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PRINCE WILLIAM HOSPITAL 403(B) PLAN 401k Plan overview

Plan NamePRINCE WILLIAM HOSPITAL 403(B) PLAN
Plan identification number 005

PRINCE WILLIAM HOSPITAL 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PRINCE WILLIAM HOSPITAL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:PRINCE WILLIAM HOSPITAL CORPORATION
Employer identification number (EIN):540696355
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRINCE WILLIAM HOSPITAL 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0052009-01-01ROBERT W. RILEY, CFO

Plan Statistics for PRINCE WILLIAM HOSPITAL 403(B) PLAN

401k plan membership statisitcs for PRINCE WILLIAM HOSPITAL 403(B) PLAN

Measure Date Value
2009: PRINCE WILLIAM HOSPITAL 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01776
Total number of active participants reported on line 7a of the Form 55002009-01-011,286
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01158
Total of all active and inactive participants2009-01-011,444
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-013
Total participants2009-01-011,447
Number of participants with account balances2009-01-01786
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0110

Financial Data on PRINCE WILLIAM HOSPITAL 403(B) PLAN

Measure Date Value
2010 : PRINCE WILLIAM HOSPITAL 403(B) PLAN 2010 401k financial data
Total transfer of assets from this plan2010-12-31$28,404,109
Total income from all sources (including contributions)2010-12-31$3,861,652
Total of all expenses incurred2010-12-31$2,425,476
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,271,767
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$962,267
Value of total assets at end of year2010-12-31$0
Value of total assets at beginning of year2010-12-31$26,967,933
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$153,709
Total interest from all sources2010-12-31$30,765
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$411,195
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2010-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$411,195
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
If this is an individual account plan, was there a blackout period2010-12-31Yes
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-interest2010-12-31No
Contributions received from participants2010-12-31$773,139
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$577,897
Assets. Other investments not covered elsewhere at end of year2010-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$129,476
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$18,110
Administrative expenses (other) incurred2010-12-31$153,709
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$1,436,176
Value of net assets at end of year (total assets less liabilities)2010-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$26,967,933
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 registered invesment companies (eg mutual funds) at end of year2010-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$20,885,762
Value of interest in pooled separate accounts at end of year2010-12-31$0
Value of interest in pooled separate accounts at beginning of year2010-12-31$5,371,423
Interest on participant loans2010-12-31$30,759
Interest earned on other investments2010-12-31$6
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$3,375
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$2,305,732
Net investment gain/loss from pooled separate accounts2010-12-31$151,693
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$171,018
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,271,767
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31Yes
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31Yes
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 name2010-12-31LARSONALLEN
Accountancy firm EIN2010-12-31410746749
2009 : PRINCE WILLIAM HOSPITAL 403(B) 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 PRINCE WILLIAM HOSPITAL 403(B) PLAN

2009: PRINCE WILLIAM HOSPITAL 403(B) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

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