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GOOD SAMARITAN HOSPITAL PENSION PLAN 401k Plan overview

Plan NameGOOD SAMARITAN HOSPITAL PENSION PLAN
Plan identification number 001

GOOD SAMARITAN HOSPITAL PENSION PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).

401k Sponsoring company profile

PIH HEALTH has sponsored the creation of one or more 401k plans.

Company Name:PIH HEALTH
Employer identification number (EIN):951656366
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about PIH HEALTH

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0016638

More information about PIH HEALTH

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOOD SAMARITAN HOSPITAL PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012018-01-01
0012017-01-01LEXIE SCHUSTER
0012016-01-01LEXIE SCHUSTER
0012015-01-01LEXIE SCHUSTER
0012014-01-01LEXIE SCHUSTER
0012013-01-01LORETTA BROWN
0012012-01-01LORETTA BROWN
0012011-01-01LORETTA BROWN
0012009-01-01DIANA S. SCRIBNER LEXIE SCHUSTER2010-10-12

Plan Statistics for GOOD SAMARITAN HOSPITAL PENSION PLAN

401k plan membership statisitcs for GOOD SAMARITAN HOSPITAL PENSION PLAN

Measure Date Value
2023: GOOD SAMARITAN HOSPITAL PENSION PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-011,353
Total number of active participants reported on line 7a of the Form 55002023-01-0187
Number of retired or separated participants receiving benefits2023-01-01898
Number of other retired or separated participants entitled to future benefits2023-01-01274
Total of all active and inactive participants2023-01-011,259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-0166
Total participants2023-01-011,325
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: GOOD SAMARITAN HOSPITAL PENSION PLAN 2022 401k membership
Market value of plan assets2022-12-3146,624,651
Acturial value of plan assets2022-12-3146,624,651
Funding target for retired participants and beneficiaries receiving payment2022-12-3134,461,838
Number of terminated vested participants2022-12-31309
Fundng target for terminated vested participants2022-12-318,533,037
Active participant vested funding target2022-12-313,633,347
Number of active participants2022-12-31130
Total funding liabilities for active participants2022-12-313,633,347
Total participant count2022-12-311,407
Total funding target for all participants2022-12-3146,628,222
Balance at beginning of prior year after applicable adjustments2022-12-310
Prefunding balance at beginning of prior year after applicable adjustments2022-12-311,447,505
Carryover balanced portion elected for use to offset prior years funding requirement2022-12-310
Prefunding balanced used to offset prior years funding requirement2022-12-310
Amount remaining of carryover balance2022-12-310
Amount remaining of prefunding balance2022-12-311,447,505
Present value of excess contributions2022-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2022-12-310
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2022-12-310
Reductions in caryover balances due to elections or deemed elections2022-12-310
Reductions in prefunding balances due to elections or deemed elections2022-12-310
Balance of carryovers at beginning of current year2022-12-310
Balance of prefunding at beginning of current year2022-12-311,485,574
Total employer contributions2022-12-31900,200
Total employee contributions2022-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2022-12-310
Contributions made to avoid restrictions adjusted to valuation date2022-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2022-12-31824,764
Unpaid minimum required contributions for all prior years2022-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2022-12-310
Remaining amount of unpaid minimum required contributions2022-12-310
Minimum required contributions for current year target normal cost2022-12-31875,000
Net shortfall amortization installment of oustanding balance2022-12-311,489,145
Waiver amortization installment2022-12-310
Total funding amount beforereflecting carryover/prefunding balances2022-12-311,012,614
Carryover balance elected to use to offset funding requirement2022-12-310
Prefunding balance elected to use to offset funding requirement2022-12-311,012,614
Additional cash requirement2022-12-310
Contributions allocatedtoward minimum required contributions for current year2022-12-31824,764
Unpaid minimum required contributions for current year2022-12-310
Unpaid minimum required contributions for all years2022-12-310
Total participants, beginning-of-year2022-01-011,407
Total number of active participants reported on line 7a of the Form 55002022-01-01109
Number of retired or separated participants receiving benefits2022-01-01898
Number of other retired or separated participants entitled to future benefits2022-01-01278
Total of all active and inactive participants2022-01-011,285
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-0168
Total participants2022-01-011,353
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: GOOD SAMARITAN HOSPITAL PENSION PLAN 2021 401k membership
Market value of plan assets2021-12-3149,490,693
Acturial value of plan assets2021-12-3149,490,693
Funding target for retired participants and beneficiaries receiving payment2021-12-3134,621,712
Number of terminated vested participants2021-12-31320
Fundng target for terminated vested participants2021-12-318,463,703
Active participant vested funding target2021-12-314,040,505
Number of active participants2021-12-31156
Total funding liabilities for active participants2021-12-314,040,505
Total participant count2021-12-311,437
Total funding target for all participants2021-12-3147,125,920
Balance at beginning of prior year after applicable adjustments2021-12-310
Prefunding balance at beginning of prior year after applicable adjustments2021-12-311,883,968
Carryover balanced portion elected for use to offset prior years funding requirement2021-12-310
Prefunding balanced used to offset prior years funding requirement2021-12-311,076,000
Amount remaining of carryover balance2021-12-310
Amount remaining of prefunding balance2021-12-31807,968
Present value of excess contributions2021-12-31498,091
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2021-12-31552,034
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2021-12-31552,034
Reductions in caryover balances due to elections or deemed elections2021-12-310
Reductions in prefunding balances due to elections or deemed elections2021-12-310
Balance of carryovers at beginning of current year2021-12-310
Balance of prefunding at beginning of current year2021-12-311,447,505
Total employer contributions2021-12-310
Total employee contributions2021-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2021-12-310
Contributions made to avoid restrictions adjusted to valuation date2021-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2021-12-310
Liquidity shortfalls end of Q12021-12-310
Liquidity shortfalls end of Q22021-12-310
Liquidity shortfalls end of Q32021-12-310
Liquidity shortfalls end of Q42021-12-310
Unpaid minimum required contributions for all prior years2021-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2021-12-310
Remaining amount of unpaid minimum required contributions2021-12-310
Minimum required contributions for current year target normal cost2021-12-31850,000
Net shortfall amortization installment of oustanding balance2021-12-310
Waiver amortization installment2021-12-310
Total funding amount beforereflecting carryover/prefunding balances2021-12-310
Carryover balance elected to use to offset funding requirement2021-12-310
Prefunding balance elected to use to offset funding requirement2021-12-310
Additional cash requirement2021-12-310
Contributions allocatedtoward minimum required contributions for current year2021-12-310
Unpaid minimum required contributions for current year2021-12-310
Unpaid minimum required contributions for all years2021-12-310
Total participants, beginning-of-year2021-01-011,437
Total number of active participants reported on line 7a of the Form 55002021-01-01130
Number of retired or separated participants receiving benefits2021-01-01908
Number of other retired or separated participants entitled to future benefits2021-01-01305
Total of all active and inactive participants2021-01-011,343
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-0164
Total participants2021-01-011,407
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: GOOD SAMARITAN HOSPITAL PENSION PLAN 2020 401k membership
Market value of plan assets2020-12-3148,692,349
Acturial value of plan assets2020-12-3148,692,349
Funding target for retired participants and beneficiaries receiving payment2020-12-3134,715,178
Number of terminated vested participants2020-12-31326
Fundng target for terminated vested participants2020-12-319,777,570
Active participant vested funding target2020-12-314,716,652
Number of active participants2020-12-31185
Total funding liabilities for active participants2020-12-314,716,652
Total participant count2020-12-311,464
Total funding target for all participants2020-12-3149,209,400
Balance at beginning of prior year after applicable adjustments2020-12-310
Prefunding balance at beginning of prior year after applicable adjustments2020-12-310
Carryover balanced portion elected for use to offset prior years funding requirement2020-12-310
