWORK, INC 1514
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPY # 5K, JAMAICA, NY, 114182832
Plan sponsor’s address 8900 VAN WYCK EXPY # 5K, JAMAICA, NY, 114182832

Number of participants as of the end of the plan year
Active participants 1530

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature
EMPIRE DELUXE PPO FOR MEDISYS HEALTH NETWORK, INC. 2011 113316802 2012-10-15 MEDISYS HEALTH NETWORK, INC. 0
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 7182066291
Plan sponsor’s mailing address 8900 VAN WYCK EXPRESSWAY 4N, JAMAICA, NY, 11418
Plan sponsor’s address 8900 VAN WYCK EXPRESSWAY 4N, JAMAICA, NY, 11418

Plan administrator’s name and address
Administrator’s EIN 237391136
Plan administrator’s name EMPIRE HEALTH ASSURANCE
Plan administrator’s address 1 LIBERTY PLAZA, NEW YORK, NY, 10006
Administrator’s telephone number 2124767510

Number of participants as of the end of the plan year
Active participants 4657
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing MOUNIR DOSS
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION %THE JAMAICA HOSPITAL DOS Process Agent 89TH AVENUE AND VAN WYCK EXPWY, JAMAICA, NY, United States, 11418

Filings

Filing Number Date Filed Type Effective Date
950501000420 1995-05-01 CERTIFICATE OF INCORPORATION 1995-05-01

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-3316802 Corporation Unconditional Exemption 8900 VAN WYCK EXPY, JAMAICA, NY, 11418-2832 1996-12
In Care of Name % JAMAICA HOSPITAL MEDICAL CENTER
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 Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above 509(a)(3)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 178107101
Income Amount 7865082
Form 990 Revenue Amount 7052717
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 supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name MEDISYS HEALTH NETWORK INC
EIN 11-3316802
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name MEDISYS HEALTH NETWORK INC
EIN 11-3316802
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name MEDISYS HEALTH NETWORK INC
EIN 11-3316802
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name MEDISYS HEALTH NETWORK INC
EIN 11-3316802
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name MEDISYS HEALTH NETWORK INC
EIN 11-3316802
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name MEDISYS HEALTH NETWORK INC
EIN 11-3316802
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name MEDISYS HEALTH NETWORK INC
EIN 11-3316802
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name MEDISYS HEALTH NETWORK INC
EIN 11-3316802
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
1990748 Intrastate Non-Hazmat 2010-02-02 - - 1 4 Auth. For Hire
Legal Name MEDISYS HEALTH NETWORK INC
DBA Name -
Physical Address 80 MARCUS DR, MELVILLE, NY, 11747, US
Mailing Address 80 MARCUS DR, MELVILLE, NY, 11747, US
Phone (631) 391-8300
Fax (631) 391-8303
E-mail -

Safety Measurement System - All Transportation
Total Number of Inspections for the measurement period (24 months) 0
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 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
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

Related by officers

No related officers

Related by address

89TH AVENUE AND VAN WYCK EXPWY, JAMAICA, NY, United States, 11418

MHN PROPERTIES, INC.

Date of last update: 14 Mar 2025

Sources: New York Secretary of State

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