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| Plan Name | SAMARITAN MEDICAL CENTER DEFINED BENEFIT PLAN MASTER TRUST |
| Plan identification number | 005 |
| Company Name: | SAMARITAN MEDICAL CENTER |
| Employer identification number (EIN): | 150533577 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about SAMARITAN MEDICAL CENTER
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1904-03-26 |
| Company Identification Number: | 28618 |
| Legal Registered Office Address: |
ATTN PRESIDENT 830 WASHINGTON STREET WATERTOWN United States of America (USA) 13601 |
More information about SAMARITAN MEDICAL CENTER
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 005 | 2012-01-01 | 2013-04-05 | |||
| 005 | 2011-01-01 | 2012-10-12 | |||
| 005 | 2009-01-01 | 2010-10-11 | |||
| 005 | 2008-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2011: SAMARITAN MEDICAL CENTER DEFINED BENEFIT PLAN MASTER TRUST 2011 401k membership | ||
| Total of all active and inactive participants | 2011-01-01 | 0 |
| 2009: SAMARITAN MEDICAL CENTER DEFINED BENEFIT PLAN MASTER TRUST 2009 401k membership | ||
| Total of all active and inactive participants | 2009-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2012 : SAMARITAN MEDICAL CENTER DEFINED BENEFIT PLAN MASTER TRUST 2012 401k financial data | ||
| Total transfer of assets to this plan | 2012-07-05 | $2,368,257 |
| Total transfer of assets from this plan | 2012-07-05 | $35,301,153 |
| Total income from all sources (including contributions) | 2012-07-05 | $1,412,897 |
| Total loss/gain on sale of assets | 2012-07-05 | $0 |
| Total of all expenses incurred | 2012-07-05 | $90,670 |
| Value of total assets at end of year | 2012-07-05 | $0 |
| Value of total assets at beginning of year | 2012-07-05 | $31,610,669 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-07-05 | $90,670 |
| Total interest from all sources | 2012-07-05 | $12 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-07-05 | $235,644 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-07-05 | $235,644 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-07-05 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-07-05 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-07-05 | $39,704 |
| Administrative expenses (other) incurred | 2012-07-05 | $32,505 |
| Value of net income/loss | 2012-07-05 | $1,322,227 |
| Value of net assets at end of year (total assets less liabilities) | 2012-07-05 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-07-05 | $31,610,669 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-07-05 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-07-05 | No |
| Investment advisory and management fees | 2012-07-05 | $58,165 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-07-05 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-07-05 | $31,570,965 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-07-05 | $12 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-07-05 | $1,177,241 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-07-05 | No |
| Did the plan have assets held for investment | 2012-07-05 | No |
| Aggregate proceeds on sale of assets | 2012-07-05 | $37,212,631 |
| Aggregate carrying amount (costs) on sale of assets | 2012-07-05 | $37,212,631 |
| 2011 : SAMARITAN MEDICAL CENTER DEFINED BENEFIT PLAN MASTER TRUST 2011 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $0 |
| Total transfer of assets to this plan | 2011-12-31 | $5,600,237 |
| Total transfer of assets from this plan | 2011-12-31 | $1,194,958 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $0 |
| Total income from all sources (including contributions) | 2011-12-31 | $80,830 |
| Total loss/gain on sale of assets | 2011-12-31 | $0 |
| Total of all expenses incurred | 2011-12-31 | $142,591 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $0 |
| Value of total assets at end of year | 2011-12-31 | $31,610,669 |
| Value of total assets at beginning of year | 2011-12-31 | $27,267,151 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $142,591 |
| Total interest from all sources | 2011-12-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $772,077 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-12-31 | $772,077 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $39,704 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $24,152 |
| Administrative expenses (other) incurred | 2011-12-31 | $8,597 |
| Value of net income/loss | 2011-12-31 | $-61,761 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $31,610,669 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $27,267,151 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Investment advisory and management fees | 2011-12-31 | $133,994 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $31,570,965 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $27,242,999 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-12-31 | $-691,247 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| 2010 : SAMARITAN MEDICAL CENTER DEFINED BENEFIT PLAN MASTER TRUST 2010 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $0 |
| Total transfer of assets to this plan | 2010-12-31 | $2,254,026 |
| Total transfer of assets from this plan | 2010-12-31 | $1,019,942 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $0 |
| Total income from all sources (including contributions) | 2010-12-31 | $3,426,946 |
| Total loss/gain on sale of assets | 2010-12-31 | $0 |
| Total of all expenses incurred | 2010-12-31 | $118,554 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $0 |
| Value of total assets at end of year | 2010-12-31 | $27,267,151 |
| Value of total assets at beginning of year | 2010-12-31 | $22,724,675 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $118,554 |
| Total interest from all sources | 2010-12-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $595,857 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2010-12-31 | $595,857 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $24,152 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $28,048 |
| Administrative expenses (other) incurred | 2010-12-31 | $6,946 |
| Value of net income/loss | 2010-12-31 | $3,308,392 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $27,267,151 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $22,724,675 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Investment advisory and management fees | 2010-12-31 | $111,608 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $27,242,999 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-12-31 | $22,696,627 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2010-12-31 | $2,831,089 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| 2012: SAMARITAN MEDICAL CENTER DEFINED BENEFIT PLAN MASTER TRUST 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2012-01-01 | This submission is the final filing | Yes |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2011: SAMARITAN MEDICAL CENTER DEFINED BENEFIT PLAN MASTER TRUST 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2009: SAMARITAN MEDICAL CENTER DEFINED BENEFIT PLAN MASTER TRUST 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2008: SAMARITAN MEDICAL CENTER DEFINED BENEFIT PLAN MASTER TRUST 2008 form 5500 responses | ||
| 2008-01-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2008-01-01 | Submission has been amended | Yes |
| 2008-01-01 | This submission is the final filing | No |
| 2008-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-01-01 | Plan is a collectively bargained plan | No |
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