Prefunding balanced used to offset prior years funding requirement2020-12-310
Amount remaining of carryover balance2020-12-310
Amount remaining of prefunding balance2020-12-310
Present value of excess contributions2020-12-311,788,419
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2020-12-311,884,099
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2020-12-311,883,968
Reductions in caryover balances due to elections or deemed elections2020-12-310
Reductions in prefunding balances due to elections or deemed elections2020-12-310
Balance of carryovers at beginning of current year2020-12-310
Balance of prefunding at beginning of current year2020-12-311,883,968
Total employer contributions2020-12-31537,712
Total employee contributions2020-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2020-12-310
Contributions made to avoid restrictions adjusted to valuation date2020-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2020-12-31498,091
Liquidity shortfalls end of Q12020-12-310
Liquidity shortfalls end of Q22020-12-310
Liquidity shortfalls end of Q32020-12-310
Liquidity shortfalls end of Q42020-12-310
Unpaid minimum required contributions for all prior years2020-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2020-12-310
Remaining amount of unpaid minimum required contributions2020-12-310
Minimum required contributions for current year target normal cost2020-12-31850,000
Net shortfall amortization installment of oustanding balance2020-12-312,401,019
Waiver amortization installment2020-12-310
Total funding amount beforereflecting carryover/prefunding balances2020-12-311,075,424
Carryover balance elected to use to offset funding requirement2020-12-310
Prefunding balance elected to use to offset funding requirement2020-12-311,076,000
Additional cash requirement2020-12-310
Contributions allocatedtoward minimum required contributions for current year2020-12-31498,091
Unpaid minimum required contributions for current year2020-12-310
Unpaid minimum required contributions for all years2020-12-310
Total participants, beginning-of-year2020-01-011,464
Total number of active participants reported on line 7a of the Form 55002020-01-01156
Number of retired or separated participants receiving benefits2020-01-01896
Number of other retired or separated participants entitled to future benefits2020-01-01315
Total of all active and inactive participants2020-01-011,367
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-0170
Total participants2020-01-011,437
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: GOOD SAMARITAN HOSPITAL PENSION PLAN 2019 401k membership
Market value of plan assets2019-12-3141,339,660
Acturial value of plan assets2019-12-3141,339,660
Funding target for retired participants and beneficiaries receiving payment2019-12-3135,188,347
Number of terminated vested participants2019-12-31347
Fundng target for terminated vested participants2019-12-3110,156,533
Active participant vested funding target2019-12-315,720,218
Number of active participants2019-12-31206
Total funding liabilities for active participants2019-12-315,720,218
Total participant count2019-12-311,486
Total funding target for all participants2019-12-3151,065,098
Balance at beginning of prior year after applicable adjustments2019-12-310
Prefunding balance at beginning of prior year after applicable adjustments2019-12-311,243,360
Carryover balanced portion elected for use to offset prior years funding requirement2019-12-310
Prefunding balanced used to offset prior years funding requirement2019-12-311,243,360
Amount remaining of carryover balance2019-12-310
Amount remaining of prefunding balance2019-12-310
Present value of excess contributions2019-12-31127
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2019-12-31120
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2019-12-310
Reductions in caryover balances due to elections or deemed elections2019-12-310
Reductions in prefunding balances due to elections or deemed elections2019-12-310
Balance of carryovers at beginning of current year2019-12-310
Balance of prefunding at beginning of current year2019-12-310
Total employer contributions2019-12-314,968,235
Total employee contributions2019-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2019-12-310
Contributions made to avoid restrictions adjusted to valuation date2019-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2019-12-314,624,039
Liquidity shortfalls end of Q12019-12-310
Liquidity shortfalls end of Q22019-12-310
Liquidity shortfalls end of Q32019-12-310
Liquidity shortfalls end of Q42019-12-310
Unpaid minimum required contributions for all prior years2019-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2019-12-310
Remaining amount of unpaid minimum required contributions2019-12-310
Minimum required contributions for current year target normal cost2019-12-31850,000
Net shortfall amortization installment of oustanding balance2019-12-319,725,438
Waiver amortization installment2019-12-310
Total funding amount beforereflecting carryover/prefunding balances2019-12-312,835,620
Carryover balance elected to use to offset funding requirement2019-12-310
Prefunding balance elected to use to offset funding requirement2019-12-310
Additional cash requirement2019-12-312,835,620
Contributions allocatedtoward minimum required contributions for current year2019-12-314,624,039
Unpaid minimum required contributions for current year2019-12-310
Unpaid minimum required contributions for all years2019-12-310
Total participants, beginning-of-year2019-01-011,486
Total number of active participants reported on line 7a of the Form 55002019-01-01185
Number of retired or separated participants receiving benefits2019-01-01888
Number of other retired or separated participants entitled to future benefits2019-01-01320
Total of all active and inactive participants2019-01-011,393
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0171
Total participants2019-01-011,464
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: GOOD SAMARITAN HOSPITAL PENSION PLAN 2018 401k membership
Market value of plan assets2018-12-3150,478,666
Acturial value of plan assets2018-12-3150,478,666
Funding target for retired participants and beneficiaries receiving payment2018-12-3136,194,748
Number of terminated vested participants2018-12-31366
Fundng target for terminated vested participants2018-12-3110,010,603
Active participant vested funding target2018-12-316,432,076
Number of active participants2018-12-31235
Total funding liabilities for active participants2018-12-316,432,076
Total participant count2018-12-311,508
Total funding target for all participants2018-12-3152,637,427
Balance at beginning of prior year after applicable adjustments2018-12-310
Prefunding balance at beginning of prior year after applicable adjustments2018-12-31274,437
Carryover balanced portion elected for use to offset prior years funding requirement2018-12-310
Prefunding balanced used to offset prior years funding requirement2018-12-31274,437
Amount remaining of carryover balance2018-12-310
Amount remaining of prefunding balance2018-12-310
Present value of excess contributions2018-12-311,161,772
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2018-12-311,243,360
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2018-12-311,243,360
Reductions in caryover balances due to elections or deemed elections2018-12-310
Reductions in prefunding balances due to elections or deemed elections2018-12-310
Balance of carryovers at beginning of current year2018-12-310
Balance of prefunding at beginning of current year2018-12-311,243,360
Total employer contributions2018-12-31726,856
Total employee contributions2018-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2018-12-310
Contributions made to avoid restrictions adjusted to valuation date2018-12-31396,253
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2018-12-31292,276
Liquidity shortfalls end of Q12018-12-310
Liquidity shortfalls end of Q22018-12-310
Liquidity shortfalls end of Q32018-12-310
Liquidity shortfalls end of Q42018-12-310
Unpaid minimum required contributions for all prior years2018-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2018-12-310
Remaining amount of unpaid minimum required contributions2018-12-310
Minimum required contributions for current year target normal cost2018-12-31700,000
Net shortfall amortization installment of oustanding balance2018-12-313,402,121
Waiver amortization installment2018-12-310
Total funding amount beforereflecting carryover/prefunding balances2018-12-311,535,509
Carryover balance elected to use to offset funding requirement2018-12-310
Prefunding balance elected to use to offset funding requirement2018-12-311,243,360
Additional cash requirement2018-12-31292,149
Contributions allocatedtoward minimum required contributions for current year2018-12-31292,276
Unpaid minimum required contributions for current year2018-12-310
Unpaid minimum required contributions for all years2018-12-310
Total participants, beginning-of-year2018-01-011,508
Total number of active participants reported on line 7a of the Form 55002018-01-01206
Number of retired or separated participants receiving benefits2018-01-01875
Number of other retired or separated participants entitled to future benefits2018-01-01340
