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  5. ALICE HYDE MEDICAL CENTER

ALICE HYDE MEDICAL CENTER

Company Details

Name: ALICE HYDE MEDICAL CENTER
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 17 Apr 1905 (120 years ago)
Entity Number: 28943
ZIP code: 12953
County: Franklin
Place of Formation: New York
Address: 115 PARK STREET, MALONE, NY, United States, 12953

Contact Details

Phone +1 518-481-8000

Fax +1 518-481-8000

Phone +1 518-481-2401

Phone +1 518-481-2800

Phone +1 518-481-2790

Phone +1 518-856-0033

Phone +1 518-529-7847

Phone +1 518-481-2868

Phone +1 518-358-3008

Phone +1 518-497-6622

Phone +1 518-481-2287

Phone +1 518-483-3000

Phone +1 518-481-2600

Phone +1 518-481-2893

Phone +1 518-481-2801

Phone +1 518-481-2677

Phone +1 518-481-2864

Phone +1 518-481-2880

Phone +1 518-481-2842

Phone +1 518-358-9368

Phone +1 518-481-8460

Phone +1 518-481-8450

Phone +1 518-481-2870

Phone +1 518-743-3000

Phone +1 518-481-2545

Phone +1 518-481-2632

Phone +1 518-481-2896

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NXP1LBRLYN11 2024-07-24 133 PARK ST, MALONE, NY, 12953, 1244, USA 133 PARK ST, MALONE, NY, 12953, USA

Business Information
Congressional District 21
State/Country of Incorporation NY, USA
Activation Date 2023-07-27
Initial Registration Date 2004-11-18
Entity Start Date 1913-09-15
Fiscal Year End Close Date Sep 30

Service Classifications
NAICS Codes 622110
Product and Service Codes Q201

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MATEJ KOLLAR
Role VP/CFO
Address ALICE HYDE MEDICAL CENTER, 133 PARK STREET, MALONE, NY, 12953, USA
Government Business
Title PRIMARY POC
Name MATEJ KOLLAR
Role VP/CFO
Address ALICE HYDE MEDICAL CENTER, MALONE, NY, 12953, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
33TG3 Active Non-Manufacturer 2004-11-17 2024-05-23 2029-05-23 2025-05-20

Contact Information
POC MATEJ KOLLAR
Phone +1 518-481-2204
Fax +1 518-481-2320
Address 133 PARK ST, MALONE, NY, 12953 1244, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner
Vendor Certified 2024-05-20
CAGE number 7JUD4
Company Name THE UNIVERSITY OF VERMONT HEALTH NETWORK INC
CAGE Last Updated 2024-03-09
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALICE HYDE HOSPITAL HEALTH AND WELFARE BENEFIT PLA 2023 150346515 2024-03-20 ALICE HYDE MEDICAL CENTER 148
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1965-10-01
Business code 622000
Sponsor’s telephone number 5184833000
Plan sponsor’s mailing address 133 PARK STREET, MALONE, NY, 12953
Plan sponsor’s address 133 PARK STREET, MALONE, NY, 12953

Number of participants as of the end of the plan year
Active participants 169
ALICE HYDE HOSPITAL HEALTH AND WELFARE BENEFIT PLA 2023 150346515 2024-03-20 ALICE HYDE MEDICAL CENTER 169
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1965-10-01
Business code 622000
Sponsor’s telephone number 5184833000
Plan sponsor’s mailing address 133 PARK STREET, MALONE, NY, 12953
Plan sponsor’s address 133 PARK STREET, MALONE, NY, 12953

Number of participants as of the end of the plan year
Active participants 169
ALICE HYDE HOSPITAL HEALTH AND WELFARE BENEFIT PLA 2023 150346515 2024-03-20 ALICE HYDE MEDICAL CENTER 169
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1965-10-01
Business code 622000
Sponsor’s telephone number 5184833000
Plan sponsor’s mailing address 133 PARK STREET, MALONE, NY, 12953
Plan sponsor’s address 133 PARK STREET, MALONE, NY, 12953

Number of participants as of the end of the plan year
Active participants 164
ALICE HYDE MEDICAL CENTER HEALTH REIMBURSEMENT ACCOUNT 2021 150346515 2023-01-26 ALICE HYDE MEDICAL CENTER 160
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 5184812588
Plan sponsor’s mailing address 133 PARK STREET, MALONE, NY, 12953
Plan sponsor’s address 133 PARK STREET, MALONE, NY, 12953

Number of participants as of the end of the plan year
Active participants 206
ALICE HYDE HOSPITAL HEALTH & WELFARE BENEFIT PLAN 2011 150346515 2012-07-30 ALICE HYDE MEDICAL CENTER 430
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1965-10-01
Business code 622000
Sponsor’s telephone number 5184833000
Plan sponsor’s mailing address PO BOX 729, MALONE, NY, 12953
Plan sponsor’s address PO BOX 729, MALONE, NY, 12953

Plan administrator’s name and address
Administrator’s EIN 150346515
Plan administrator’s name ALICE HYDE MEDICAL CENTER
Plan administrator’s address PO BOX 729, MALONE, NY, 12953
Administrator’s telephone number 5184833000

