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EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan NameEPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN
Plan identification number 002

EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name:EPISCOPAL HEALTH SERVICES, INC.
Employer identification number (EIN):111665825
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about EPISCOPAL HEALTH SERVICES, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1852-02-03
Company Identification Number: 147
Legal Registered Office Address: 377 OAK STREET SUITE 300
Nassau
GARDEN CITY
United States of America (USA)
11530

More information about EPISCOPAL HEALTH SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022016-01-01SHARIKA GORDON
0022015-01-01
0022015-01-01SHARIKA GORDON
0022014-01-01SHARIKA GORDON
0022014-01-01SHARIKA GORDON
0022013-01-01SHARIKA GORDON
0022012-01-01SHARIKA GORDON
0022011-01-01CHERIAN PALATHRA
0022010-01-01CHERIAN PALATHRA
0022009-01-01CHERIAN PALATHRA CHERIAN PALATHRA2010-10-28

Financial Data on EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN

Measure Date Value
2016 : EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$2,093,603
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,828,996
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,758,772
Expenses. Certain deemed distributions of participant loans2016-12-31$53,756
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$906,840
Value of total assets at end of year2016-12-31$25,814,794
Value of total assets at beginning of year2016-12-31$25,550,187
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$16,468
Total interest from all sources2016-12-31$454,169
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$50,679
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$50,679
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$0
Participant contributions at end of year2016-12-31$135,379
Participant contributions at beginning of year2016-12-31$200,982
Assets. Other investments not covered elsewhere at end of year2016-12-31$670,176
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$610,395
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$128,556
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Administrative expenses (other) incurred2016-12-31$1,788
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$264,607
Value of net assets at end of year (total assets less liabilities)2016-12-31$25,814,794
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$25,550,187
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$10,743,659
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$10,145,410
Value of interest in pooled separate accounts at end of year2016-12-31$485,494
Value of interest in pooled separate accounts at beginning of year2016-12-31$468,994
Interest on participant loans2016-12-31$3,906
Interest earned on other investments2016-12-31$450,263
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$13,604,434
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$13,994,142
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$681,915
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$778,284
Employer contributions (assets) at end of year2016-12-31$175,652
Employer contributions (assets) at beginning of year2016-12-31$130,264
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,758,772
Contract administrator fees2016-12-31$14,680
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN2016-12-31271728945
2015 : EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$733,915
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,474,887
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$3,791,027
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,784,562
Expenses. Certain deemed distributions of participant loans2015-12-31$36,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$831,934
Value of total assets at end of year2015-12-31$25,548,840
Value of total assets at beginning of year2015-12-31$27,131,065
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$6,465
Total interest from all sources2015-12-31$466,233
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$37,164
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$37,164
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Participant contributions at end of year2015-12-31$199,634
Participant contributions at beginning of year2015-12-31$480,284
Assets. Other investments not covered elsewhere at end of year2015-12-31$610,395
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$604,000
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$47,782
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$1,233
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-2,316,140
Value of net assets at end of year (total assets less liabilities)2015-12-31$25,548,840
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$27,131,065
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$3,539
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$9,423,091
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$9,959,725
Value of interest in pooled separate accounts at end of year2015-12-31$1,256,221
Value of interest in pooled separate accounts at beginning of year2015-12-31$1,242,236
Interest on participant loans2015-12-31$2,656
Interest earned on other investments2015-12-31$463,577
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$13,929,235
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$14,757,934
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$139,556
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$784,152
Employer contributions (assets) at end of year2015-12-31$130,264
Employer contributions (assets) at beginning of year2015-12-31$85,653
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,784,562
Contract administrator fees2015-12-31$2,926
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31O'CONNOR DAVIES, LLP
Accountancy firm EIN2015-12-31271728945
2014 : EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2014 401k financial data
Total transfer of assets from this plan2014-12-31$1,300
Total income from all sources (including contributions)2014-12-31$1,971,878
Total of all expenses incurred2014-12-31$2,063,445
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,040,704
Expenses. Certain deemed distributions of participant loans2014-12-31$18,917
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$751,711
Value of total assets at end of year2014-12-31$27,131,065
Value of total assets at beginning of year2014-12-31$27,223,932
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$3,824
Total interest from all sources2014-12-31$513,373
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$10,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$3,951
Participant contributions at end of year2014-12-31$155,770
Participant contributions at beginning of year2014-12-31$231,470
Assets. Other investments not covered elsewhere at end of year2014-12-31$604,000
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$550,242
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$1,233
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,166
Other income not declared elsewhere2014-12-31$43,164
Administrative expenses (other) incurred2014-12-31$3,824
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-91,567
Value of net assets at end of year (total assets less liabilities)2014-12-31$27,131,065
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$27,223,932
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$10,498,882
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$10,156,659
Value of interest in pooled separate accounts at end of year2014-12-31$474,988
Value of interest in pooled separate accounts at beginning of year2014-12-31$517,931
Interest on participant loans2014-12-31$2,833
Interest earned on other investments2014-12-31$510,540
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$15,310,539
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$15,366,975
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$649,656
Net investment gain/loss from pooled separate accounts2014-12-31$13,974
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$747,760
Employer contributions (assets) at end of year2014-12-31$85,653
Employer contributions (assets) at beginning of year2014-12-31$399,489
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,040,704
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31O'CONNOR DAVIES, LLP
Accountancy firm EIN2014-12-31271728945
2013 : EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2013 401k financial data
Total transfer of assets to this plan2013-12-31$34,304
Total income from all sources (including contributions)2013-12-31$3,386,452
Total of all expenses incurred2013-12-31$3,548,674
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$3,524,972
Expenses. Certain deemed distributions of participant loans2013-12-31$19,013
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$586,153