Total of all active and inactive participants2018-01-011,421
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-0165
Total participants2018-01-011,486
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: GOOD SAMARITAN HOSPITAL PENSION PLAN 2017 401k membership
Market value of plan assets2017-12-3146,768,713
Acturial value of plan assets2017-12-3146,768,713
Funding target for retired participants and beneficiaries receiving payment2017-12-3135,582,367
Number of terminated vested participants2017-12-31377
Fundng target for terminated vested participants2017-12-317,436,672
Active participant vested funding target2017-12-316,568,136
Number of active participants2017-12-31264
Total funding liabilities for active participants2017-12-316,568,136
Total participant count2017-12-311,535
Total funding target for all participants2017-12-3149,587,175
Balance at beginning of prior year after applicable adjustments2017-12-310
Prefunding balance at beginning of prior year after applicable adjustments2017-12-31351,630
Carryover balanced portion elected for use to offset prior years funding requirement2017-12-310
Prefunding balanced used to offset prior years funding requirement2017-12-31104,701
Amount remaining of carryover balance2017-12-310
Amount remaining of prefunding balance2017-12-31246,929
Present value of excess contributions2017-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-12-310
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2017-12-310
Reductions in caryover balances due to elections or deemed elections2017-12-310
Reductions in prefunding balances due to elections or deemed elections2017-12-310
Balance of carryovers at beginning of current year2017-12-310
Balance of prefunding at beginning of current year2017-12-31274,437
Total employer contributions2017-12-312,722,573
Total employee contributions2017-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2017-12-310
Contributions made to avoid restrictions adjusted to valuation date2017-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-12-312,551,497
Liquidity shortfalls end of Q12017-12-310
Liquidity shortfalls end of Q22017-12-310
Liquidity shortfalls end of Q32017-12-310
Liquidity shortfalls end of Q42017-12-310
Unpaid minimum required contributions for all prior years2017-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2017-12-310
Remaining amount of unpaid minimum required contributions2017-12-310
Minimum required contributions for current year target normal cost2017-12-31970,000
Net shortfall amortization installment of oustanding balance2017-12-313,092,899
Waiver amortization installment2017-12-310
Total funding amount beforereflecting carryover/prefunding balances2017-12-311,664,162
Carryover balance elected to use to offset funding requirement2017-12-310
Prefunding balance elected to use to offset funding requirement2017-12-31274,437
Additional cash requirement2017-12-311,389,725
Contributions allocatedtoward minimum required contributions for current year2017-12-312,551,497
Unpaid minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for all years2017-12-310
Total participants, beginning-of-year2017-01-011,535
Total number of active participants reported on line 7a of the Form 55002017-01-01235
Number of retired or separated participants receiving benefits2017-01-01855
Number of other retired or separated participants entitled to future benefits2017-01-01366
Total of all active and inactive participants2017-01-011,456
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-0152
Total participants2017-01-011,508
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: GOOD SAMARITAN HOSPITAL PENSION PLAN 2016 401k membership
Market value of plan assets2016-12-3148,830,459
Acturial value of plan assets2016-12-3148,830,459
Funding target for retired participants and beneficiaries receiving payment2016-12-3134,339,934
Number of terminated vested participants2016-12-31864
Fundng target for terminated vested participants2016-12-3114,377,767
Active participant vested funding target2016-12-317,180,970
Number of active participants2016-12-31295
Total funding liabilities for active participants2016-12-317,180,970
Total participant count2016-12-312,012
Total funding target for all participants2016-12-3155,898,671
Balance at beginning of prior year after applicable adjustments2016-12-310
Prefunding balance at beginning of prior year after applicable adjustments2016-12-31477,151
Carryover balanced portion elected for use to offset prior years funding requirement2016-12-310
Prefunding balanced used to offset prior years funding requirement2016-12-31104,701
Amount remaining of carryover balance2016-12-310
Amount remaining of prefunding balance2016-12-31372,450
Present value of excess contributions2016-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2016-12-310
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2016-12-310
Reductions in caryover balances due to elections or deemed elections2016-12-310
Reductions in prefunding balances due to elections or deemed elections2016-12-310
Balance of carryovers at beginning of current year2016-12-310
Balance of prefunding at beginning of current year2016-12-31351,630
Total employer contributions2016-12-315,896,783
Total employee contributions2016-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2016-12-310
Contributions made to avoid restrictions adjusted to valuation date2016-12-314,374,913
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2016-12-311,155,716
Liquidity shortfalls end of Q12016-12-310
Liquidity shortfalls end of Q22016-12-310
Liquidity shortfalls end of Q32016-12-310
Liquidity shortfalls end of Q42016-12-310
Unpaid minimum required contributions for all prior years2016-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2016-12-310
Remaining amount of unpaid minimum required contributions2016-12-310
Minimum required contributions for current year target normal cost2016-12-310
Net shortfall amortization installment of oustanding balance2016-12-317,419,842
Waiver amortization installment2016-12-310
Total funding amount beforereflecting carryover/prefunding balances2016-12-311,260,417
Carryover balance elected to use to offset funding requirement2016-12-310
Prefunding balance elected to use to offset funding requirement2016-12-31104,701
Additional cash requirement2016-12-311,155,716
Contributions allocatedtoward minimum required contributions for current year2016-12-311,155,716
Unpaid minimum required contributions for current year2016-12-310
Unpaid minimum required contributions for all years2016-12-310
Total participants, beginning-of-year2016-01-012,012
Total number of active participants reported on line 7a of the Form 55002016-01-01264
Number of retired or separated participants receiving benefits2016-01-01843
Number of other retired or separated participants entitled to future benefits2016-01-01373
Total of all active and inactive participants2016-01-011,480
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-0155
Total participants2016-01-011,535
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: GOOD SAMARITAN HOSPITAL PENSION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,084
Total number of active participants reported on line 7a of the Form 55002015-01-01295
Number of retired or separated participants receiving benefits2015-01-01807
Number of other retired or separated participants entitled to future benefits2015-01-01859
Total of all active and inactive participants2015-01-011,961
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-0151
Total participants2015-01-012,012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: GOOD SAMARITAN HOSPITAL PENSION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,095
Total number of active participants reported on line 7a of the Form 55002014-01-01315
Number of retired or separated participants receiving benefits2014-01-01794
Number of other retired or separated participants entitled to future benefits2014-01-01926
Total of all active and inactive participants2014-01-012,035
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-0149
Total participants2014-01-012,084
2013: GOOD SAMARITAN HOSPITAL PENSION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,114
Total number of active participants reported on line 7a of the Form 55002013-01-01344
Number of retired or separated participants receiving benefits2013-01-01747
Number of other retired or separated participants entitled to future benefits2013-01-01952
Total of all active and inactive participants2013-01-012,043
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-0152
Total participants2013-01-012,095
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: GOOD SAMARITAN HOSPITAL PENSION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,128
Total number of active participants reported on line 7a of the Form 55002012-01-01369
Number of retired or separated participants receiving benefits2012-01-01680
Number of other retired or separated participants entitled to future benefits2012-01-011,007
Total of all active and inactive participants2012-01-012,056
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-0158
Total participants2012-01-012,114
