401k Plan data: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 plan

MERCY HEALTH RETIREMENT SAVINGS PLAN 401 401k Plan overview

Plan Name	MERCY HEALTH RETIREMENT SAVINGS PLAN 401
Plan identification number	011

MERCY HEALTH RETIREMENT SAVINGS PLAN 401 Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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.
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) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MERCY HEALTH has sponsored the creation of one or more 401k plans.

Company Name: MERCY HEALTH

Employer identification number (EIN): 311161086

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about MERCY HEALTH

Jurisdiction of Incorporation: Arkansas Secretary of State

Incorporation Date:

Company Identification Number: 811013495

More information about MERCY HEALTH

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MERCY HEALTH RETIREMENT SAVINGS PLAN 401

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
011 2018-01-01
011 2017-01-01 GREG HENSON
011 2016-01-01 SCOTT WYMER
011 2016-01-01 JOHN ALLISON
011 2015-01-01 DIANNA SMITH
011 2014-01-01 DIANNA SMITH
011 2013-01-01 DIANNA SMITH
011 2012-01-01 ALLAN CALONGE

Plan Statistics for MERCY HEALTH RETIREMENT SAVINGS PLAN 401

401k plan membership statisitcs for MERCY HEALTH RETIREMENT SAVINGS PLAN 401

Measure Date Value
2018: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2018 401k membership
Total participants, beginning-of-year 2018-01-01 3,338
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 2,417
Number of retired or separated participants receiving benefits 2018-01-01 18
Number of other retired or separated participants entitled to future benefits 2018-01-01 507
Total of all active and inactive participants 2018-01-01 2,942
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 10
Total participants 2018-01-01 2,952
Number of participants with account balances 2018-01-01 2,321
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 9
2017: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2017 401k membership
Total participants, beginning-of-year 2017-01-01 3,394
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,751
Number of retired or separated participants receiving benefits 2017-01-01 9
Number of other retired or separated participants entitled to future benefits 2017-01-01 569
Total of all active and inactive participants 2017-01-01 3,329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 9
Total participants 2017-01-01 3,338
Number of participants with account balances 2017-01-01 3,194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 81
2016: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3,064
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 824
Number of retired or separated participants receiving benefits 2016-01-01 11
Number of other retired or separated participants entitled to future benefits 2016-01-01 573
Total of all active and inactive participants 2016-01-01 1,408
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 9
Total participants 2016-01-01 1,417
Number of participants with account balances 2016-01-01 1,161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 10
2015: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,338
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,488
Number of retired or separated participants receiving benefits 2015-01-01 9
Number of other retired or separated participants entitled to future benefits 2015-01-01 559
Total of all active and inactive participants 2015-01-01 3,056
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 8
Total participants 2015-01-01 3,064
Number of participants with account balances 2015-01-01 2,882
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 21
2014: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3,646
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,751
Number of retired or separated participants receiving benefits 2014-01-01 9
Number of other retired or separated participants entitled to future benefits 2014-01-01 569
Total of all active and inactive participants 2014-01-01 3,329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 9
Total participants 2014-01-01 3,338
Number of participants with account balances 2014-01-01 3,194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 81
2013: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4,518
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3,073
Number of retired or separated participants receiving benefits 2013-01-01 6
Number of other retired or separated participants entitled to future benefits 2013-01-01 561
Total of all active and inactive participants 2013-01-01 3,640
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 6
Total participants 2013-01-01 3,646
Number of participants with account balances 2013-01-01 3,227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 111
2012: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2012 401k membership
Total participants, beginning-of-year 2012-01-01 206
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3,095
Number of retired or separated participants receiving benefits 2012-01-01 33
Number of other retired or separated participants entitled to future benefits 2012-01-01 1,378
Total of all active and inactive participants 2012-01-01 4,506
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 12
Total participants 2012-01-01 4,518
Number of participants with account balances 2012-01-01 4,397
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 71

