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  5. MONTEFIORE NYACK HOSPITAL

MONTEFIORE NYACK HOSPITAL

Company Details

Name: MONTEFIORE NYACK HOSPITAL
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 20 Jun 1895 (130 years ago)
Entity Number: 28497
ZIP code: 10960
County: Rockland
Place of Formation: New York
Address: ATTN: LEGAL DEPARTMENT, 160 NORTH MIDLAND AVENUE, NYACK, NY, United States, 10960

Contact Details

Fax +1 845-638-8700

Phone +1 845-638-8700

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTEFIORE NYACK HOSPITAL NEW YORK RETIREE MEDICAL PLAN VEBA AND TRUST VEBA AND TRUST 2023 874774733 2024-10-16 MONTEFIORE NYACK HOSPITAL 17
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Three-digit plan number (PN) 501
Effective date of plan 2022-12-02
Business code 622000
Sponsor’s telephone number 8007227214
Plan sponsor’s address 131 WEST 33RD STREET, NEW YORK, NY, 10001

Plan administrator’s name and address
Administrator’s EIN 874774733
Plan administrator’s name BD OF TRUSTEES MONTEFIORE NYACK HOS
Plan administrator’s address 131 WEST 33RD STREET, NEW YORK, NY, 10001
Administrator’s telephone number 8007227214
NYACK HOSPITAL GROUP LIFE INSURANCE PLAN 2020 131740119 2021-11-02 MONTEFIORE NYACK HOSPITAL 634
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Three-digit plan number (PN) 504
Effective date of plan 1992-10-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 859

Signature of
Role Plan administrator
Date 2021-08-13
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
NYACK HOSPITAL HEALTH & DENTAL PLAN 2020 131740119 2021-11-02 MONTEFIORE NYACK HOSPITAL 1181
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Three-digit plan number (PN) 502
Effective date of plan 1981-05-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 1211

Signature of
Role Plan administrator
Date 2021-08-13
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
NYACK HOSPITAL GROUP LIFE INSURANCE PLAN 2019 131740119 2020-08-31 MONTEFIORE NYACK HOSPITAL 852
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1992-10-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 634

Signature of
Role Plan administrator
Date 2020-08-31
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-31
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
NYACK HOSPITAL HEALTH & DENTAL PLAN 2019 131740119 2020-08-31 MONTEFIORE NYACK HOSPITAL 1111
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-05-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 1181

Signature of
Role Plan administrator
Date 2020-08-31
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-31
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
NYACK HOSPITAL HEALTH & DENTAL PLAN 2018 131740119 2019-08-22 MONTEFIORE NYACK HOSPITAL 1150
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-05-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 1111

Signature of
Role Plan administrator
Date 2019-08-20
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-20
Name of individual signing JOHN BURKE
Valid signature Filed with authorized/valid electronic signature
NYACK HOSPITAL GROUP LIFE INSURANCE PLAN 2018 131740119 2019-08-28 MONTEFIORE NYACK HOSPITAL 686
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1992-10-01
Business code 622000
Sponsor’s telephone number 8453482000
Plan sponsor’s mailing address 160 N MIDLAND AVE, NYACK, NY, 109601912
Plan sponsor’s address 160 N MIDLAND AVE, NYACK, NY, 109601912

Number of participants as of the end of the plan year
Active participants 852

Signature of
Role Plan administrator
Date 2019-08-22
Name of individual signing MARY SHINICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-27
Name of individual signing JOHN BURKE
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: LEGAL DEPARTMENT, 160 NORTH MIDLAND AVENUE, NYACK, NY, United States, 10960

History

Start date End date Type Value
2018-02-05 2018-02-05 Address ATT: LEGAL DEPARTMENT, 160 NORTH MIDLAND AVE, NYACK, NY, 10960, USA (Type of address: Service of Process)
2005-02-08 2018-02-05 Address PRESIDENT, 160 N. MIDLAND AVE, NYACK, NY, 10960, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180205000622 2018-02-05 CERTIFICATE OF AMENDMENT 2018-02-05
180205000365 2018-02-05 CERTIFICATE OF AMENDMENT 2018-02-05
20050223015 2005-02-23 ASSUMED NAME CORP INITIAL FILING 2005-02-23
050208000106 2005-02-08 CERTIFICATE OF AMENDMENT 2005-02-08
758113-3 1969-05-21 CERTIFICATE OF AMENDMENT 1969-05-21
494733 1965-04-29 CERTIFICATE OF AMENDMENT 1965-04-29
271920 1961-06-02 CERTIFICATE OF AMENDMENT 1961-06-02
595Q-64 1954-10-15 CERTIFICATE OF AMENDMENT 1954-10-15
2CR-347 1953-01-06 CERTIFICATE OF ANNULMENT OF DISSOLUTION AND REINSTATEMENT OF CORPORATE EXISTENCE 1953-01-06
DP-2814 1952-10-15 DISSOLUTION BY PROCLAMATION 1952-10-15

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
345926968 0216000 2022-04-29 160 NORTH MIDLAND AVE., NYACK, NY, 10960
Inspection Type Fat/Cat
Scope NoInspection
Safety/Health Health
Close Conference 2022-04-29
Case Closed 2024-10-21

Related Activity
Type Accident
Activity Nr 1889236
344736673 0216000 2020-04-30 160 NORTH MIDLAND AVE., NYACK, NY, 10960
Inspection Type Fat/Cat
Scope NoInspection
Safety/Health Health
Close Conference 2020-05-18
Case Closed 2020-05-27

Related Activity
Type Accident
Activity Nr 1581285

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
13-1740119 Trust Unconditional Exemption 160 N MIDLAND AVE, NYACK, NY, 10960-1912 1937-05
In Care of Name % RONALD RATIGAN
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 293045651
Income Amount 349012335
Form 990 Revenue Amount 348954733
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 MONTEFIORE NYACK HOSPITAL
EIN 13-1740119
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name MONTEFIORE NYACK HOSPITAL
EIN 13-1740119
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name MONTEFIORE NYACK HOSPITAL
EIN 13-1740119
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name MONTEFIORE NYACK HOSPITAL
EIN 13-1740119
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name MONTEFIORE NYACK HOSPITAL
EIN 13-1740119
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name MONTEFIORE NYACK HOSPITAL
EIN 13-1740119
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name MONTEFIORE NYACK HOSPITAL
EIN 13-1740119
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name MONTEFIORE NYACK HOSPITAL FORMERLY KNOWN AS THE NYACK HOSPITAL
EIN 13-1740119
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name NYACK HOSPITAL
EIN 13-1740119
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name NYACK HOSPITAL
EIN 13-1740119
Tax Period 201512
Filing Type E
Return Type 990
File View File

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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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