Number of participants with account balances2012-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: GOOD SAMARITAN HOSPITAL PENSION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,135
Total number of active participants reported on line 7a of the Form 55002011-01-01398
Number of retired or separated participants receiving benefits2011-01-01621
Number of other retired or separated participants entitled to future benefits2011-01-011,077
Total of all active and inactive participants2011-01-012,096
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-0132
Total participants2011-01-012,128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: GOOD SAMARITAN HOSPITAL PENSION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,152
Total number of active participants reported on line 7a of the Form 55002009-01-01458
Number of retired or separated participants receiving benefits2009-01-01577
Number of other retired or separated participants entitled to future benefits2009-01-011,084
Total of all active and inactive participants2009-01-012,119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-0129
Total participants2009-01-012,148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on GOOD SAMARITAN HOSPITAL PENSION PLAN

Measure Date Value
2023 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-12-31$2,452,951
Total unrealized appreciation/depreciation of assets2023-12-31$2,452,951
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$4,870,035
Total loss/gain on sale of assets2023-12-31$-3,318,683
Total of all expenses incurred2023-12-31$5,443,765
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$3,917,718
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$960,981
Value of total assets at end of year2023-12-31$35,299,590
Value of total assets at beginning of year2023-12-31$35,873,320
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$1,526,047
Total interest from all sources2023-12-31$872,884
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$355,829
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$187,465
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Participant contributions at end of year2023-12-31$0
Participant contributions at beginning of year2023-12-31$0
Assets. Other investments not covered elsewhere at end of year2023-12-31$2,488,788
Assets. Other investments not covered elsewhere at beginning of year2023-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$127,301
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$527,754
Other income not declared elsewhere2023-12-31$3,205,863
Administrative expenses (other) incurred2023-12-31$1,442,120
Total non interest bearing cash at end of year2023-12-31$3,960
Total non interest bearing cash at beginning of year2023-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-573,730
Value of net assets at end of year (total assets less liabilities)2023-12-31$35,299,590
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$35,873,320
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$83,927
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$7,156,803
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$0
Income. Interest from US Government securities2023-12-31$132,787
Income. Interest from corporate debt instruments2023-12-31$678,235
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$1,997,741
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$1,870,507
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$1,870,507
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$61,862
Asset value of US Government securities at end of year2023-12-31$7,192,863
Asset value of US Government securities at beginning of year2023-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$340,210
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31Yes
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Assets. Invements in employer securities at end of year2023-12-31$0
Assets. Invements in employer securities at beginning of year2023-12-31$0
Assets. Value of employer real property at end of year2023-12-31$0
Assets. Value of employer real property at beginning of year2023-12-31$0
Contributions received in cash from employer2023-12-31$960,981
Employer contributions (assets) at end of year2023-12-31$454,673
Employer contributions (assets) at beginning of year2023-12-31$900,200
Income. Dividends from common stock2023-12-31$168,364
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$3,917,718
Asset. Corporate debt instrument preferred debt at end of year2023-12-31$2,500,088
Asset. Corporate debt instrument preferred debt at beginning of year2023-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2023-12-31$2,921,242
Asset. Corporate debt instrument debt (other) at beginning of year2023-12-31$30,357,498
Assets. Corporate common stocks other than exployer securities at end of year2023-12-31$10,456,131
Assets. Corporate common stocks other than exployer securities at beginning of year2023-12-31$2,217,361
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Aggregate proceeds on sale of assets2023-12-31$56,616,634
Aggregate carrying amount (costs) on sale of assets2023-12-31$59,935,317
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31PENSION ASSURANCE LLP
Accountancy firm EIN2023-12-31300840934
2022 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-9,705,754
Total unrealized appreciation/depreciation of assets2022-12-31$-9,705,754
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-6,676,295
Total loss/gain on sale of assets2022-12-31$34,976
Total of all expenses incurred2022-12-31$4,075,036
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,982,071
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$900,200
Value of total assets at end of year2022-12-31$35,873,320
Value of total assets at beginning of year2022-12-31$46,624,651
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$92,965
Total interest from all sources2022-12-31$1,986,840
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$107,011
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$87,910
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$527,754
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$529,336
Other income not declared elsewhere2022-12-31$432
Administrative expenses (other) incurred2022-12-31$5,055
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-10,751,331
Value of net assets at end of year (total assets less liabilities)2022-12-31$35,873,320
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$46,624,651
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Income. Interest from US Government securities2022-12-31$0
Income. Interest from corporate debt instruments2022-12-31$1,968,331
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,870,507
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$3,198,943
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$3,198,943
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$18,509
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$0
Assets. Invements in employer securities at beginning of year2022-12-31$0
Assets. Value of employer real property at end of year2022-12-31$0
Assets. Value of employer real property at beginning of year2022-12-31$0
Contributions received in cash from employer2022-12-31$900,200
Employer contributions (assets) at end of year2022-12-31$900,200
Employer contributions (assets) at beginning of year2022-12-31$0
Income. Dividends from common stock2022-12-31$107,011
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,982,071
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$30,357,498
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$40,483,269
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$2,217,361
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$2,413,103
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$7,676,207
Aggregate carrying amount (costs) on sale of assets2022-12-31$7,641,231
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31PENSION ASSURANCE LLP
Accountancy firm EIN2022-12-31300840934
2021 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-857,747
Total unrealized appreciation/depreciation of assets2021-12-31$-857,747
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,241,875
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$4,119,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$4,002,408
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$0
Value of total assets at end of year2021-12-31$46,624,651
Value of total assets at beginning of year2021-12-31$49,502,570
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$117,386
Total interest from all sources2021-12-31$1,996,960
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$102,552
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$117,386
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$529,336
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$529,345
Other income not declared elsewhere2021-12-31$110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-2,877,919
Value of net assets at end of year (total assets less liabilities)2021-12-31$46,624,651
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$49,502,570
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Income. Interest from corporate debt instruments2021-12-31$1,996,576
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$3,198,943
