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MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN 401k Plan overview

Plan NameMARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN
Plan identification number 501

MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN Benefits

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

401k Sponsoring company profile

MARIA PARHAM HOSPITAL, INC. EMPLOYEE BENEFIT TRUST has sponsored the creation of one or more 401k plans.

Company Name:MARIA PARHAM HOSPITAL, INC. EMPLOYEE BENEFIT TRUST
Employer identification number (EIN):581632435
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012013-01-01
5012012-01-01ROBERT SINGLETARY
5012011-01-01ROBERT SINGLETARY
5012009-01-01BOB SINGLETARY

Plan Statistics for MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN

401k plan membership statisitcs for MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN

Measure Date Value
2012: MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01519
Total number of active participants reported on line 7a of the Form 55002012-01-010
Total of all active and inactive participants2012-01-010
2011: MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01543
Total number of active participants reported on line 7a of the Form 55002011-01-01519
Total of all active and inactive participants2011-01-01519
2009: MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01508
Total number of active participants reported on line 7a of the Form 55002009-01-01521
Number of retired or separated participants receiving benefits2009-01-013
Total of all active and inactive participants2009-01-01524

Financial Data on MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN

Measure Date Value
2012 : MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$19,660
Total of all expenses incurred2012-12-31$22,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$22,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$19,660
Value of total assets at end of year2012-12-31$1,107
Value of total assets at beginning of year2012-12-31$3,512
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Total non interest bearing cash at end of year2012-12-31$1,107
Total non interest bearing cash at beginning of year2012-12-31$3,512
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-2,405
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,107
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,512
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$19,660
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$22,065
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN2012-12-31560747981
2011 : MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$5,057,430
Total of all expenses incurred2011-12-31$5,057,157
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,921,850
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$5,057,430
Value of total assets at end of year2011-12-31$3,512
Value of total assets at beginning of year2011-12-31$3,239
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$135,307
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$548
Was this plan covered by a fidelity bond2011-12-31No
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$985,495
Administrative expenses (other) incurred2011-12-31$117,135
Total non interest bearing cash at end of year2011-12-31$3,512
Total non interest bearing cash at beginning of year2011-12-31$3,239
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$273
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,512
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,239
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
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$248,454
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$4,071,935
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$4,673,396
Contract administrator fees2011-12-31$17,624
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2011-12-31560747981

Form 5500 Responses for MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN

2012: MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: MARIA PARHAM HOSPITAL, INC. EMPLOYEE HEALTH AND DENTAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number203116
Policy instance 1
Insurance contract or identification number203116
Number of Individuals Covered519
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $12,271
Total amount of fees paid to insurance companyUSD $5,844
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $248,454
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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