401k Plan data: PROVIDENCE HOSPITAL HEALTH CARE PLAN plan

PROVIDENCE HOSPITAL HEALTH CARE PLAN 401k Plan overview

Plan Name	PROVIDENCE HOSPITAL HEALTH CARE PLAN
Plan identification number	501

PROVIDENCE HOSPITAL HEALTH CARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Vision

401k Sponsoring company profile

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

Company Name: PROVIDENCE HOSPITAL

Employer identification number (EIN): 530196636

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROVIDENCE HOSPITAL HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-01-01 EMIL COMSTI EMIL COMSTI 2013-07-22
501 2011-01-01 EMIL COMSTI
501 2010-01-01 EMIL COMSTI
501 2009-01-01 EMIL COMSTI

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2012-01-01	EMIL COMSTI	EMIL COMSTI	2013-07-22
501	2011-01-01	EMIL COMSTI
501	2010-01-01	EMIL COMSTI
501	2009-01-01	EMIL COMSTI

Plan Statistics for PROVIDENCE HOSPITAL HEALTH CARE PLAN

401k plan membership statisitcs for PROVIDENCE HOSPITAL HEALTH CARE PLAN

Measure Date Value
2012: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,314
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,305
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 1,305
Total participants 2012-01-01 1,305
2011: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,368
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,314
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 1,314
Total participants 2011-01-01 1,314
2010: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,414
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,368
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 1,368
Total participants 2010-01-01 1,368
2009: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,385
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,416
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 1,416

Measure	Date	Value
2012: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,314
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,305
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	1,305
Total participants	2012-01-01	1,305
2011: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,368
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,314
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	1,314
Total participants	2011-01-01	1,314
2010: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,414
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,368
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	1,368
Total participants	2010-01-01	1,368
2009: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,385
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,416
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	1,416

Form 5500 Responses for PROVIDENCE HOSPITAL HEALTH CARE PLAN

2012: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: PROVIDENCE HOSPITAL HEALTH CARE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Potentially related plans

PROVIDENCE HOSPITALITY PARTNERS 401(K) PLAN [EIN = 841610444]

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Company Name:	PROVIDENCE HOSPITAL
Employer identification number (EIN):	530196636
NAIC Classification:	622000
NAIC Description:	Hospitals