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$4,681,394
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$4,681,394
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$384
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$0
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$537,712
Income. Dividends from common stock2021-12-31$102,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$4,002,408
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$40,483,269
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$42,013,626
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$2,413,103
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$1,740,493
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$3,524,671
Aggregate carrying amount (costs) on sale of assets2021-12-31$3,524,671
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31PENSION ASSURANCE LLP
Accountancy firm EIN2021-12-31300840934
2020 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$2,615,989
Total unrealized appreciation/depreciation of assets2020-12-31$2,615,989
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$29,431
Total income from all sources (including contributions)2020-12-31$6,510,989
Total loss/gain on sale of assets2020-12-31$30,094
Total of all expenses incurred2020-12-31$4,592,490
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,502,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,741,617
Value of total assets at end of year2020-12-31$49,502,570
Value of total assets at beginning of year2020-12-31$47,613,502
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$89,504
Total interest from all sources2020-12-31$2,025,122
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$98,094
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$89,504
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$529,345
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$543,995
Other income not declared elsewhere2020-12-31$73
Liabilities. Value of operating payables at end of year2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$29,431
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,918,499
Value of net assets at end of year (total assets less liabilities)2020-12-31$49,502,570
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$47,584,071
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Income. Interest from corporate debt instruments2020-12-31$2,022,853
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$4,681,394
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,718,449
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,718,449
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$2,269
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,741,617
Employer contributions (assets) at end of year2020-12-31$537,712
Employer contributions (assets) at beginning of year2020-12-31$2,612,868
Income. Dividends from common stock2020-12-31$98,094
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,502,986
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$42,013,626
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$40,648,350
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$1,740,493
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$2,089,840
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$5,652,744
Aggregate carrying amount (costs) on sale of assets2020-12-31$5,622,650
2019 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$5,197,153
Unrealized appreciation/depreciation of real estate assets2019-12-31$5,197,153
Total unrealized appreciation/depreciation of assets2019-12-31$5,197,153
Total unrealized appreciation/depreciation of assets2019-12-31$5,197,153
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$29,431
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$29,431
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$29,691
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$29,691
Total income from all sources (including contributions)2019-12-31$11,136,607
Total income from all sources (including contributions)2019-12-31$11,136,607
Total loss/gain on sale of assets2019-12-31$2,760
Total loss/gain on sale of assets2019-12-31$2,760
Total of all expenses incurred2019-12-31$4,870,798
Total of all expenses incurred2019-12-31$4,870,798
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$4,014,778
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,768,051
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,768,051
Value of total assets at end of year2019-12-31$47,613,502
Value of total assets at end of year2019-12-31$47,613,502
Value of total assets at beginning of year2019-12-31$41,347,953
Value of total assets at beginning of year2019-12-31$41,347,953
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$856,020
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$856,020
Total interest from all sources2019-12-31$2,078,613
Total interest from all sources2019-12-31$2,078,613
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$89,176
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$89,176
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$119,402
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
Value of fidelity bond cover2019-12-31$2,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$3,721
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$3,721
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$543,995
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$543,995
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$546,627
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$546,627
Other income not declared elsewhere2019-12-31$854
Other income not declared elsewhere2019-12-31$854
Administrative expenses (other) incurred2019-12-31$736,618
Liabilities. Value of operating payables at end of year2019-12-31$29,431
Liabilities. Value of operating payables at end of year2019-12-31$29,431
Liabilities. Value of operating payables at beginning of year2019-12-31$29,691
Liabilities. Value of operating payables at beginning of year2019-12-31$29,691
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$6,265,809
Value of net income/loss2019-12-31$6,265,809
Value of net assets at end of year (total assets less liabilities)2019-12-31$47,584,071
Value of net assets at end of year (total assets less liabilities)2019-12-31$47,584,071
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$41,318,262
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$41,318,262
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Income. Interest from corporate debt instruments2019-12-31$2,057,567
Income. Interest from corporate debt instruments2019-12-31$2,057,567
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,718,449
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,718,449
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$2,696,347
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$2,696,347
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$2,696,347
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$2,696,347
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$21,046
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$21,046
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,764,330
Contributions received in cash from employer2019-12-31$3,764,330
Employer contributions (assets) at end of year2019-12-31$2,612,868
Employer contributions (assets) at end of year2019-12-31$2,612,868
Employer contributions (assets) at beginning of year2019-12-31$316,703
Employer contributions (assets) at beginning of year2019-12-31$316,703
Income. Dividends from common stock2019-12-31$89,176
Income. Dividends from common stock2019-12-31$89,176
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$4,014,778
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$4,014,778
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$40,648,350
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$40,648,350
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$35,970,200
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$35,970,200
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$2,089,840
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$2,089,840
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$1,818,076
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$1,818,076
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$4,160,982
Aggregate proceeds on sale of assets2019-12-31$4,160,982
Aggregate carrying amount (costs) on sale of assets2019-12-31$4,158,222
Aggregate carrying amount (costs) on sale of assets2019-12-31$4,158,222
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31PENSION ASSURANCE, LLP
Accountancy firm name2019-12-31PENSION ASSURANCE, LLP
Accountancy firm EIN2019-12-31300840934
Accountancy firm EIN2019-12-31300840934
2018 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-12-31$-5,606,507
Total unrealized appreciation/depreciation of assets2018-12-31$-5,606,507
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$29,691
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$8,435
Total income from all sources (including contributions)2018-12-31$-2,229,759
Total loss/gain on sale of assets2018-12-31$456,913
Total of all expenses incurred2018-12-31$6,964,521
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$6,828,740
