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THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN 401k Plan overview

Plan NameTHE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN
Plan identification number 002

THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • 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.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

THE NEW YORK GRACIE SQUARE HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:THE NEW YORK GRACIE SQUARE HOSPITAL, INC.
Employer identification number (EIN):133746997
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01
0022022-01-01
0022021-07-15
0022021-07-15

Plan Statistics for THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN

401k plan membership statisitcs for THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN

Measure Date Value
2023: THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01438
Total number of active participants reported on line 7a of the Form 55002023-01-01413
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-01129
Total of all active and inactive participants2023-01-01542
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01542
Number of participants with account balances2023-01-01542
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01364
Total number of active participants reported on line 7a of the Form 55002022-01-01369
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0169
Total of all active and inactive participants2022-01-01438
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01438
Number of participants with account balances2022-01-01438
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-15378
Total number of active participants reported on line 7a of the Form 55002021-07-15336
Number of retired or separated participants receiving benefits2021-07-150
Number of other retired or separated participants entitled to future benefits2021-07-1528
Total of all active and inactive participants2021-07-15364
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-150
Total participants2021-07-15364
Number of participants with account balances2021-07-15364
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-150

Financial Data on THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN

Measure Date Value
2023 : THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Expenses. Interest paid2023-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022023-12-31$0
Total income from all sources (including contributions)2023-12-31$2,932,561
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$209,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$160,960
Expenses. Certain deemed distributions of participant loans2023-12-31$26,360
Value of total corrective distributions2023-12-31$7,696
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$2,221,909
Value of total assets at end of year2023-12-31$5,525,585
Value of total assets at beginning of year2023-12-31$2,802,818
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$14,778
Total interest from all sources2023-12-31$6,969
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$120,273
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$120,273
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$25,000,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$2,029,150
Participant contributions at end of year2023-12-31$93,358
Participant contributions at beginning of year2023-12-31$70,165
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$188,465
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2023-12-31$0
Other income not declared elsewhere2023-12-31$-36
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$2,722,767
Value of net assets at end of year (total assets less liabilities)2023-12-31$5,525,585
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$2,802,818
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$5,237,815
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$2,567,715
Interest on participant loans2023-12-31$3,409
Interest earned on other investments2023-12-31$3,560
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$194,412
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$145,550
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$583,446
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$4,294
Employer contributions (assets) at end of year2023-12-31$0
Employer contributions (assets) at beginning of year2023-12-31$19,388
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$160,960
Contract administrator fees2023-12-31$100
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31ERNST & YOUNG LLP
Accountancy firm EIN2023-12-31346565596
2022 : THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$1,583,805
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$176,041
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$162,870
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,914,970
Value of total assets at end of year2022-12-31$2,802,818
Value of total assets at beginning of year2022-12-31$1,395,054
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$13,171
Total interest from all sources2022-12-31$1,800
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$49,357
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$49,357
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,751,392
Participant contributions at end of year2022-12-31$70,165
Participant contributions at beginning of year2022-12-31$28,646
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$151,413
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$1,407,764
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,802,818
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,395,054
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$2,567,715
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,311,603
Interest on participant loans2022-12-31$1,800
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$145,550
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$47,582
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-382,322
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$12,165
Employer contributions (assets) at end of year2022-12-31$19,388
Employer contributions (assets) at beginning of year2022-12-31$7,223
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$162,870
Contract administrator fees2022-12-31$13,171
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ERNST & YOUNG LLP
Accountancy firm EIN2022-12-31346565596
2021 : THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,396,929
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$9,098
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$8,158
Value of total corrective distributions2021-12-31$369
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,371,554
Value of total assets at end of year2021-12-31$1,387,831
Value of total assets at beginning of year2021-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$571
Total interest from all sources2021-12-31$494
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$17,083
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$17,083
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$775,257
Participant contributions at end of year2021-12-31$28,646
Participant contributions at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$596,297
Other income not declared elsewhere2021-12-31$-1,566
Administrative expenses (other) incurred2021-12-31$571
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,387,831
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,387,831
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,311,603
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$0
Interest on participant loans2021-12-31$314
Interest earned on other investments2021-12-31$180
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$47,582
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$9,364
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$7,223
Employer contributions (assets) at end of year2021-12-31$7,223
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$8,158
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ERNST & YOUNG LLP
Accountancy firm EIN2021-12-31346565596

Form 5500 Responses for THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN

2023: THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: THE NEW YORK GRACIE SQUARE HOSPITAL 403(B) PLAN 2021 form 5500 responses
2021-07-15Type of plan entitySingle employer plan
2021-07-15First time form 5500 has been submittedYes
2021-07-15Submission has been amendedNo
2021-07-15This submission is the final filingNo
2021-07-15This return/report is a short plan year return/report (less than 12 months)Yes
2021-07-15Plan is a collectively bargained planNo
2021-07-15Plan funding arrangement – InsuranceYes
2021-07-15Plan funding arrangement – TrustYes
2021-07-15Plan benefit arrangement – InsuranceYes
2021-07-15Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number556846-01
Policy instance 1
Insurance contract or identification number556846-01
Number of Individuals Covered28
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number075722
Policy instance 1
Insurance contract or identification number075722
Number of Individuals Covered438
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number075722
Policy instance 1
Insurance contract or identification number075722
Number of Individuals Covered364
Insurance policy start date2021-07-15
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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