Value of total assets at end of year2013-12-31$26,824,443
Value of total assets at beginning of year2013-12-31$26,952,361
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$4,689
Total interest from all sources2013-12-31$537,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$10,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$534
Participant contributions at end of year2013-12-31$231,470
Participant contributions at beginning of year2013-12-31$230,384
Assets. Other investments not covered elsewhere at end of year2013-12-31$550,242
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$16,617
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,166
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$2,135
Other income not declared elsewhere2013-12-31$98,237
Administrative expenses (other) incurred2013-12-31$4,689
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-162,222
Value of net assets at end of year (total assets less liabilities)2013-12-31$26,824,443
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$26,952,361
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$10,156,659
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$9,502,695
Value of interest in pooled separate accounts at end of year2013-12-31$517,931
Value of interest in pooled separate accounts at beginning of year2013-12-31$579,214
Interest on participant loans2013-12-31$3,208
Interest earned on other investments2013-12-31$534,438
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$15,366,975
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$16,593,989
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$2,148,514
Net investment gain/loss from pooled separate accounts2013-12-31$15,902
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$569,002
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$43,944
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$3,524,972
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 name2013-12-31ERNST & YOUNG LLP
Accountancy firm EIN2013-12-31346565596
2012 : EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$2,421,393
Total of all expenses incurred2012-12-31$2,184,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,161,780
Expenses. Certain deemed distributions of participant loans2012-12-31$18,422
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$700,027
Value of total assets at end of year2012-12-31$26,952,361
Value of total assets at beginning of year2012-12-31$26,715,105
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$3,935
Total interest from all sources2012-12-31$571,521
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Participant contributions at end of year2012-12-31$230,384
Participant contributions at beginning of year2012-12-31$168,721
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$1,323
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$2,135
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$1,844
Other income not declared elsewhere2012-12-31$46,596
Administrative expenses (other) incurred2012-12-31$3,935
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$237,256
Value of net assets at end of year (total assets less liabilities)2012-12-31$26,952,361
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$26,715,105
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$9,502,695
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$8,807,755
Value of interest in pooled separate accounts at end of year2012-12-31$579,214
Value of interest in pooled separate accounts at beginning of year2012-12-31$630,140
Interest on participant loans2012-12-31$4,566
Interest earned on other investments2012-12-31$566,955
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$16,593,989
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$17,059,485
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,085,495
Net investment gain/loss from pooled separate accounts2012-12-31$17,754
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$698,704
Employer contributions (assets) at end of year2012-12-31$43,944
Employer contributions (assets) at beginning of year2012-12-31$47,160
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,161,780
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ERNST & YOUNG LLP
Accountancy firm EIN2012-12-31346565596
2011 : EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$1,258,829
Total of all expenses incurred2011-12-31$2,324,018
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,261,663
Expenses. Certain deemed distributions of participant loans2011-12-31$58,710
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$755,796
Value of total assets at end of year2011-12-31$26,715,105
Value of total assets at beginning of year2011-12-31$27,780,294
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,645
Total interest from all sources2011-12-31$596,723
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Participant contributions at end of year2011-12-31$168,721
Participant contributions at beginning of year2011-12-31$187,257
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$402,328
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$17,348
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$1,844
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$2,644
Administrative expenses (other) incurred2011-12-31$1,281
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,065,189
Value of net assets at end of year (total assets less liabilities)2011-12-31$26,715,105
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$27,780,294
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$8,807,755
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$8,645,388
Value of interest in pooled separate accounts at end of year2011-12-31$630,140
Value of interest in pooled separate accounts at beginning of year2011-12-31$740,803
Interest on participant loans2011-12-31$6,609
Interest earned on other investments2011-12-31$590,114
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$17,059,485
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$17,702,131
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-114,951
Net investment gain/loss from pooled separate accounts2011-12-31$21,261
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$738,448
Employer contributions (assets) at end of year2011-12-31$47,160
Employer contributions (assets) at beginning of year2011-12-31$99,743
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,261,663
Contract administrator fees2011-12-31$2,364
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31ERNST & YOUNG
Accountancy firm EIN2011-12-31346565596
2010 : EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$2,533,444
Total of all expenses incurred2010-12-31$2,062,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,000,980
Expenses. Certain deemed distributions of participant loans2010-12-31$56,243
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$747,504
Value of total assets at end of year2010-12-31$27,780,294
Value of total assets at beginning of year2010-12-31$27,309,660
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$5,587
Total interest from all sources2010-12-31$633,736
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$10,614
Participant contributions at end of year2010-12-31$187,257
Participant contributions at beginning of year2010-12-31$246,920
Assets. Other investments not covered elsewhere at end of year2010-12-31$402,328
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$343,239
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$2,644
Other income not declared elsewhere2010-12-31$49,453
Administrative expenses (other) incurred2010-12-31$5,587
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$470,634
Value of net assets at end of year (total assets less liabilities)2010-12-31$27,780,294
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$27,309,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$8,645,388
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$7,664,963
Value of interest in pooled separate accounts at end of year2010-12-31$740,803
Value of interest in pooled separate accounts at beginning of year2010-12-31$748,521
Interest on participant loans2010-12-31$16,143
Interest earned on other investments2010-12-31$617,593
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$17,702,131
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$18,257,473
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,080,413
Net investment gain/loss from pooled separate accounts2010-12-31$22,338
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$736,890
Employer contributions (assets) at end of year2010-12-31$99,743
Employer contributions (assets) at beginning of year2010-12-31$48,544
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,000,980
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31ERNST & YOUNG
Accountancy firm EIN2010-12-31346565596
2009 : EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN

2016: EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: EPISCOPAL HEALTH SERVICES, INC. EMPLOYER PAID TAX DEFERRED ANNUITY 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1061066
Policy instance 1
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number891438+006
Policy instance 2
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number768354
Policy instance 3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberL1010101CTBOEHS
Policy instance 4
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550210
Policy instance 5
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract numberL7850210
Policy instance 6
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550210
Policy instance 5
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberLI010101CTBOEHS
Policy instance 4
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number768354
Policy instance 3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number891438+006
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1061066
Policy instance 1
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract numberL7850210
Policy instance 6
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract numberL7850210
Policy instance 6
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550210
Policy instance 5
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number768354
Policy instance 3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number891438+006
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1061066
Policy instance 1
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberLI010101CTBOEHS
Policy instance 4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1061066
Policy instance 1
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract numberL7850210
Policy instance 6
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550210
Policy instance 5
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberLI010101CTBOEHS
Policy instance 4
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number768354
Policy instance 3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number891438+006
Policy instance 2
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number891438+006
Policy instance 2
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number768354
Policy instance 3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberLI010101CTBOEHS
Policy instance 4
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550210
Policy instance 5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1061066
Policy instance 1
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract numberL7850210
Policy instance 6
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7850210
Policy instance 6
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550210
Policy instance 5
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number768354
Policy instance 3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number891438+006
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1061066
Policy instance 1
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberLI010101CTBOEHS
Policy instance 4

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