Number of participants as of the end of the plan year
Active participants 430
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 2012-07-30
Name of individual signing SANDRA MACDONALD
Valid signature Filed with authorized/valid electronic signature
ALICE HYDE HOSPITAL HEALTH & WELFARE BENEFIT PLAN 2010 150346515 2012-07-30 ALICE HYDE MEDICAL CENTER 430
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1965-10-01
Business code 622000
Sponsor’s telephone number 5184833000
Plan sponsor’s mailing address PO BOX 729, MALONE, NY, 12953
Plan sponsor’s address PO BOX 729, MALONE, NY, 12953

Plan administrator’s name and address
Administrator’s EIN 150346515
Plan administrator’s name ALICE HYDE MEDICAL CENTER
Plan administrator’s address PO BOX 729, MALONE, NY, 12953
Administrator’s telephone number 5184833000

Number of participants as of the end of the plan year
Active participants 430
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 2012-07-30
Name of individual signing SANDRA MACDONALD
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
ALICE HYDE MEDICAL CENTER DOS Process Agent 115 PARK STREET, MALONE, NY, United States, 12953

History

Start date End date Type Value
2015-12-08 2018-01-05 Address 115 PARK STREET, MALONE, NY, 12953, USA (Type of address: Service of Process)
2002-02-04 2015-12-08 Address 115 PARK STREET, MALONE, NY, 12953, USA (Type of address: Service of Process)
2001-10-16 2002-02-04 Address 111 PARK STREET, MALONE, NY, 12953, USA (Type of address: Service of Process)
1974-08-21 2001-10-16 Address PARK ST., MALONE, NY, 12953, USA (Type of address: Service of Process)
1911-04-11 2001-10-16 Name THE ALICE HYDE HOSPITAL ASSOCIATION
1905-04-17 1911-04-11 Name THE MALONE HOSPITAL ASSOCIATION

Filings

Filing Number Date Filed Type Effective Date
180105000213 2018-01-05 CERTIFICATE OF AMENDMENT 2018-01-05
160502000303 2016-05-02 CERTIFICATE OF AMENDMENT 2016-05-02
151208000647 2015-12-08 CERTIFICATE OF AMENDMENT 2015-12-08
020204000085 2002-02-04 CERTIFICATE OF AMENDMENT 2002-02-04
011016000675 2001-10-16 CERTIFICATE OF AMENDMENT 2001-10-16
Z027097-2 1981-03-25 ASSUMED NAME CORP INITIAL FILING 1981-03-25
A176910-2 1974-08-21 CERTIFICATE OF AMENDMENT 1974-08-21
539647-4 1966-01-24 CERTIFICATE OF ANNULMENT OF DISSOLUTION AND REINSTATEMENT OF CORPORATE EXISTENCE 1966-01-24
DP-861 1952-10-15 DISSOLUTION BY PROCLAMATION 1952-10-15
14W-52 1911-04-11 CERTIFICATE OF AMENDMENT 1911-04-11

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
No data IDV VA528P0075 2007-10-01 No data No data
Unique Award Key CONT_IDV_VA528P0075_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MALONE CBOC
NAICS Code 621498: ALL OTHER OUTPATIENT CARE CENTERS
Product and Service Codes Q403: EVALUATION AND SCREENING

Recipient Details
Recipient ALICE HYDE MEDICAL CENTER
UEI NXP1LBRLYN11
Legacy DUNS 080466774
Recipient Address UNITED STATES, 133 PARK ST, MALONE, 129531243

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C76HF10893 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2008-09-01 2009-08-31 HEALTH CARE AND OTHER FACILITIES
Recipient ALICE HYDE MEDICAL CENTER
Recipient Name Raw ALICE HYDE MEDICAL CENTER
Recipient UEI NXP1LBRLYN11
Recipient DUNS 080466774
Recipient Address 133 PARK STREET, MALONE, FRANKLIN, NEW YORK, 12953
Obligated Amount 331692.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
15-0346515 Corporation Unconditional Exemption 133 PARK STREET, MALONE, NY, 12953-1244 1938-04
In Care of Name % MATEJ KOLLAR
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 2023-09
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 Sep
Asset Amount 59902936
Income Amount 95725280
Form 990 Revenue Amount 94361201
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 ALICE HYDE MEDICAL CENTER
EIN 15-0346515
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name ALICE HYDE MEDICAL CENTER
EIN 15-0346515
Tax Period 202009
Filing Type E
Return Type 990
File View File
Organization Name ALICE HYDE MEDICAL CENTER
EIN 15-0346515
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name ALICE HYDE MEDICAL CENTER
EIN 15-0346515
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name ALICE HYDE MEDICAL CENTER
EIN 15-0346515
Tax Period 201709
Filing Type P
Return Type 990
File View File
Organization Name ALICE HYDE MEDICAL CENTER
EIN 15-0346515
Tax Period 201609
Filing Type P
Return Type 990
File View File
Organization Name ALICE HYDE MEDICAL CENTER
EIN 15-0346515
Tax Period 201512
Filing Type E
Return Type 990
File View File
Organization Name ALICE HYDE MEDICAL CENTER
EIN 15-0346515
Tax Period 201412
Filing Type P
Return Type 990A
File View File
Organization Name ALICE HYDE MEDICAL CENTER
EIN 15-0346515
Tax Period 201312
Filing Type P
Return Type 990A
File View File

Related by officers

No related officers

Related by address

115 PARK STREET, MALONE, NY, United States, 12953

ROBERT GILDAY, D.O., P.C.

Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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