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PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN 401k Plan overview

Plan NamePROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN
Plan identification number 504

PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

PROVIDENCE MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:PROVIDENCE MEDICAL CENTER
Employer identification number (EIN):470566524
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042014-01-01JACKIE BACKER
5042013-01-01JACKIE BACKER JACKIE BACKER2014-11-24
5042012-01-01JACKIE BACKER JACKIE BACKER2014-11-24

Plan Statistics for PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN

401k plan membership statisitcs for PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN

Measure Date Value
2014: PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01116
Total number of active participants reported on line 7a of the Form 55002014-01-01126
Total of all active and inactive participants2014-01-01126
Total participants2014-01-01126
2013: PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01113
Total number of active participants reported on line 7a of the Form 55002013-01-01116
Total of all active and inactive participants2013-01-01116
Total participants2013-01-01116
2012: PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0198
Total number of active participants reported on line 7a of the Form 55002012-01-01113
Total of all active and inactive participants2012-01-01113
Total participants2012-01-01113

Financial Data on PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN

Measure Date Value
2014 : PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$264,992
Expenses. Total of all expenses incurred2014-12-31$264,992
Benefits paid (including direct rollovers)2014-12-31$264,992
Total plan assets at end of year2014-12-31$0
Total plan assets at beginning of year2014-12-31$0
Total contributions received or receivable from participants2014-12-31$0
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$0
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$0
Net plan assets at end of year (total assets less liabilities)2014-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$0
Total contributions received or receivable from employer(s)2014-12-31$264,992
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$0
2013 : PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$222,824
Expenses. Total of all expenses incurred2013-12-31$222,824
Benefits paid (including direct rollovers)2013-12-31$222,824
Total plan assets at end of year2013-12-31$0
Total plan assets at beginning of year2013-12-31$0
Total contributions received or receivable from participants2013-12-31$0
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$0
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$0
Net plan assets at end of year (total assets less liabilities)2013-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$0
Total contributions received or receivable from employer(s)2013-12-31$222,824
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$0
2012 : PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$135,223
Expenses. Total of all expenses incurred2012-12-31$135,223
Benefits paid (including direct rollovers)2012-12-31$135,223
Total plan assets at end of year2012-12-31$0
Total plan assets at beginning of year2012-12-31$0
Total contributions received or receivable from participants2012-12-31$0
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$0
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$0
Net plan assets at end of year (total assets less liabilities)2012-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$0
Total contributions received or receivable from employer(s)2012-12-31$135,223
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0

Form 5500 Responses for PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN

2014: PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PROVIDENCE MEDICAL CENTER GROUP REIMBURSEMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes

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