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  5. PHELPS MEMORIAL HOSPITAL ASSOCIATION

PHELPS MEMORIAL HOSPITAL ASSOCIATION

Company Details

Name: PHELPS MEMORIAL HOSPITAL ASSOCIATION
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 24 Dec 1952 (72 years ago)
Entity Number: 78729
ZIP code: 10591
County: Westchester
Place of Formation: New York
Address: ATTN: PRESIDENT, 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, United States, 10591

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FFS6G99RN6G4 2025-03-19 701 N BROADWAY, SLEEPY HOLLOW, NY, 10591, 1020, USA 701 NORTH BROADWAY, PHELPS MEMORIAL HOSPITAL, TARRYTOWN, NY, 10591, 1096, USA

Business Information
Congressional District 17
State/Country of Incorporation NY, USA
Activation Date 2024-03-21
Initial Registration Date 2006-03-15
Entity Start Date 1956-01-07
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 622110

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JAMES MCCULLAGH
Role ASSOCIATE EXECUTIVE DIRECTOR OF FINANCE
Address 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, 1096, USA
Title ALTERNATE POC
Name DENISE PASSALACQUA
Role EXECUTIVE SECRETARY
Address 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, 1096, USA
Government Business
Title PRIMARY POC
Name JAMES MCCULLAGH
Role ASSOCIATE EXECUTIVE DIRECTOR OF FINANCE
Address 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, 1096, USA
Title ALTERNATE POC
Name DENISE PASSALACQUA
Role EXECUTIVE SECRETARY
Address 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, 1096, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4C6F6 Active Non-Manufacturer 2006-03-16 2024-03-21 2029-03-21 2025-03-19

Contact Information
POC JAMES MCCULLAGH
Phone +1 914-366-3120
Fax +1 914-366-1017
Address 701 N BROADWAY, SLEEPY HOLLOW, NY, 10591 1020, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner
Vendor Certified 2024-03-21
CAGE number 4AJP5
Company Name NORTHWELL HEALTH, INC.
CAGE Last Updated 2024-03-03
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAJOR MEDICAL PLAN FOR EMPLOYEES OF PHELPS MEMORIAL HOSPITAL CENTER 2010 131725076 2011-10-10 PHELPS MEMORIAL HOSPITAL ASSOCIATION 1025
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1986-06-01
Business code 622000
Sponsor’s telephone number 9143663000
Plan sponsor’s mailing address 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591
Plan sponsor’s address 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591

Plan administrator’s name and address
Administrator’s EIN 131725076
Plan administrator’s name PHELPS MEMORIAL HOSPITAL ASSOCIATION
Plan administrator’s address 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591
Administrator’s telephone number 9143663000

Number of participants as of the end of the plan year
Active participants 1006
Retired or separated participants receiving benefits 70

Signature of
Role Plan administrator
Date 2011-10-09
Name of individual signing JOANNE STURANS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-07
Name of individual signing VINCENT DESANTIS
Valid signature Filed with authorized/valid electronic signature
MAJOR MEDICAL PLAN FOR EMPLOYEES OF PHELPS MEMORIAL HOSPITAL CENTER 2009 131725076 2010-10-14 PHELPS MEMORIAL HOSPITAL ASSOCIATION 1008
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1986-06-01
Business code 622000
Sponsor’s telephone number 9143663000
Plan sponsor’s mailing address 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591
Plan sponsor’s address 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591

Plan administrator’s name and address
Administrator’s EIN 131725076
Plan administrator’s name PHELPS MEMORIAL HOSPITAL ASSOCIATION
Plan administrator’s address 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591
Administrator’s telephone number 9143663000

Number of participants as of the end of the plan year
Active participants 941
Retired or separated participants receiving benefits 84

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing JOANNE STURANS
Valid signature Filed with authorized/valid electronic signature
Role DFE
Date 2010-10-14
Name of individual signing VINCENT DESANTIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PHELPS MEMORIAL HOSPITAL ASSOCIATION Agent NO STREET ADDRESS GIVEN, ATT: ADMIN., NO TARRYTOWN, NY, 10591

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: PRESIDENT, 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, United States, 10591

History

Start date End date Type Value
2014-01-10 2018-10-22 Address ATTN: PRESIDENT, 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, USA (Type of address: Service of Process)
2000-09-29 2014-01-10 Address ATTN: PRESIDENT, 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, USA (Type of address: Service of Process)
1997-09-23 2000-09-29 Address ATTN: PRESIDENT, 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, 10591, USA (Type of address: Service of Process)
1986-06-02 1997-09-23 Address ASSOCIATION, ATTN: PRESIDENT, NORTH TARRYTOWN, NY, 10591, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
181022000351 2018-10-22 CERTIFICATE OF AMENDMENT 2018-10-22
140110000182 2014-01-10 CERTIFICATE OF AMENDMENT 2014-01-10
20120802068 2012-08-02 ASSUMED NAME CORP INITIAL FILING 2012-08-02
040408000796 2004-04-08 CERTIFICATE OF MERGER 2004-04-08
000929000426 2000-09-29 CERTIFICATE OF AMENDMENT 2000-09-29
970923000560 1997-09-23 CERTIFICATE OF AMENDMENT 1997-09-23
940923000484 1994-09-23 CERTIFICATE OF MERGER 1994-09-23
B365162-8 1986-06-02 CERTIFICATE OF AMENDMENT 1986-06-02
A93118-4 1973-08-17 CERTIFICATE OF AMENDMENT 1973-08-17
775107-10 1969-08-08 CERTIFICATE OF CONSOLIDATION 1969-08-08

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
13-1725076 Corporation Unconditional Exemption 972 BRUSH HOLLOW RD 5TH FL, WESTBURY, NY, 11590-1740 1954-11
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, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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 546784345
Income Amount 567729242
Form 990 Revenue Amount 419911454
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 PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201712
Filing Type P
Return Type 990T
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201612
Filing Type P
Return Type 990
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201612
Filing Type P
Return Type 990T
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201512
Filing Type E
Return Type 990
File View File
Organization Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
EIN 13-1725076
Tax Period 201512
Filing Type P
Return Type 990T
File View File

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Related by address

ATTN: PRESIDENT, 701 NORTH BROADWAY, SLEEPY HOLLOW, NY, United States, 10591

PHELPS COMMUNITY FOUNDATION, INC.

Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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