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SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 401k Plan overview

Plan NameSACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN
Plan identification number 001

SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • 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.

401k Sponsoring company profile

WESTSIDE COMMUNITY HOSPITAL, INC DBA SACRED HEAR DBA SACRED HEART has sponsored the creation of one or more 401k plans.

Company Name:WESTSIDE COMMUNITY HOSPITAL, INC DBA SACRED HEAR DBA SACRED HEART
Employer identification number (EIN):363595397
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01
0012011-01-01SHERRY HENDRIX SHERRY HENDRIX2012-10-12
0012010-01-01ROY PAYAWAL ROY PAYAWAL2011-10-18
0012009-01-01SHERRY HENDRIX SHERRY HENDRIX2010-10-14

Plan Statistics for SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN

401k plan membership statisitcs for SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN

Measure Date Value
2019: SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-018
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2011: SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01328
Total number of active participants reported on line 7a of the Form 55002011-01-01307
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0115
Total of all active and inactive participants2011-01-01322
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01322
Number of participants with account balances2011-01-01104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-013
2010: SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01330
Total number of active participants reported on line 7a of the Form 55002010-01-01295
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0115
Total of all active and inactive participants2010-01-01310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01310
Number of participants with account balances2010-01-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-019
2009: SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01295
Total number of active participants reported on line 7a of the Form 55002009-01-01336
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0112
Total of all active and inactive participants2009-01-01348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01348
Number of participants with account balances2009-01-0186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-016

Financial Data on SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN

Measure Date Value
2019 : SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 2019 401k financial data
Total income from all sources2019-06-30$6,442
Expenses. Total of all expenses incurred2019-06-30$88,091
Benefits paid (including direct rollovers)2019-06-30$87,542
Total plan assets at end of year2019-06-30$0
Total plan assets at beginning of year2019-06-30$81,649
Value of fidelity bond covering the plan2019-06-30$9,000
Other income received2019-06-30$6,442
Net income (gross income less expenses)2019-06-30$-81,649
Net plan assets at end of year (total assets less liabilities)2019-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$81,649
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$549
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
2011 : SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 2011 401k financial data
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$344,089
Total of all expenses incurred2011-12-31$325,612
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$312,596
Value of total corrective distributions2011-12-31$1,971
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$385,361
Value of total assets at end of year2011-12-31$2,835,742
Value of total assets at beginning of year2011-12-31$2,817,265
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$11,045
Total interest from all sources2011-12-31$14,928
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$34,780
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$34,780
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$175,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$343,461
Participant contributions at end of year2011-12-31$90
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$18,477
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,835,742
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,817,265
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$2,299,427
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$2,247,284
Interest earned on other investments2011-12-31$14,928
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$518,079
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$538,476
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-90,980
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
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$41,900
Employer contributions (assets) at end of year2011-12-31$18,146
Employer contributions (assets) at beginning of year2011-12-31$31,505
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$312,596
Contract administrator fees2011-12-31$11,045
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
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 name2011-12-31JOHN G. SOTOS & ASSOCIATES, LLC
Accountancy firm EIN2011-12-31331151080
2010 : SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
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$623,880
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$218,126
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$193,751
Value of total corrective distributions2010-12-31$14,731
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$328,738
Value of total assets at end of year2010-12-31$2,817,265
Value of total assets at beginning of year2010-12-31$2,411,511
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$9,644
Total interest from all sources2010-12-31$14,945
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$42,634
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$42,634
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$75,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$262,990
Participant contributions at beginning of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$0
Other income not declared elsewhere2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$405,754
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,817,265
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,411,511
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$2,247,284
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,903,073
Interest earned on other investments2010-12-31$14,945
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$538,476
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$479,338
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$237,563
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$65,748
Employer contributions (assets) at end of year2010-12-31$31,505
Employer contributions (assets) at beginning of year2010-12-31$29,100
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$193,751
Contract administrator fees2010-12-31$9,644
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
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 name2010-12-31JOHN G. SOTOS & ASSOCIATES, LLC
Accountancy firm EIN2010-12-31331151080

Form 5500 Responses for SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN

2019: SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2011: SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle 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 – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: SACRED HEART HOSPITAL PROFIT SHARING 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

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