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$726,856
Value of total assets at end of year2018-12-31$41,347,953
Value of total assets at beginning of year2018-12-31$50,520,977
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$135,781
Total interest from all sources2018-12-31$2,112,721
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$80,258
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$135,781
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$546,627
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$552,610
Liabilities. Value of operating payables at end of year2018-12-31$29,691
Liabilities. Value of operating payables at beginning of year2018-12-31$8,435
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$53,217
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-9,194,280
Value of net assets at end of year (total assets less liabilities)2018-12-31$41,318,262
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$50,512,542
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$0
Value of interest in pooled separate accounts at beginning of year2018-12-31$680,321
Income. Interest from corporate debt instruments2018-12-31$1,816,476
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$2,696,347
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$3,069,090
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$3,069,090
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$296,245
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$726,856
Employer contributions (assets) at end of year2018-12-31$316,703
Employer contributions (assets) at beginning of year2018-12-31$2,057,559
Income. Dividends from common stock2018-12-31$80,258
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$6,828,740
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$35,970,200
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$41,544,816
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$1,818,076
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$2,563,364
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$5,799,056
Aggregate carrying amount (costs) on sale of assets2018-12-31$5,342,143
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31PENSION ASSURANCE, LLP
Accountancy firm EIN2018-12-31300840934
2017 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$2,752,610
Total unrealized appreciation/depreciation of assets2017-12-31$2,752,610
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$8,435
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$8,049
Total income from all sources (including contributions)2017-12-31$7,732,687
Total loss/gain on sale of assets2017-12-31$8,626
Total of all expenses incurred2017-12-31$4,032,133
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$3,916,670
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,722,573
Value of total assets at end of year2017-12-31$50,520,977
Value of total assets at beginning of year2017-12-31$46,820,037
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$115,463
Total interest from all sources2017-12-31$2,151,736
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$66,882
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$115,463
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$2,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$552,610
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$563,269
Other income not declared elsewhere2017-12-31$30,260
Liabilities. Value of operating payables at end of year2017-12-31$8,435
Liabilities. Value of operating payables at beginning of year2017-12-31$8,049
Total non interest bearing cash at end of year2017-12-31$53,217
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$3,700,554
Value of net assets at end of year (total assets less liabilities)2017-12-31$50,512,542
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$46,811,988
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$680,321
Value of interest in pooled separate accounts at beginning of year2017-12-31$669,323
Income. Interest from corporate debt instruments2017-12-31$2,137,258
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$3,069,090
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,995,298
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,995,298
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$14,478
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31Yes
Contributions received in cash from employer2017-12-31$2,722,573
Employer contributions (assets) at end of year2017-12-31$2,057,559
Employer contributions (assets) at beginning of year2017-12-31$1,276,268
Income. Dividends from common stock2017-12-31$66,882
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$3,916,670
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$41,544,816
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$39,995,965
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$2,563,364
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$2,319,914
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$5,250,623
Aggregate carrying amount (costs) on sale of assets2017-12-31$5,241,997
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31PENSION ASSURANCE, LLP
Accountancy firm EIN2017-12-31300840934
2016 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$2,774,755
Total unrealized appreciation/depreciation of assets2016-12-31$2,774,755
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$8,049
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$8,664
Total income from all sources (including contributions)2016-12-31$10,977,689
Total loss/gain on sale of assets2016-12-31$-7,529
Total of all expenses incurred2016-12-31$12,987,496
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$12,125,076
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,896,783
Value of total assets at end of year2016-12-31$46,820,037
Value of total assets at beginning of year2016-12-31$48,830,459
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$862,420
Total interest from all sources2016-12-31$2,297,393
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$62,423
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$199,832
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$2,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$563,269
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$609,405
Other income not declared elsewhere2016-12-31$-46,136
Administrative expenses (other) incurred2016-12-31$662,588
Liabilities. Value of operating payables at end of year2016-12-31$8,049
Liabilities. Value of operating payables at beginning of year2016-12-31$8,664
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-2,009,807
Value of net assets at end of year (total assets less liabilities)2016-12-31$46,811,988
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$48,821,795
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$669,323
Value of interest in pooled separate accounts at beginning of year2016-12-31$684,149
Income. Interest from corporate debt instruments2016-12-31$2,293,309
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,995,298
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$3,573,198
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$3,573,198
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$4,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31Yes
Contributions received in cash from employer2016-12-31$5,896,783
Employer contributions (assets) at end of year2016-12-31$1,276,268
Employer contributions (assets) at beginning of year2016-12-31$0
Income. Dividends from common stock2016-12-31$62,423
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$12,125,076
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$39,995,965
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$42,148,752
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$2,319,914
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$1,814,955
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$18,119,417
Aggregate carrying amount (costs) on sale of assets2016-12-31$18,126,946
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31PENSION ASSURANCE, LLP
Accountancy firm EIN2016-12-31300840934
2015 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-4,312,304
Total unrealized appreciation/depreciation of assets2015-12-31$-4,312,304
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$8,664
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$9,611
Total income from all sources (including contributions)2015-12-31$-2,338,145
Total loss/gain on sale of assets2015-12-31$-747,526
Total of all expenses incurred2015-12-31$4,197,708
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,743,637
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$200,400
Value of total assets at end of year2015-12-31$48,830,459
Value of total assets at beginning of year2015-12-31$55,367,259
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$454,071
Total interest from all sources2015-12-31$2,492,558
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$54,397
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$47,475
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$2,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$609,405
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$635,075
Other income not declared elsewhere2015-12-31$-25,670
