ST. MARY'S HOSPITAL HEALTH INSURANCE, PRESCRIPTION, VISION AND LIFE PLAN 401k Plan overview

ST. MARY'S HOSPITAL HEALTH INSURANCE, PRESCRIPTION, VISION AND LIFE PLAN Benefits

401k Sponsoring company profile

Company Name:	ST. MARY'S HOSPITAL
Employer identification number (EIN):	221494446
NAIC Classification:	622000
NAIC Description:	Hospitals

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
507	2015-01-01	MICHAEL HEATHER
507	2014-01-01	DENNISE CAMACHO		DENNISE CAMACHO	2015-07-29
507	2013-01-01	KATHERINE PRINCE
507	2012-01-01	KATHERINE PRINCE
507	2011-01-01	CATHLEEN LYNCH-KILIC
507	2009-04-01	CATHLEEN LYNCH-KILIC

Plan Statistics for ST. MARY'S HOSPITAL HEALTH INSURANCE, PRESCRIPTION, VISION AND LIFE PLAN

Measure	Date	Value
2015: ST. MARY'S HOSPITAL HEALTH INSURANCE, PRESCRIPTION, VISION AND LIFE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	841
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
2014: ST. MARY'S HOSPITAL HEALTH INSURANCE, PRESCRIPTION, VISION AND LIFE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	905
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	824
Number of retired or separated participants receiving benefits	2014-01-01	17
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	841
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	841
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ST. MARY'S HOSPITAL HEALTH INSURANCE, PRESCRIPTION, VISION AND LIFE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	703
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	724
Total of all active and inactive participants	2013-01-01	724
Total participants	2013-01-01	724
2012: ST. MARY'S HOSPITAL HEALTH INSURANCE, PRESCRIPTION, VISION AND LIFE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	833
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,669
Total of all active and inactive participants	2012-01-01	1,669
Total participants	2012-01-01	1,669
2011: ST. MARY'S HOSPITAL HEALTH INSURANCE, PRESCRIPTION, VISION AND LIFE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	833
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	833
Total of all active and inactive participants	2011-01-01	833
Total participants	2011-01-01	833
2009: ST. MARY'S HOSPITAL HEALTH INSURANCE, PRESCRIPTION, VISION AND LIFE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	964
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	931
Number of retired or separated participants receiving benefits	2009-04-01	36
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	967

