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PROVIDER SERVICES, INC. 125 BENEFIT PLAN 401k Plan overview

Plan NamePROVIDER SERVICES, INC. 125 BENEFIT PLAN
Plan identification number 501

PROVIDER SERVICES, INC. 125 BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

PROVIDER SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:PROVIDER SERVICES, INC.
Employer identification number (EIN):341873326
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROVIDER SERVICES, INC. 125 BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012013-01-01
5012012-01-01JOHN KRYSTOWSKI
5012011-01-01JOHN KRYSTOWSKI
5012009-01-01JOHN KRYSTOWSKI
5012009-01-01JOHN KRYSTOWSKI JOHN KRYSTOWSKI2010-07-30

Plan Statistics for PROVIDER SERVICES, INC. 125 BENEFIT PLAN

401k plan membership statisitcs for PROVIDER SERVICES, INC. 125 BENEFIT PLAN

Measure Date Value
2013: PROVIDER SERVICES, INC. 125 BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013,147
Total number of active participants reported on line 7a of the Form 55002013-01-012,816
Total of all active and inactive participants2013-01-012,816
2012: PROVIDER SERVICES, INC. 125 BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0111,781
Total number of active participants reported on line 7a of the Form 55002012-01-014,237
Total of all active and inactive participants2012-01-014,237
2011: PROVIDER SERVICES, INC. 125 BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-015,793
Total number of active participants reported on line 7a of the Form 55002011-01-0111,781
Total of all active and inactive participants2011-01-0111,781
2009: PROVIDER SERVICES, INC. 125 BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01368
Total number of active participants reported on line 7a of the Form 55002009-01-01319
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01319

Financial Data on PROVIDER SERVICES, INC. 125 BENEFIT PLAN

Measure Date Value
2013 : PROVIDER SERVICES, INC. 125 BENEFIT PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$19,488,726
Total of all expenses incurred2013-12-31$28,885,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$28,874,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$19,305,070
Value of total assets at end of year2013-12-31$4,010,615
Value of total assets at beginning of year2013-12-31$13,407,187
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$11,027
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$7,430
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$3,111,418
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$8,175
Total non interest bearing cash at end of year2013-12-31$72
Total non interest bearing cash at beginning of year2013-12-31$4,193
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-9,396,572
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,010,615
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$13,407,187
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$3,047
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$503,628
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$4,010,543
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$9,779,773
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$9,779,773
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$176,226
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$19,305,070
Income. Dividends from common stock2013-12-31$7,430
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$28,874,271
Contract administrator fees2013-12-31$7,980
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31CORRIGAN KRAUSE
Accountancy firm EIN2013-12-31371574855

Form 5500 Responses for PROVIDER SERVICES, INC. 125 BENEFIT PLAN

2013: PROVIDER SERVICES, INC. 125 BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: PROVIDER SERVICES, INC. 125 BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: PROVIDER SERVICES, INC. 125 BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: PROVIDER SERVICES, INC. 125 BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

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