Administrative expenses (other) incurred2015-12-31$406,596
Liabilities. Value of operating payables at end of year2015-12-31$8,664
Liabilities. Value of operating payables at beginning of year2015-12-31$9,611
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-6,535,853
Value of net assets at end of year (total assets less liabilities)2015-12-31$48,821,795
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$55,357,648
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$684,149
Value of interest in pooled separate accounts at beginning of year2015-12-31$696,598
Income. Interest from corporate debt instruments2015-12-31$2,492,148
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$3,573,198
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$2,664,977
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$2,664,977
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$410
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$200,400
Income. Dividends from common stock2015-12-31$54,397
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,743,637
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$42,148,752
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$49,353,894
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$1,814,955
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$2,016,715
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$15,633,637
Aggregate carrying amount (costs) on sale of assets2015-12-31$16,381,163
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31PENSION ASSURANCE, LLP
Accountancy firm EIN2015-12-31300840934
2014 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$4,062,861
Total unrealized appreciation/depreciation of assets2014-12-31$4,062,861
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$9,611
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$9,166
Total income from all sources (including contributions)2014-12-31$6,661,318
Total loss/gain on sale of assets2014-12-31$1,255
Total of all expenses incurred2014-12-31$3,824,354
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$3,785,929
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$0
Value of total assets at end of year2014-12-31$55,367,259
Value of total assets at beginning of year2014-12-31$52,529,850
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$38,425
Total interest from all sources2014-12-31$2,548,837
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$48,378
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$635,075
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$635,088
Other income not declared elsewhere2014-12-31$-13
Administrative expenses (other) incurred2014-12-31$38,425
Liabilities. Value of operating payables at end of year2014-12-31$9,611
Liabilities. Value of operating payables at beginning of year2014-12-31$9,166
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$2,836,964
Value of net assets at end of year (total assets less liabilities)2014-12-31$55,357,648
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$52,520,684
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in pooled separate accounts at end of year2014-12-31$696,598
Value of interest in pooled separate accounts at beginning of year2014-12-31$405,651
Income. Interest from corporate debt instruments2014-12-31$2,548,472
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$2,664,977
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$4,182,486
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$4,182,486
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$365
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Income. Dividends from common stock2014-12-31$48,378
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$3,785,929
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$49,353,894
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$45,250,672
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$2,016,715
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$2,055,953
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$4,090,568
Aggregate carrying amount (costs) on sale of assets2014-12-31$4,089,313
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31PENSION ASSURANCE, LLP
Accountancy firm EIN2014-12-31300840934
2013 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-4,363,576
Total unrealized appreciation/depreciation of assets2013-12-31$-4,363,576
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$9,166
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$10,160
Total income from all sources (including contributions)2013-12-31$-1,781,277
Total loss/gain on sale of assets2013-12-31$-20,324
Total of all expenses incurred2013-12-31$3,704,559
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$3,667,080
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$0
Value of total assets at end of year2013-12-31$52,529,850
Value of total assets at beginning of year2013-12-31$58,016,680
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$37,479
Total interest from all sources2013-12-31$2,570,434
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$38,569
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$635,088
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$641,468
Other income not declared elsewhere2013-12-31$-6,380
Administrative expenses (other) incurred2013-12-31$37,479
Liabilities. Value of operating payables at end of year2013-12-31$9,166
Liabilities. Value of operating payables at beginning of year2013-12-31$10,160
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$72
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-5,485,836
Value of net assets at end of year (total assets less liabilities)2013-12-31$52,520,684
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$58,006,520
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$405,651
Value of interest in pooled separate accounts at beginning of year2013-12-31$287,272
Income. Interest from corporate debt instruments2013-12-31$2,570,062
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$4,182,486
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$2,697,882
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$2,697,882
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$372
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Income. Dividends from common stock2013-12-31$38,569
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$3,667,080
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$45,250,672
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$53,201,047
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$2,055,953
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$1,188,939
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$7,185,125
Aggregate carrying amount (costs) on sale of assets2013-12-31$7,205,449
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31CNM, LLP
Accountancy firm EIN2013-12-31651202484
2012 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$2,993,665
Total unrealized appreciation/depreciation of assets2012-12-31$2,993,665
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$10,160
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$9,586
Total income from all sources (including contributions)2012-12-31$5,734,463
Total loss/gain on sale of assets2012-12-31$143,016
Total of all expenses incurred2012-12-31$3,309,916
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$3,269,962
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$0
Value of total assets at end of year2012-12-31$58,016,680
Value of total assets at beginning of year2012-12-31$55,591,559
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$39,954
Total interest from all sources2012-12-31$2,577,162
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$35,670
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$641,468
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$656,518
Other income not declared elsewhere2012-12-31$-15,050
Administrative expenses (other) incurred2012-12-31$39,954
Liabilities. Value of operating payables at end of year2012-12-31$10,160
Liabilities. Value of operating payables at beginning of year2012-12-31$9,586
Total non interest bearing cash at end of year2012-12-31$72
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$2,424,547
Value of net assets at end of year (total assets less liabilities)2012-12-31$58,006,520
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$55,581,973
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
Value of interest in pooled separate accounts at end of year2012-12-31$287,272
Value of interest in pooled separate accounts at beginning of year2012-12-31$267,875
Income. Interest from corporate debt instruments2012-12-31$2,576,491
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$2,697,882
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$3,168,652
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$3,168,652
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$671
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
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
Employer contributions (assets) at beginning of year2012-12-31$940,975
Income. Dividends from common stock2012-12-31$35,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$3,269,962