Form 5500 Responses for ST. MARY'S HOSPITAL HEALTH INSURANCE, PRESCRIPTION, VISION AND LIFE PLAN

Insurance Providers Used on plan

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• ST. MARY'S CREDIT UNION LIFE AND DISABILITY PLAN [EIN = 041802000]
• ST. MARY'S CREDIT UNION 401(K) RETIREMENT PLAN [EIN = 041802000]
• ST. MARY'S HIGH SCHOOL RETIREMENT PLAN [EIN = 841060677]
• ST. MARY'S PRESS EMPLOYEES' SAVINGS PLAN [EIN = 411703838]
• ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, INC. 403(B) RETIREMENT PLAN [EIN = 113574493]
• ST. MARY'S HOSPITAL EMPLOYEE AND DEPENDENT'S DENTAL PLAN [EIN = 550357050]
• ST. MARY'S CENTER 401(K) PLAN [EIN = 680172229]
• ST. MARY'S BANK 401(K) PLAN [EIN = 020187390]
• ST. MARY'S EYE & SURGERY CENTER 401K PLAN [EIN = 562387294]
• ST. MARY'S EPISCOPAL SCHOOL DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 620604637]
• ST. MARY'S UNIVERSITY DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 741143128]
• ST. MARY'S HOME 403(B) PLAN [EIN = 930391626]
• ST. MARY'S SCHOOL 403(B) PLAN [EIN = 930514209]
• ST. MARY'S MEDICAL CENTER HEALTH AND WELFARE BENEFIT PLAN [EIN = 550357050]
• ST. MARY'S EMERGENCY PHYSICIANS, LLC 401(K) PROFIT SHARING PLAN [EIN = 270636398]
• ST. MARY'S ARMENIAN CHURCH & SCHOOL 401(K) PLAN [EIN = 953073268]
• ST. MARY'S BOX CO., INC. 401(K) PROFIT SHARING PLAN [EIN = 251094053]
• ST. MARY'S TOOL AND DIE 401(K) SAVINGS PLAN [EIN = 043586611]
• ST. MARY'S DENTAL 401(K) PROFIT SHARING PLAN & TRUST [EIN = 521919813]
• ST. MARY'S MEDICAL CLINICS 401(K) PLAN [EIN = 204550594]
• ST. MARY'S ANESTHESIA ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN [EIN = 010479601]
• ST. MARY'S INTERFAITH COMMUNITY SERVICES 401K PLAN [EIN = 942687280]
• ST. MARY'S WOMEN AND CHILDREN'S CENTER 403(B) PLA [EIN = 043201844]
• ST. MARY'S HIGH DESERT MEDICAL GROUP 401(K) PLAN [EIN = 461396851]
• ST. MARY'S REGIONAL HEALTH CENTER 403(B) RETIREMENT PLAN [EIN = 411620386]
• ST. MARY'S ORTHODONTICS, P.C. DEFINED BENEFIT PENSION PLAN [EIN = 860731200]
• ST. MARY'S UNIVERSITY TAX DEFERRED ANNUITY PLAN [EIN = 741143128]
• ST. MARY'S MEDICAL CENTER EMPLOYEES MEDICAL PLAN [EIN = 350869065]
• ST. MARY'S HOME FOR CHILDREN DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 050213340]
• ST. MARY'S HOSPITAL AND CLEARWATER VALLEY HOSPITAL OF IDAHO DENTAL INSURANCE PLAN [EIN = 820497771]
• ST. MARY'S MEDICAL CENTER FRINGE BENEFIT PLAN [EIN = 350869065]
• ST. MARY'S OF MICHIGAN PPO PLAN F/K/A SAINT MARY'S HEALTH PLAN [EIN = 380997730]
• ST. MARY'S RESIDENTIAL TRAINING SCHOOL FLEXIBLE BENEFITS CAFETERIA PLAN [EIN = 721108412]
• ST. MARY'S BANK HEALTH AND WELFARE BENEFIT PLAN [EIN = 020187390]
• ST. MARY'S HOSPITAL FOR CHILDREN [EIN = 113574493]
• ST. MARY'S HOSPITAL FOR CHILDREN [EIN = 113574494]
• ST. MARY'S NURSING CENTER, INC. WELFARE WRAP PLAN [EIN = 522327829]
• ST. MARY'S PHARMACY, LLC 401(K) PLAN [EIN = 454051276]
• ST. MARY'S UNIVERSITY LONDON US FOUNDATION 401(K) PLAN [EIN = 320469045]
• ST. MARY'S HEALTH WAGON 401(K) PLAN [EIN = 043739083]
• ST. MARY'S EYE & SURGERY CENTER CASH BALANCE DB PLAN [EIN = 562387294]
• ST. MARY'S DOMINICAN HIGH SCHOOL LAY EMPLOYEE PENSION PLAN [EIN = 720535376]
• ST. MARY'S COLLEGE DC RETIREMENT PLAN FOR HOURLY EMPLOYEES [EIN = 350868158]
• ST. MARY'S COLLEGE SUPPLEMENTAL RETIREMENT PLAN [EIN = 350868158]
• ST. MARY'S ON THE HIGHLANDS 401(K) PROFIT SHARING PLAN [EIN = 630302166]
• ST. MARY'S WARRICK FLEXIBLE BENEFIT PLAN [EIN = 351343019]
• ST. MARY'S/DULUTH CLINIC EMPLOYEE HEALTH PLAN [EIN = 411836633]
• ST. MARY'S/DULUTH CLINIC EMPLOYEE HEALTH SYSTEM LONG TERM DISABILITY PLAN [EIN = 411836633]
• ST. MARY'S/DULUTH CLINIC EMPLOYEE HEALTH SYSTEM FLEXIBLE BENEFITS PLAN [EIN = 411836633]
• ST. MARY'S HOSPITAL OF ST. MARY'S COUNTY, INC VOLUNTARY 403(B) PLAN [EIN = 520619006]
• ST. MARY'S/DULUTH CLINIC EMPLOYEE DENTAL PLAN [EIN = 411836633]
• ST. MARY'S HOME FOR CHILDREN RETIREMENT PLAN [EIN = 050213340]
• ST. MARY'S HOSPITAL FLEXIBLE BENEFITS PLAN [EIN = 520619006]
• ST. MARY'S HEALTH SYSTEM, INC. UNION 403(B) RETIREMENT PLAN [EIN = 620480068]
• ST. MARY'S HOSPITAL DECATUR - DECATUR AMBULANCE SERVICE RETIRE [EIN = 370661244]
• ST. MARY'S INTERNATIONAL SCHOOL RETIREMENT PLAN [EIN = 980368758]
• ST. MARY'S HOME FOR DISABLED CHILDREN HEALTH AND WELFARE PLAN [EIN = 540505952]
• ST. MARY'S HOME FOR DISABLED CHILDREN, INC. SUPPLEMENTAL RETIREMENT PLAN [EIN = 540505952]
• ST. MARY'S HOME FOR DISABLED CHILDREN RETIREMENT PLAN [EIN = 540505952]
• ST. MARY'S MEDICAL CENTER 403(B) PLAN [EIN = 550357050]
• ST. MARY'S COLLEGE VISION PLAN [EIN = 350868158]
• ST. MARY'S & CLEARWATER VALLEY HOSPITALS AND CLINICS 403(B) PLAN [EIN = 820226453]
• ST. MARY'S HEALTH CLINICS 403(B) PLAN [EIN = 411760632]
• ST. MARY'S NATIVE CORPORATION 401(K) PLAN [EIN = 920047187]
• ST. MARY'S HEALTHCARE WELFARE BENEFIT PLAN [EIN = 141347719]
• ST. MARY'S LOCATION PENSION PLAN FOR ELIGIBLE UNION EMPLOYEES [EIN = 382131316]
• ST. MARY'S HOME FOR MOTHERS 403(B) RETIREMENT PLAN [EIN = 863489583]
• ST. MARY'S DENTAL 401(K) PROFIT SHARING & TRUST [EIN = 920483845]

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