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RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL 401k Plan overview

Plan NameRETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL
Plan identification number 002

RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL 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).

401k Sponsoring company profile

HUMILITY OF MARY HEALTH PARTNERS has sponsored the creation of one or more 401k plans.

Company Name:HUMILITY OF MARY HEALTH PARTNERS
Employer identification number (EIN):340505560
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022012-05-01JOHN H. ALLISON
0022011-05-01MOLLY SEALS MOLLY SEALS2013-02-14
0022009-05-01MOLLY S.SEALS MOLLY S. SEALS2011-02-11
0022009-05-01MOLLY S.SEALS MOLLY S. SEALS2011-02-10

Plan Statistics for RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL

401k plan membership statisitcs for RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL

Measure Date Value
2012: RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL 2012 401k membership
Total participants, beginning-of-year2012-05-01741
Total number of active participants reported on line 7a of the Form 55002012-05-01135
Number of retired or separated participants receiving benefits2012-05-01302
Number of other retired or separated participants entitled to future benefits2012-05-01262
Total of all active and inactive participants2012-05-01699
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-05-0119
Total participants2012-05-01718
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-05-010
2011: RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL 2011 401k membership
Total participants, beginning-of-year2011-05-01751
Total number of active participants reported on line 7a of the Form 55002011-05-01144
Number of retired or separated participants receiving benefits2011-05-01295
Number of other retired or separated participants entitled to future benefits2011-05-01280
Total of all active and inactive participants2011-05-01719
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-05-0122
Total participants2011-05-01741
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-05-010
2009: RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year2009-05-01763
Total number of active participants reported on line 7a of the Form 55002009-05-01158
Number of retired or separated participants receiving benefits2009-05-01284
Number of other retired or separated participants entitled to future benefits2009-05-01291
Total of all active and inactive participants2009-05-01733
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-05-0118
Total participants2009-05-01751
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-05-010

Financial Data on RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL

Measure Date Value
2012 : RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$1,324,137
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$610,764
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$595,980
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$380,000
Value of total assets at end of year2012-12-31$15,052,619
Value of total assets at beginning of year2012-12-31$14,339,246
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$14,784
Total interest from all sources2012-12-31$8,465
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$14,784
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$380,000
Other income not declared elsewhere2012-12-31$271
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$73,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$713,373
Value of net assets at end of year (total assets less liabilities)2012-12-31$15,052,619
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$14,339,246
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$13,980,689
Value of interest in master investment trust accounts at end of year2012-12-31$14,937,619
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$8,465
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$-430,290
Net investment gain or loss from common/collective trusts2012-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Employer contributions (assets) at end of year2012-12-31$115,000
Employer contributions (assets) at beginning of year2012-12-31$285,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$595,980
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ERNST & YOUNG
Accountancy firm EIN2012-12-31346565596
Total unrealized appreciation/depreciation of assets2012-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$0
Total income from all sources (including contributions)2012-04-30$1,558,458
Total loss/gain on sale of assets2012-04-30$0
Total of all expenses incurred2012-04-30$998,098
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$852,687
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$785,158
Value of total assets at end of year2012-04-30$14,339,246
Value of total assets at beginning of year2012-04-30$13,778,886
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$145,411
Total interest from all sources2012-04-30$0
Total dividends received (eg from common stock, registered investment company shares)2012-04-30$302,599
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-04-30$302,599
Administrative expenses professional fees incurred2012-04-30$11,500
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-04-30$0
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Income. Received or receivable in cash from other sources (including rollovers)2012-04-30$785,158
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-04-30$285,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-04-30$1,507,774
Other income not declared elsewhere2012-04-30$7,525
Administrative expenses (other) incurred2012-04-30$105,164
Total non interest bearing cash at end of year2012-04-30$73,557
Total non interest bearing cash at beginning of year2012-04-30$71,835
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$560,360
Value of net assets at end of year (total assets less liabilities)2012-04-30$14,339,246
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$13,778,886
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-04-30No
Were any leases to which the plan was party in default or uncollectible2012-04-30No
Investment advisory and management fees2012-04-30$28,747
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-04-30$13,980,689
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-04-30$12,199,277
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-04-30$463,176
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30Yes
Was there a failure to transmit to the plan any participant contributions2012-04-30No
Has the plan failed to provide any benefit when due under the plan2012-04-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$852,687
Did the plan have assets held for investment2012-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30Yes
Opinion of an independent qualified public accountant for this plan2012-04-30Disclaimer
Accountancy firm name2012-04-30HILL, BARTH & KING LLC
Accountancy firm EIN2012-04-30341897225
2011 : RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$0
Total income from all sources (including contributions)2011-04-30$2,944,752
Total loss/gain on sale of assets2011-04-30$0
Total of all expenses incurred2011-04-30$1,028,172
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-04-30$871,485
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-04-30$1,716,933
Value of total assets at end of year2011-04-30$13,778,886
Value of total assets at beginning of year2011-04-30$11,862,306
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-04-30$156,687
Total interest from all sources2011-04-30$0
Total dividends received (eg from common stock, registered investment company shares)2011-04-30$325,109
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-04-30$325,109
Administrative expenses professional fees incurred2011-04-30$82,214
Was this plan covered by a fidelity bond2011-04-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-04-30$0
Were there any nonexempt tranactions with any party-in-interest2011-04-30No
Income. Received or receivable in cash from other sources (including rollovers)2011-04-30$1,716,933
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-04-30$1,507,774
Administrative expenses (other) incurred2011-04-30$57,025
Total non interest bearing cash at end of year2011-04-30$71,835
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Value of net income/loss2011-04-30$1,916,580
Value of net assets at end of year (total assets less liabilities)2011-04-30$13,778,886
Value of net assets at beginning of year (total assets less liabilities)2011-04-30$11,862,306
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-04-30No
Were any leases to which the plan was party in default or uncollectible2011-04-30No
Investment advisory and management fees2011-04-30$17,448
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-04-30$12,199,277
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-04-30$11,862,306
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-04-30$902,710
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-04-30Yes
Was there a failure to transmit to the plan any participant contributions2011-04-30No
Has the plan failed to provide any benefit when due under the plan2011-04-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-04-30$871,485
Did the plan have assets held for investment2011-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-04-30Yes
Opinion of an independent qualified public accountant for this plan2011-04-30Disclaimer
Accountancy firm name2011-04-30HILL, BARTH & KING LLC
Accountancy firm EIN2011-04-30341897225
2010 : RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-04-30$0

Form 5500 Responses for RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL

2012: RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement - TrustYes
2011: RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement - TrustYes
2009: RETIREMENT INCOME PLAN FOR EMPLOYEES OF WARREN GENERAL HOSPITAL 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedYes
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement - TrustYes

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