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$53,201,047
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$49,440,163
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$1,188,939
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$1,117,376
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2012-12-31$14,034,955
Aggregate carrying amount (costs) on sale of assets2012-12-31$13,891,939
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31CNM, LLP
Accountancy firm EIN2012-12-31651202484
2011 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$3,651,325
Total unrealized appreciation/depreciation of assets2011-12-31$3,651,325
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$9,586
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$8,356
Total income from all sources (including contributions)2011-12-31$8,134,430
Total loss/gain on sale of assets2011-12-31$-50,433
Total of all expenses incurred2011-12-31$3,153,331
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$3,116,884
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,783,300
Value of total assets at end of year2011-12-31$55,591,559
Value of total assets at beginning of year2011-12-31$50,609,230
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$36,447
Total interest from all sources2011-12-31$2,666,651
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$32,326
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$656,518
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$2,902,134
Other income not declared elsewhere2011-12-31$51,261
Administrative expenses (other) incurred2011-12-31$36,447
Liabilities. Value of operating payables at end of year2011-12-31$9,586
Liabilities. Value of operating payables at beginning of year2011-12-31$8,356
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$4,981,099
Value of net assets at end of year (total assets less liabilities)2011-12-31$55,581,973
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$50,600,874
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 pooled separate accounts at end of year2011-12-31$267,875
Value of interest in pooled separate accounts at beginning of year2011-12-31$430,322
Income. Interest from corporate debt instruments2011-12-31$2,666,249
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$3,168,652
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,153,152
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,153,152
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$402
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
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$1,783,300
Employer contributions (assets) at end of year2011-12-31$940,975
Employer contributions (assets) at beginning of year2011-12-31$416,479
Income. Dividends from common stock2011-12-31$32,326
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,116,884
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$49,440,163
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$45,707,143
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$1,117,376
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
Aggregate proceeds on sale of assets2011-12-31$6,047,967
Aggregate carrying amount (costs) on sale of assets2011-12-31$6,098,400
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 name2011-12-31CNM, LLP
Accountancy firm EIN2011-12-31651202484
2010 : GOOD SAMARITAN HOSPITAL PENSION PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$2,346,700
Total unrealized appreciation/depreciation of assets2010-12-31$2,346,700
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$8,356
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$7,656
Total income from all sources (including contributions)2010-12-31$8,084,117
Total loss/gain on sale of assets2010-12-31$-318,376
Total of all expenses incurred2010-12-31$3,052,449
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$3,019,274
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,174,570
Value of total assets at end of year2010-12-31$50,609,230
Value of total assets at beginning of year2010-12-31$45,576,862
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$33,175
Total interest from all sources2010-12-31$2,644,464
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31Yes
Amount of non-exempt transactions with any party-in-interest2010-12-31$260,559
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$2,902,134
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$671,183
Other income not declared elsewhere2010-12-31$2,236,759
Administrative expenses (other) incurred2010-12-31$33,175
Liabilities. Value of operating payables at end of year2010-12-31$8,356
Liabilities. Value of operating payables at beginning of year2010-12-31$7,656
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$5,031,668
Value of net assets at end of year (total assets less liabilities)2010-12-31$50,600,874
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$45,569,206
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 pooled separate accounts at end of year2010-12-31$430,322
Value of interest in pooled separate accounts at beginning of year2010-12-31$431,760
Income. Interest from US Government securities2010-12-31$190
Income. Interest from corporate debt instruments2010-12-31$2,643,908
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,153,152
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,588,907
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,588,907
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$366
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
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$1,174,570
Employer contributions (assets) at end of year2010-12-31$416,479
Employer contributions (assets) at beginning of year2010-12-31$1,610,738
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$3,019,274
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$45,707,143
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$41,274,274
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
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
Aggregate proceeds on sale of assets2010-12-31$9,431,659
Aggregate carrying amount (costs) on sale of assets2010-12-31$9,750,035
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 name2010-12-31CNM, LLP
Accountancy firm EIN2010-12-31651202484
2009 : GOOD SAMARITAN HOSPITAL 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 GOOD SAMARITAN HOSPITAL PENSION PLAN

2023: GOOD SAMARITAN HOSPITAL PENSION PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedYes
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: GOOD SAMARITAN HOSPITAL PENSION PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: GOOD SAMARITAN HOSPITAL PENSION PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: GOOD SAMARITAN HOSPITAL PENSION PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: GOOD SAMARITAN HOSPITAL PENSION PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: GOOD SAMARITAN HOSPITAL PENSION PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: GOOD SAMARITAN HOSPITAL PENSION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: GOOD SAMARITAN HOSPITAL PENSION PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: GOOD SAMARITAN HOSPITAL PENSION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: GOOD SAMARITAN HOSPITAL PENSION 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 – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: GOOD SAMARITAN HOSPITAL PENSION 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 – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: GOOD SAMARITAN HOSPITAL PENSION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
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 – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: GOOD SAMARITAN HOSPITAL PENSION 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 - TrustYes
2009: GOOD SAMARITAN HOSPITAL 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number4-33400
Policy instance 1
Insurance contract or identification number4-33400
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number4-33400
Policy instance 1
Insurance contract or identification number4-33400
Number of Individuals Covered907
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number4-33400
Policy instance 1
Insurance contract or identification number4-33400
Number of Individuals Covered858
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number4-33400
Policy instance 1
Insurance contract or identification number4-33400
Number of Individuals Covered843
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number4-33400
Policy instance 1
Insurance contract or identification number4-33400
Number of Individuals Covered792
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number4-33400
Policy instance 1
Insurance contract or identification number4-33400
Number of Individuals Covered730
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number4-33400
Policy instance 1
Insurance contract or identification number4-33400
Number of Individuals Covered651
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number4-33400
Policy instance 1
Insurance contract or identification number4-33400
Number of Individuals Covered625
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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