401k Plan data: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN plan

STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN
Plan identification number	002

STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

STATEN ISLAND UNIVERSITY HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: STATEN ISLAND UNIVERSITY HOSPITAL

Employer identification number (EIN): 112868878

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about STATEN ISLAND UNIVERSITY HOSPITAL

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1987-06-16

Company Identification Number: 1179657

Legal Registered Office Address: ATTN ADMINISTRATION
475 SEAVIEW AVENUE
STATEN ISLAND
United States of America (USA)
10305

More information about STATEN ISLAND UNIVERSITY HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 MARY BETH SPRINGSTEAD
002 2012-01-01 DONNA DEKOWSKI
002 2011-01-01 DONNA DEKOWSKI
002 2009-01-01 ANDREW ESPOSITO ANDREW ESPOSITO 2010-10-15
002 2009-01-01 DONNA DEKOWSKI

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	MARY BETH SPRINGSTEAD
002	2012-01-01	DONNA DEKOWSKI
002	2011-01-01	DONNA DEKOWSKI
002	2009-01-01	ANDREW ESPOSITO	ANDREW ESPOSITO	2010-10-15
002	2009-01-01	DONNA DEKOWSKI

Plan Statistics for STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN

Measure Date Value
2013: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 8,318
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7,596
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 6,742
Number of retired or separated participants receiving benefits 2012-01-01 231
Number of other retired or separated participants entitled to future benefits 2012-01-01 1,314
Total of all active and inactive participants 2012-01-01 8,287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 31
Total participants 2012-01-01 8,318
Number of participants with account balances 2012-01-01 5,067
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7,316
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 6,099
Number of retired or separated participants receiving benefits 2011-01-01 67
Number of other retired or separated participants entitled to future benefits 2011-01-01 1,393
Total of all active and inactive participants 2011-01-01 7,559
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 37
Total participants 2011-01-01 7,596
Number of participants with account balances 2011-01-01 4,794
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5,049
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4,492
Number of retired or separated participants receiving benefits 2009-01-01 16
Number of other retired or separated participants entitled to future benefits 2009-01-01 589
Total of all active and inactive participants 2009-01-01 5,097
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 25
Total participants 2009-01-01 5,122
Number of participants with account balances 2009-01-01 4,151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	8,318
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7,596
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	6,742
Number of retired or separated participants receiving benefits	2012-01-01	231
Number of other retired or separated participants entitled to future benefits	2012-01-01	1,314
Total of all active and inactive participants	2012-01-01	8,287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	31
Total participants	2012-01-01	8,318
Number of participants with account balances	2012-01-01	5,067
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7,316
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	6,099
Number of retired or separated participants receiving benefits	2011-01-01	67
Number of other retired or separated participants entitled to future benefits	2011-01-01	1,393
Total of all active and inactive participants	2011-01-01	7,559
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	37
Total participants	2011-01-01	7,596
Number of participants with account balances	2011-01-01	4,794
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5,049
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4,492
Number of retired or separated participants receiving benefits	2009-01-01	16
Number of other retired or separated participants entitled to future benefits	2009-01-01	589
Total of all active and inactive participants	2009-01-01	5,097
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	25
Total participants	2009-01-01	5,122
Number of participants with account balances	2009-01-01	4,151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN

Measure	Date	Value
2013 : STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2013 401k financial data
Total transfer of assets from this plan	2013-12-31	$388,364,087
Total income from all sources (including contributions)	2013-12-31	$75,876,367
Total of all expenses incurred	2013-12-31	$13,100,916
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$12,731,608
Expenses. Certain deemed distributions of participant loans	2013-12-31	$48,818
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$29,697,601
Value of total assets at end of year	2013-12-31	$0
Value of total assets at beginning of year	2013-12-31	$325,588,636
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$320,490
Total interest from all sources	2013-12-31	$595,909
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$4,945,794
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$4,945,794
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$25,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$19,878,125
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$5,440,285
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$641,908
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$1,659,520
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$1,198,502
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$7,299
Administrative expenses (other) incurred	2013-12-31	$320,490
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$170,463
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$62,775,451
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$325,588,636
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$220,464,896
Value of interest in pooled separate accounts at end of year	2013-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$85,541,046
Interest on participant loans	2013-12-31	$245,165
Interest earned on other investments	2013-12-31	$350,744
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$11,381,513
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$40,610,164
Net investment gain/loss from pooled separate accounts	2013-12-31	$26,899
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$8,620,974
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$281,706
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$12,731,608
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	WITHUM, SMITH, & BROWN, PC
Accountancy firm EIN	2013-12-31	222027092
2012 : STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$57,323,535
Total of all expenses incurred	2012-12-31	$9,623,601
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$9,411,392
Expenses. Certain deemed distributions of participant loans	2012-12-31	$84,641
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$27,574,219
Value of total assets at end of year	2012-12-31	$325,588,636
Value of total assets at beginning of year	2012-12-31	$277,888,702
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$127,568
Total interest from all sources	2012-12-31	$594,495
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$5,127,517
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$5,127,517
Administrative expenses professional fees incurred	2012-12-31	$16,604
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$25,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$18,625,845
Participant contributions at end of year	2012-12-31	$5,440,285
Participant contributions at beginning of year	2012-12-31	$5,431,552
Participant contributions at end of year	2012-12-31	$641,908
Participant contributions at beginning of year	2012-12-31	$569,328
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$1,659,520
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$1,501,624
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$764,976
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$7,299
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$10,234
Other income not declared elsewhere	2012-12-31	$144,788
Administrative expenses (other) incurred	2012-12-31	$110,964
Total non interest bearing cash at end of year	2012-12-31	$170,463
Total non interest bearing cash at beginning of year	2012-12-31	$61,165
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$47,699,934
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$325,588,636
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$277,888,702
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$220,464,896
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$179,802,696
Value of interest in pooled separate accounts at end of year	2012-12-31	$85,541,046
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$78,787,736
Interest on participant loans	2012-12-31	$233,446
Interest earned on other investments	2012-12-31	$361,049
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$11,381,513
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$11,465,048
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$19,765,209
Net investment gain/loss from pooled separate accounts	2012-12-31	$4,117,307
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$8,183,398
Employer contributions (assets) at end of year	2012-12-31	$281,706
Employer contributions (assets) at beginning of year	2012-12-31	$259,319
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$9,411,392
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	WITHUM, SMITH, & BROWN, PC
Accountancy firm EIN	2012-12-31	222027092
2011 : STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$28,582,338
Total of all expenses incurred	2011-12-31	$15,069,052
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$15,002,134
Expenses. Certain deemed distributions of participant loans	2011-12-31	$19,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$27,098,670
Value of total assets at end of year	2011-12-31	$277,888,702
Value of total assets at beginning of year	2011-12-31	$264,375,416
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$47,373
Total interest from all sources	2011-12-31	$593,246
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$3,481,434
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$3,481,434
Administrative expenses professional fees incurred	2011-12-31	$15,898
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$25,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$17,240,043
Participant contributions at end of year	2011-12-31	$5,431,552
Participant contributions at beginning of year	2011-12-31	$4,395,284
Participant contributions at end of year	2011-12-31	$569,328
Participant contributions at beginning of year	2011-12-31	$561,122
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$1,501,624
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$1,365,175
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$2,098,673
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$10,234
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$9,531
Other income not declared elsewhere	2011-12-31	$-10,833
Administrative expenses (other) incurred	2011-12-31	$31,475
Total non interest bearing cash at end of year	2011-12-31	$61,165
Total non interest bearing cash at beginning of year	2011-12-31	$45,477
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$13,513,286
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$277,888,702
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$264,375,416
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$179,802,696
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$172,158,599
Value of interest in pooled separate accounts at end of year	2011-12-31	$78,787,736
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$74,104,253
Interest on participant loans	2011-12-31	$235,084
Interest earned on other investments	2011-12-31	$358,162
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$11,465,048
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$11,421,246
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-5,492,849
Net investment gain/loss from pooled separate accounts	2011-12-31	$2,912,670
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$7,759,954
Employer contributions (assets) at end of year	2011-12-31	$259,319
Employer contributions (assets) at beginning of year	2011-12-31	$314,729
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$15,002,134
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	WITHUM, SMITH, & BROWN, PC
Accountancy firm EIN	2011-12-31	222027092
2010 : STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$48,223,584
Total of all expenses incurred	2010-12-31	$9,768,151
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$9,673,528
Expenses. Certain deemed distributions of participant loans	2010-12-31	$35,551
Value of total corrective distributions	2010-12-31	$148
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$25,341,095
Value of total assets at end of year	2010-12-31	$264,375,416
Value of total assets at beginning of year	2010-12-31	$225,919,983
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$58,924
Total interest from all sources	2010-12-31	$592,635
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$3,399,106
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$3,399,106
Administrative expenses professional fees incurred	2010-12-31	$9,643
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$15,912,384
Participant contributions at end of year	2010-12-31	$4,395,284
Participant contributions at beginning of year	2010-12-31	$3,509,360
Participant contributions at end of year	2010-12-31	$561,122
Participant contributions at beginning of year	2010-12-31	$519,809
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$1,365,175
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$1,565,198
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$2,068,898
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$9,531
Other income not declared elsewhere	2010-12-31	$133,820
Administrative expenses (other) incurred	2010-12-31	$49,281
Total non interest bearing cash at end of year	2010-12-31	$45,477
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$38,455,433
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$264,375,416
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$225,919,983
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$172,158,599
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$143,157,393
Value of interest in pooled separate accounts at end of year	2010-12-31	$74,104,253
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$66,476,474
Interest on participant loans	2010-12-31	$231,170
Interest earned on other investments	2010-12-31	$361,465
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$11,421,246
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$10,467,955
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$15,930,892
Net investment gain/loss from pooled separate accounts	2010-12-31	$2,826,036
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$7,359,813
Employer contributions (assets) at end of year	2010-12-31	$314,729
Employer contributions (assets) at beginning of year	2010-12-31	$223,794
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$9,673,528
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	WITHUM, SMITH, & BROWN, PC
Accountancy firm EIN	2010-12-31	222027092
2009 : STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN

2013: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	STATEN ISLAND UNIVERSITY HOSPITAL
Employer identification number (EIN):	112868878
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1987-06-16
Company Identification Number:	1179657
Legal Registered Office Address:	ATTN ADMINISTRATION 475 SEAVIEW AVENUE STATEN ISLAND United States of America (USA) 10305