401k Plan data: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN plan

THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 401k Plan overview

Plan Name	THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN
Plan identification number	008

THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	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.

401k Sponsoring company profile

MOUNT SINAI HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name: MOUNT SINAI HEALTH SYSTEM

Employer identification number (EIN): 131624096

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about MOUNT SINAI HEALTH SYSTEM

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1852-01-16

Company Identification Number: 10128

Legal Registered Office Address: ATTN GENERAL COUNSEL
ONE GUSTAVE L LEVY PLACE
NEW YORK
United States of America (USA)
10029

More information about MOUNT SINAI HEALTH SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
008 2012-01-01 PAUL KELLER
008 2011-01-01 PAUL KELLER
008 2010-01-01 PAUL KELLER
008 2009-01-01 PAUL KELLER
008 2009-01-01 PAUL KELLER

Plan id#	Filing Submission Date	Name of Administrator
008	2012-01-01	PAUL KELLER
008	2011-01-01	PAUL KELLER
008	2010-01-01	PAUL KELLER
008	2009-01-01	PAUL KELLER
008	2009-01-01	PAUL KELLER

Plan Statistics for THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN

401k plan membership statisitcs for THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN

Measure Date Value
2012: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4,678
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Total participants 2012-01-01 0
2011: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 6,605
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4,035
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 642
Total of all active and inactive participants 2011-01-01 4,678
Total participants 2011-01-01 4,678
2010: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 8,736
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 5,153
Number of retired or separated participants receiving benefits 2010-01-01 9
Number of other retired or separated participants entitled to future benefits 2010-01-01 1,388
Total of all active and inactive participants 2010-01-01 6,550
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 55
Total participants 2010-01-01 6,605
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 7,957
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7,913
Number of retired or separated participants receiving benefits 2009-01-01 664
Number of other retired or separated participants entitled to future benefits 2009-01-01 129
Total of all active and inactive participants 2009-01-01 8,706
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 30
Total participants 2009-01-01 8,736
Number of participants with account balances 2009-01-01 8,736
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2012: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4,678
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
2011: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	6,605
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4,035
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	642
Total of all active and inactive participants	2011-01-01	4,678
Total participants	2011-01-01	4,678
2010: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	8,736
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	5,153
Number of retired or separated participants receiving benefits	2010-01-01	9
Number of other retired or separated participants entitled to future benefits	2010-01-01	1,388
Total of all active and inactive participants	2010-01-01	6,550
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	55
Total participants	2010-01-01	6,605
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7,957
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7,913
Number of retired or separated participants receiving benefits	2009-01-01	664
Number of other retired or separated participants entitled to future benefits	2009-01-01	129
Total of all active and inactive participants	2009-01-01	8,706
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	30
Total participants	2009-01-01	8,736
Number of participants with account balances	2009-01-01	8,736
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN

Measure	Date	Value
2012 : THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$15,535,290
Total transfer of assets from this plan	2012-12-31	$117,767,630
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$35,462,360
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$19,722,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$19,722,831
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$23,656,350
Value of total assets at end of year	2012-12-31	$119,554,401
Value of total assets at beginning of year	2012-12-31	$88,279,583
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$2,112,612
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	No
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	$23,656,350
Participant contributions at beginning of year	2012-12-31	$657,210
Participant contributions at end of year	2012-12-31	$1,488,126
Participant contributions at beginning of year	2012-12-31	$991,069
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$-6,461
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$-3,391
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	$15,739,529
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$119,554,401
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$88,279,583
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	$90,287,213
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$62,719,746
Value of interest in pooled separate accounts at end of year	2012-12-31	$1,112,319
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$890,098
Interest earned on other investments	2012-12-31	$2,112,612
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$5,940,756
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$5,940,756
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$26,673,204
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$17,084,095
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$9,693,398
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$19,722,831
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	ERNST & YOUNG
Accountancy firm EIN	2012-12-31	346565596
2011 : THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2011 401k financial data
Total transfer of assets from this plan	2011-12-31	$2,709,583
Total income from all sources (including contributions)	2011-12-31	$20,806,980
Total of all expenses incurred	2011-12-31	$2,544,926
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,544,926
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$21,964,373
Value of total assets at end of year	2011-12-31	$88,279,583
Value of total assets at beginning of year	2011-12-31	$72,727,112
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,262
Total interest from all sources	2011-12-31	$1,230,365
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$307,591
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	$307,591
Administrative expenses professional fees incurred	2011-12-31	$1,262
Was this plan covered by a fidelity bond	2011-12-31	No
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	$21,964,373
Participant contributions at end of year	2011-12-31	$657,210
Participant contributions at beginning of year	2011-12-31	$589,421
Participant contributions at end of year	2011-12-31	$991,069
Participant contributions at beginning of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$-3,391
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$-30,801
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	$18,262,054
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$88,279,583
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$72,727,112
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	$62,719,746
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$51,133,039
Value of interest in pooled separate accounts at end of year	2011-12-31	$890,098
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$3,455,756
Interest earned on other investments	2011-12-31	$1,230,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$5,940,756
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$5,232,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$5,232,604
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$17,080,704
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$12,347,093
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-2,695,349
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	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,544,926
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	ERNST & YOUNG
Accountancy firm EIN	2011-12-31	346565596
2010 : THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2010 401k financial data
Total transfer of assets from this plan	2010-12-31	$18,661,331
Total income from all sources (including contributions)	2010-12-31	$28,013,019
Total of all expenses incurred	2010-12-31	$4,224,142
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$4,224,142
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$20,577,098
Value of total assets at end of year	2010-12-31	$67,706,633
Value of total assets at beginning of year	2010-12-31	$83,675,423
Total interest from all sources	2010-12-31	$774,296
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$467,924
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	$467,924
Was this plan covered by a fidelity bond	2010-12-31	No
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	$20,577,098
Participant contributions at end of year	2010-12-31	$876,809
Participant contributions at beginning of year	2010-12-31	$839,253
Participant contributions at end of year	2010-12-31	$9,494
Participant contributions at beginning of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$-88,008
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$-44,069
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	$23,788,877
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$67,706,633
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$83,675,423
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	$47,695,833
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$61,054,769
Value of interest in pooled separate accounts at end of year	2010-12-31	$3,455,756
Interest earned on other investments	2010-12-31	$774,296
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$5,328,776
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$5,777,159
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$5,777,159
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$13,883,729
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$16,048,311
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$6,193,701
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	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$4,224,142
Did the plan have assets held for investment	2010-12-31	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	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	ERNST & YOUNG
Accountancy firm EIN	2010-12-31	346565596

Form 5500 Responses for THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN

2012: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: THE MOUNT SINAI MEDICAL CENTER SALARY REDUCTION CONTRIBUTION 403(B) 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 benefit arrangement – Insurance	Yes

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Company Name:	MOUNT SINAI HEALTH SYSTEM
Employer identification number (EIN):	131624096
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1852-01-16
Company Identification Number:	10128
Legal Registered Office Address:	ATTN GENERAL COUNSEL ONE GUSTAVE L LEVY PLACE NEW YORK United States of America (USA) 10029