Measure	Date	Value
2018: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2018 401k membership
Total participants, beginning-of-year	2018-01-01	3,338
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	2,417
Number of retired or separated participants receiving benefits	2018-01-01	18
Number of other retired or separated participants entitled to future benefits	2018-01-01	507
Total of all active and inactive participants	2018-01-01	2,942
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	10
Total participants	2018-01-01	2,952
Number of participants with account balances	2018-01-01	2,321
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	9
2017: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2017 401k membership
Total participants, beginning-of-year	2017-01-01	3,394
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,751
Number of retired or separated participants receiving benefits	2017-01-01	9
Number of other retired or separated participants entitled to future benefits	2017-01-01	569
Total of all active and inactive participants	2017-01-01	3,329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	9
Total participants	2017-01-01	3,338
Number of participants with account balances	2017-01-01	3,194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	81
2016: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3,064
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	824
Number of retired or separated participants receiving benefits	2016-01-01	11
Number of other retired or separated participants entitled to future benefits	2016-01-01	573
Total of all active and inactive participants	2016-01-01	1,408
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	9
Total participants	2016-01-01	1,417
Number of participants with account balances	2016-01-01	1,161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	10
2015: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,338
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,488
Number of retired or separated participants receiving benefits	2015-01-01	9
Number of other retired or separated participants entitled to future benefits	2015-01-01	559
Total of all active and inactive participants	2015-01-01	3,056
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	8
Total participants	2015-01-01	3,064
Number of participants with account balances	2015-01-01	2,882
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	21
2014: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3,646
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,751
Number of retired or separated participants receiving benefits	2014-01-01	9
Number of other retired or separated participants entitled to future benefits	2014-01-01	569
Total of all active and inactive participants	2014-01-01	3,329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	9
Total participants	2014-01-01	3,338
Number of participants with account balances	2014-01-01	3,194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	81
2013: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4,518
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3,073
Number of retired or separated participants receiving benefits	2013-01-01	6
Number of other retired or separated participants entitled to future benefits	2013-01-01	561
Total of all active and inactive participants	2013-01-01	3,640
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	6
Total participants	2013-01-01	3,646
Number of participants with account balances	2013-01-01	3,227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	111
2012: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2012 401k membership
Total participants, beginning-of-year	2012-01-01	206
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3,095
Number of retired or separated participants receiving benefits	2012-01-01	33
Number of other retired or separated participants entitled to future benefits	2012-01-01	1,378
Total of all active and inactive participants	2012-01-01	4,506
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	12
Total participants	2012-01-01	4,518
Number of participants with account balances	2012-01-01	4,397
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	71

