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POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION PLAN 401k Plan overview

Plan NamePOTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION PLAN
Plan identification number 001

POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

SENTARA POTOMAC HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:SENTARA POTOMAC HOSPITAL
Employer identification number (EIN):540853898
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012009-01-01TAMARA MEARS
0012009-01-01TAMARA L MEARS

Plan Statistics for POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION PLAN

401k plan membership statisitcs for POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION PLAN

Measure Date Value
2009: POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,599
Total number of active participants reported on line 7a of the Form 55002009-01-01760
Number of retired or separated participants receiving benefits2009-01-01253
Number of other retired or separated participants entitled to future benefits2009-01-01469
Total of all active and inactive participants2009-01-011,482
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-0143
Total participants2009-01-011,525
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0140

Financial Data on POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION PLAN

Measure Date Value
2010 : POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$6,447,654
Total unrealized appreciation/depreciation of assets2010-12-31$6,447,654
Total transfer of assets from this plan2010-12-31$101,414,607
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$11,793,369
Total loss/gain on sale of assets2010-12-31$-973,458
Total of all expenses incurred2010-12-31$4,085,082
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$4,081,249
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,150,000
Value of total assets at end of year2010-12-31$0
Value of total assets at beginning of year2010-12-31$93,706,320
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$3,833
Total interest from all sources2010-12-31$1,305,829
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$852,335
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2010-12-31$228,344
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Participant contributions at beginning of year2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$532,002
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$7,708,287
Value of net assets at end of year (total assets less liabilities)2010-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$93,706,320
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
Investment advisory and management fees2010-12-31$3,833
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$22,889,818
Interest earned on other investments2010-12-31$316
Income. Interest from US Government securities2010-12-31$386,988
Income. Interest from corporate debt instruments2010-12-31$917,783
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$2,133,193
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$2,133,193
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$742
Asset value of US Government securities at beginning of year2010-12-31$8,955,398
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$2,011,009
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$2,150,000
Income. Dividends from common stock2010-12-31$852,335
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$4,081,249
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$16,561,128
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$42,406,437
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31Yes
Aggregate proceeds on sale of assets2010-12-31$45,757,475
Aggregate carrying amount (costs) on sale of assets2010-12-31$46,730,933
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 name2010-12-31CHARLES W. SNADER, P.C.
Accountancy firm EIN2010-12-31541873714
2009 : POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION PLAN

2009: POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM EMPLOYEES PENSION 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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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