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RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL 401k Plan overview

Plan NameRETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL
Plan identification number 001

RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

JOHNSON MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:JOHNSON MEMORIAL HOSPITAL
Employer identification number (EIN):060646696
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about JOHNSON MEMORIAL HOSPITAL

Jurisdiction of Incorporation: Indiana Secretary of State
Incorporation Date:
Company Identification Number: 012021500155

More information about JOHNSON MEMORIAL HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012009-12-01DIANA ROSE
0012008-12-01

Plan Statistics for RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL

401k plan membership statisitcs for RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL

Measure Date Value
2009: RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year2009-12-01818
Total number of active participants reported on line 7a of the Form 55002009-12-01272
Number of retired or separated participants receiving benefits2009-12-01189
Number of other retired or separated participants entitled to future benefits2009-12-01360
Total of all active and inactive participants2009-12-01821
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-12-0110
Total participants2009-12-01831
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-12-010

Financial Data on RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL

Measure Date Value
2011 : RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-09-01$608,878
Total unrealized appreciation/depreciation of assets2011-09-01$608,878
Total transfer of assets from this plan2011-09-01$21,899,388
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-01$0
Total income from all sources (including contributions)2011-09-01$1,178,599
Total loss/gain on sale of assets2011-09-01$0
Total of all expenses incurred2011-09-01$1,341,136
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-01$1,165,661
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-01$0
Value of total assets at end of year2011-09-01$0
Value of total assets at beginning of year2011-09-01$22,061,925
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-01$175,475
Total interest from all sources2011-09-01$0
Total dividends received (eg from common stock, registered investment company shares)2011-09-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-01Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2011-09-01$0
Administrative expenses professional fees incurred2011-09-01$35,995
Was this plan covered by a fidelity bond2011-09-01Yes
Value of fidelity bond cover2011-09-01$1,000,000
Were there any nonexempt tranactions with any party-in-interest2011-09-01No
Contributions received from participants2011-09-01$0
Income. Received or receivable in cash from other sources (including rollovers)2011-09-01$0
Other income not declared elsewhere2011-09-01$67,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-01No
Value of net income/loss2011-09-01$-162,537
Value of net assets at end of year (total assets less liabilities)2011-09-01$0
Value of net assets at beginning of year (total assets less liabilities)2011-09-01$22,061,925
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-01No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-01No
Were any leases to which the plan was party in default or uncollectible2011-09-01No
Assets. partnership/joint venture interests at end of year2011-09-01$0
Assets. partnership/joint venture interests at beginning of year2011-09-01$4,951,807
Investment advisory and management fees2011-09-01$139,480
Value of interest in pooled separate accounts at end of year2011-09-01$0
Value of interest in pooled separate accounts at beginning of year2011-09-01$230,289
Value of interest in common/collective trusts at end of year2011-09-01$0
Value of interest in common/collective trusts at beginning of year2011-09-01$15,320,426
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-09-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-09-01$1,559,403
Net investment gain/loss from pooled separate accounts2011-09-01$376
Net investment gain or loss from common/collective trusts2011-09-01$502,311
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-01No
Was there a failure to transmit to the plan any participant contributions2011-09-01No
Has the plan failed to provide any benefit when due under the plan2011-09-01No
Contributions received in cash from employer2011-09-01$0
Employer contributions (assets) at end of year2011-09-01$0
Employer contributions (assets) at beginning of year2011-09-01$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-01$1,165,661
Did the plan have assets held for investment2011-09-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-01Yes
2010 : RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-11-30$0

Form 5500 Responses for RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL

2009: RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planYes
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan funding arrangement – TrustYes
2009-12-01Plan benefit arrangement – InsuranceYes
2009-12-01Plan benefit arrangement - TrustYes
2008: RETIREMENT PLAN FOR EMPLOYEES OF JOHNSON MEMORIAL HOSPITAL 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

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