Financial Data on MERCY HEALTH RETIREMENT SAVINGS PLAN 401

Measure	Date	Value
2018 : MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$-3,651,274
Total of all expenses incurred	2018-12-31	$5,413,377
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$5,268,337
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$819,150
Value of total assets at end of year	2018-12-31	$72,276,724
Value of total assets at beginning of year	2018-12-31	$81,341,375
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$145,040
Total interest from all sources	2018-12-31	$24,385
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$3,561,439
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$3,561,439
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2018-12-31	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Minimum employer required contribution for this plan year	2018-12-31	$0
Amount contributed by the employer to the plan for this plan year	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$623,767
Participant contributions at end of year	2018-12-31	$451,474
Participant contributions at beginning of year	2018-12-31	$589,211
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$1,673,842
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$1,737,198
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$27,476
Administrative expenses (other) incurred	2018-12-31	$145,040
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-9,064,651
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$72,276,724
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$81,341,375
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$68,418,442
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$77,406,928
Interest on participant loans	2018-12-31	$24,385
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$1,489,110
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$1,354,906
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$1,354,906
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-8,056,248
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$167,907
Employer contributions (assets) at end of year	2018-12-31	$243,856
Employer contributions (assets) at beginning of year	2018-12-31	$253,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$5,268,337
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	KPMG LLP
Accountancy firm EIN	2018-12-31	135565207
2017 : MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets from this plan	2017-12-31	$1,054,989
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$13,313,735
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$5,817,197
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$5,607,143
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,344,708
Value of total assets at end of year	2017-12-31	$81,341,375
Value of total assets at beginning of year	2017-12-31	$74,899,826
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$210,054
Total interest from all sources	2017-12-31	$35,583
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$2,064,022
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$2,064,022
Administrative expenses professional fees incurred	2017-12-31	$2,677
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,089,970
Participant contributions at end of year	2017-12-31	$589,211
Participant contributions at beginning of year	2017-12-31	$525,091
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$1,737,198
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$1,564,461
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$46,143
Other income not declared elsewhere	2017-12-31	$233,859
Administrative expenses (other) incurred	2017-12-31	$207,377
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$7,496,538
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$81,341,375
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$74,899,826
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$77,406,928
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$70,782,015
Interest on participant loans	2017-12-31	$23,056
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$1,354,906
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$1,809,081
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$1,809,081
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$12,527
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$9,635,563
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$208,595
Employer contributions (assets) at end of year	2017-12-31	$253,132
Employer contributions (assets) at beginning of year	2017-12-31	$219,178
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$5,607,143
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2017-12-31	346565596
2016 : MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$780,273
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$6,207,513
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$5,724,027
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$5,583,948
Value of total corrective distributions	2016-12-31	$1,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,416,890
Value of total assets at end of year	2016-12-31	$74,899,826
Value of total assets at beginning of year	2016-12-31	$73,636,067
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$138,580
Total interest from all sources	2016-12-31	$24,709
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$2,235,433
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$2,235,433
Administrative expenses professional fees incurred	2016-12-31	$23,408
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$747,426
Participant contributions at end of year	2016-12-31	$525,091
Participant contributions at beginning of year	2016-12-31	$658,566
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$1,564,461
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$1,208,996
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$292,770
Other income not declared elsewhere	2016-12-31	$201,550
Administrative expenses (other) incurred	2016-12-31	$113,955
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$483,486
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$74,899,826
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$73,636,067
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$1,217
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$70,782,015
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$69,668,473
Interest on participant loans	2016-12-31	$23,688
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$1,809,081
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$1,935,810
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$1,935,810
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$1,021
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$2,328,931
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$376,694
Employer contributions (assets) at end of year	2016-12-31	$219,178
Employer contributions (assets) at beginning of year	2016-12-31	$164,222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$5,583,948
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2016-12-31	346565596
2015 : MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$-481,461
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$7,774,052
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$7,556,970
Expenses. Certain deemed distributions of participant loans	2015-12-31	$10,748
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$754,176
Value of total assets at end of year	2015-12-31	$73,636,067
Value of total assets at beginning of year	2015-12-31	$81,891,580
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$206,334
Total interest from all sources	2015-12-31	$29,555
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$2,618,301
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$2,618,301
Administrative expenses professional fees incurred	2015-12-31	$19,650
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$447,828
Participant contributions at end of year	2015-12-31	$658,566
Participant contributions at beginning of year	2015-12-31	$672,668
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$1,208,996
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$1,198,280
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$4,268
Other income not declared elsewhere	2015-12-31	$111,608
Administrative expenses (other) incurred	2015-12-31	$185,184
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-8,255,513
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$73,636,067
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$81,891,580
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$1,500
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$69,668,473
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$77,932,406
Interest on participant loans	2015-12-31	$29,325
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$1,935,810
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$1,896,198
