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COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 401k Plan overview

Plan NameCOMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN
Plan identification number 333

COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 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).
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

COMMUNITY HEALTH NETWORK, INC. has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY HEALTH NETWORK, INC.
Employer identification number (EIN):311038302
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
3332011-01-01PATRICIA EDWARDS

Plan Statistics for COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN

401k plan membership statisitcs for COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN

Measure Date Value
2011: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0111,400
Total number of active participants reported on line 7a of the Form 55002011-01-014,959
Number of retired or separated participants receiving benefits2011-01-012,045
Number of other retired or separated participants entitled to future benefits2011-01-014,030
Total of all active and inactive participants2011-01-0111,034
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-01128
Total participants2011-01-0111,162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-01121

Financial Data on COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN

Measure Date Value
2011 : COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$12,041,325
Total unrealized appreciation/depreciation of assets2011-12-31$12,041,325
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$620,603
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$350,730
Total income from all sources (including contributions)2011-12-31$32,236,931
Total loss/gain on sale of assets2011-12-31$901,874
Total of all expenses incurred2011-12-31$18,063,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$15,667,306
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$23,302,224
Value of total assets at end of year2011-12-31$391,702,851
Value of total assets at beginning of year2011-12-31$377,259,139
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,395,786
Total interest from all sources2011-12-31$5,344,664
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$544,001
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$784,776
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$50,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$1,678,464
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$1,162,825
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$620,603
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$350,730
Total non interest bearing cash at end of year2011-12-31$28,183
Total non interest bearing cash at beginning of year2011-12-31$14,459
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$14,173,839
Value of net assets at end of year (total assets less liabilities)2011-12-31$391,082,248
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$376,908,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Assets. partnership/joint venture interests at end of year2011-12-31$0
Assets. partnership/joint venture interests at beginning of year2011-12-31$16,602,953
Investment advisory and management fees2011-12-31$1,611,010
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$198,451,634
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$214,049,771
Income. Interest from US Government securities2011-12-31$2,031,835
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$6,420,104
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,931,599
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,931,599
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$3,312,829
Asset value of US Government securities at end of year2011-12-31$56,670,461
Asset value of US Government securities at beginning of year2011-12-31$28,545,962
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-9,897,157
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$23,302,224
Employer contributions (assets) at end of year2011-12-31$10,600,000
Employer contributions (assets) at beginning of year2011-12-31$16,983,712
Income. Dividends from common stock2011-12-31$544,001
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$15,667,306
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$79,186,144
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$65,707,200
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$38,667,861
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$32,260,658
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$94,245,132
Aggregate carrying amount (costs) on sale of assets2011-12-31$93,343,258
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31PRICEWATERHOUSECOOPERS, LLP
Accountancy firm EIN2011-12-31134008324
2010 : COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$5,402,293
Total unrealized appreciation/depreciation of assets2010-12-31$5,402,293
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$350,730
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$447,886
Total income from all sources (including contributions)2010-12-31$64,209,810
Total loss/gain on sale of assets2010-12-31$4,215,941
Total of all expenses incurred2010-12-31$16,654,523
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$14,584,674
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$16,983,712
Value of total assets at end of year2010-12-31$377,259,139
Value of total assets at beginning of year2010-12-31$329,801,008
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$2,069,849
Total interest from all sources2010-12-31$5,030,521
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$375,670
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$1,162,825
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$1,345,459
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$350,730
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$447,886
Other income not declared elsewhere2010-12-31$1,267,663
Administrative expenses (other) incurred2010-12-31$1,532,324
Total non interest bearing cash at end of year2010-12-31$14,459
Total non interest bearing cash at beginning of year2010-12-31$319,989
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$47,555,287
Value of net assets at end of year (total assets less liabilities)2010-12-31$376,908,409
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$329,353,122
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Assets. partnership/joint venture interests at end of year2010-12-31$16,602,953
Assets. partnership/joint venture interests at beginning of year2010-12-31$26,334,553
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$214,049,771
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$176,101,477
Income. Interest from US Government securities2010-12-31$728,151
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,931,599
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$685,070
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$685,070
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$4,302,370
Asset value of US Government securities at end of year2010-12-31$28,545,962
Asset value of US Government securities at beginning of year2010-12-31$14,146,627
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$30,934,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$16,983,712
Employer contributions (assets) at end of year2010-12-31$16,983,712
Employer contributions (assets) at beginning of year2010-12-31$4,981,129
Income. Dividends from common stock2010-12-31$375,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$14,584,674
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$65,707,200
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$76,987,711
Contract administrator fees2010-12-31$537,525
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$32,260,658
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$28,898,993
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$64,458,897
Aggregate carrying amount (costs) on sale of assets2010-12-31$60,242,956
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31PRICEWATERHOUSECOOPERS, LLP
Accountancy firm EIN2010-12-31134008324

Form 5500 Responses for COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN

2011: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes

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