GOOD SAMARITAN HOSPITAL has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GOOD SAMARITAN HEALTHCARE TSA PLAN
| Measure | Date | Value |
|---|
| 2010 : GOOD SAMARITAN HEALTHCARE TSA PLAN 2010 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2010-09-30 | $0 |
| Total transfer of assets from this plan | 2010-09-30 | $100,770,526 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-09-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-09-30 | $0 |
| Total income from all sources (including contributions) | 2010-09-30 | $4,615,168 |
| Total loss/gain on sale of assets | 2010-09-30 | $0 |
| Total of all expenses incurred | 2010-09-30 | $11,464,292 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-09-30 | $11,279,800 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-09-30 | $899,243 |
| Value of total assets at end of year | 2010-09-30 | $0 |
| Value of total assets at beginning of year | 2010-09-30 | $107,619,650 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-09-30 | $184,492 |
| Total interest from all sources | 2010-09-30 | $1,042,690 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-09-30 | $515,506 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-09-30 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2010-09-30 | $0 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2010-09-30 | $515,506 |
| Administrative expenses professional fees incurred | 2010-09-30 | $184,492 |
| Was this plan covered by a fidelity bond | 2010-09-30 | Yes |
| Value of fidelity bond cover | 2010-09-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2010-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-09-30 | No |
| Contributions received from participants | 2010-09-30 | $890,010 |
| Participant contributions at end of year | 2010-09-30 | $0 |
| Participant contributions at beginning of year | 2010-09-30 | $718,129 |
| Assets. Other investments not covered elsewhere at end of year | 2010-09-30 | $0 |
| Assets. Other investments not covered elsewhere at beginning of year | 2010-09-30 | $873,584 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2010-09-30 | $9,233 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-09-30 | No |
| Value of net income/loss | 2010-09-30 | $-6,849,124 |
| Value of net assets at end of year (total assets less liabilities) | 2010-09-30 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-09-30 | $107,619,650 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-09-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-09-30 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-09-30 | $68,794,238 |
| Interest on participant loans | 2010-09-30 | $0 |
| Interest earned on other investments | 2010-09-30 | $1,042,690 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2010-09-30 | $37,233,699 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2010-09-30 | $2,157,729 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-09-30 | No |
| Contributions received in cash from employer | 2010-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-09-30 | $11,279,800 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2010-09-30 | No |
| Did the plan have assets held for investment | 2010-09-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-09-30 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-09-30 | Disclaimer |
| Accountancy firm name | 2010-09-30 | KPMG LLP |
| Accountancy firm EIN | 2010-09-30 | 135565207 |
| 2009 : GOOD SAMARITAN HEALTHCARE TSA PLAN 2009 401k financial data |
|---|
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2009-12-31 | $0 |