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$1,896,198
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$230
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-3,995,101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$302,080
Employer contributions (assets) at end of year	2015-12-31	$164,222
Employer contributions (assets) at beginning of year	2015-12-31	$192,028
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$7,556,970
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2015-12-31	346565596
2014 : MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$1,176,040
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$4,898,721
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$8,070,088
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$7,924,268
Expenses. Certain deemed distributions of participant loans	2014-12-31	$9,823
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,212,305
Value of total assets at end of year	2014-12-31	$81,891,580
Value of total assets at beginning of year	2014-12-31	$83,886,907
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$135,997
Total interest from all sources	2014-12-31	$25,959
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$2,746,667
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$2,746,667
Administrative expenses professional fees incurred	2014-12-31	$16,850
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$399,032
Participant contributions at end of year	2014-12-31	$672,668
Participant contributions at beginning of year	2014-12-31	$468,740
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$1,198,280
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$277,096
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$406,570
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$14,973,579
Other income not declared elsewhere	2014-12-31	$147,853
Administrative expenses (other) incurred	2014-12-31	$116,147
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-3,171,367
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$81,891,580
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$83,886,907
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$3,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$77,932,406
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$66,230,367
Interest on participant loans	2014-12-31	$25,751
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$1,896,198
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$1,937,125
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$1,937,125
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$208
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$765,937
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$406,703
Employer contributions (assets) at end of year	2014-12-31	$192,028
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$7,924,268
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	2014-12-31	Yes
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2014-12-31	346565596
2013 : MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$14,973,579
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$322
Total income from all sources (including contributions)	2013-12-31	$8,165,204
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$7,591,344
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$7,534,674
Expenses. Certain deemed distributions of participant loans	2013-12-31	$1,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$386,245
Value of total assets at end of year	2013-12-31	$83,886,907
Value of total assets at beginning of year	2013-12-31	$68,339,790
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$55,445
Total interest from all sources	2013-12-31	$13,658
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$2,800,844
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$2,800,844
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
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	$299,797
Participant contributions at end of year	2013-12-31	$468,740
Participant contributions at beginning of year	2013-12-31	$204,281
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$277,096
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$8,686
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$14,973,579
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$91,648
Administrative expenses (other) incurred	2013-12-31	$55,445
Liabilities. Value of operating payables at end of year	2013-12-31	$0
Liabilities. Value of operating payables at beginning of year	2013-12-31	$322
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	$573,860
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$83,886,907
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$68,339,468
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	$66,230,367
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$66,837,669
Interest on participant loans	2013-12-31	$13,461
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$1,937,125
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$1,297,840
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$1,297,840
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$197
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$4,872,809
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	$77,762
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$7,534,674
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	Yes
Did the plan have assets held for investment	2013-12-31	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	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	No
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	ERNST & YOUNG, LLP
Accountancy firm EIN	2013-12-31	346565596
2012 : MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$63,381,332
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$322
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	$2,175,576
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,830,550
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,829,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$677,557
Value of total assets at end of year	2012-12-31	$68,339,790
Value of total assets at beginning of year	2012-12-31	$4,613,110
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,350
Total interest from all sources	2012-12-31	$9,927
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$1,343,425
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$1,343,425
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
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	$283,858
Participant contributions at end of year	2012-12-31	$204,281
Participant contributions at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$73,822
Administrative expenses (other) incurred	2012-12-31	$1,350
Liabilities. Value of operating payables at end of year	2012-12-31	$322
Liabilities. Value of operating payables at beginning of year	2012-12-31	$0
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	$345,026
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$68,339,468
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,613,110
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	$66,837,669
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$3,831,013
Value of interest in pooled separate accounts at end of year	2012-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$499,653
Interest on participant loans	2012-12-31	$929
Interest earned on other investments	2012-12-31	$8,781
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$1,297,840
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$282,444
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$282,444
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$217
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$132,795
Net investment gain/loss from pooled separate accounts	2012-12-31	$11,872
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	$319,877
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,829,200
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	Yes
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, LLP
Accountancy firm EIN	2012-12-31	346565596

Form 5500 Responses for MERCY HEALTH RETIREMENT SAVINGS PLAN 401

2018: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
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: MERCY HEALTH RETIREMENT SAVINGS PLAN 401 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA080166

Policy instance

Insurance contract or identification number	TA080166
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	MERCY HEALTH
Employer identification number (EIN):	311161086
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Arkansas Secretary of State
Incorporation Date:
Company Identification Number:	811013495

Plan id#	Filing Submission Date	Name of Administrator
011	2018-01-01
011	2017-01-01	GREG HENSON
011	2016-01-01	SCOTT WYMER
011	2016-01-01	JOHN ALLISON
011	2015-01-01	DIANNA SMITH
011	2014-01-01	DIANNA SMITH
011	2013-01-01	DIANNA SMITH
011	2012-01-01	ALLAN CALONGE