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NORTH SHORE MEDICAL CENTER 403(B) PLAN 401k Plan overview

Plan NameNORTH SHORE MEDICAL CENTER 403(B) PLAN
Plan identification number 002

NORTH SHORE MEDICAL CENTER 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NORTH SHORE MEDICAL CENTER-UNION HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:NORTH SHORE MEDICAL CENTER-UNION HOSPITAL, INC.
Employer identification number (EIN):043399616
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH SHORE MEDICAL CENTER 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022013-01-01PAUL CHANEY JASON FAN2014-07-18
0022012-01-01PAUL CHANEY ELEANOR FLYNN SALVUCCI2013-07-29
0022011-01-01PAUL CHANEY ELEANOR FLYNN SALVUCCI2012-07-31

Plan Statistics for NORTH SHORE MEDICAL CENTER 403(B) PLAN

401k plan membership statisitcs for NORTH SHORE MEDICAL CENTER 403(B) PLAN

Measure Date Value
2013: NORTH SHORE MEDICAL CENTER 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-015,047
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-010
Number of participants with account balances2013-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: NORTH SHORE MEDICAL CENTER 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013,239
Total number of active participants reported on line 7a of the Form 55002012-01-014,467
Number of retired or separated participants receiving benefits2012-01-0133
Number of other retired or separated participants entitled to future benefits2012-01-01547
Total of all active and inactive participants2012-01-015,047
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-015,047
Number of participants with account balances2012-01-013,462
2011: NORTH SHORE MEDICAL CENTER 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013,134
Total number of active participants reported on line 7a of the Form 55002011-01-014,554
Number of retired or separated participants receiving benefits2011-01-0127
Number of other retired or separated participants entitled to future benefits2011-01-01403
Total of all active and inactive participants2011-01-014,984
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-013
Total participants2011-01-014,987
Number of participants with account balances2011-01-013,239

Financial Data on NORTH SHORE MEDICAL CENTER 403(B) PLAN

Measure Date Value
2013 : NORTH SHORE MEDICAL CENTER 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets from this plan2013-12-31$182,856,558
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$40,997,240
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$9,263,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$9,246,170
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$14,263,059
Value of total assets at end of year2013-12-31$0
Value of total assets at beginning of year2013-12-31$151,123,045
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$17,557
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$3,948,898
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$3,948,898
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$5,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$14,117,791
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$2,368,001
Assets. Other investments not covered elsewhere at end of year2013-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$7,101,406
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$145,268
Other income not declared elsewhere2013-12-31$2,765,419
Administrative expenses (other) incurred2013-12-31$17,557
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$31,733,513
Value of net assets at end of year (total assets less liabilities)2013-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$151,123,045
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 registered invesment companies (eg mutual funds) at end of year2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$141,653,638
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$20,019,864
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$9,246,170
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31Yes
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 name2013-12-31FEELEY & DRISCOLL, P.C.
Accountancy firm EIN2013-12-31042684828
2012 : NORTH SHORE MEDICAL CENTER 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$29,570,965
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$10,700,743
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$10,677,304
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$13,417,215
Value of total assets at end of year2012-12-31$151,123,045
Value of total assets at beginning of year2012-12-31$132,252,823
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$23,439
Total interest from all sources2012-12-31$3,530,186
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$12,880,981
Participant contributions at end of year2012-12-31$2,368,001
Participant contributions at beginning of year2012-12-31$2,139,252
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$202,853
Assets. Other investments not covered elsewhere at end of year2012-12-31$7,101,406
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$6,160,023
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$536,234
Administrative expenses (other) incurred2012-12-31$23,439
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$18,870,222
Value of net assets at end of year (total assets less liabilities)2012-12-31$151,123,045
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$132,252,823
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 registered invesment companies (eg mutual funds) at end of year2012-12-31$141,653,638
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$123,750,695
Interest earned on other investments2012-12-31$3,530,186
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$12,623,564
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$10,677,304
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
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 name2012-12-31FEELEY & DRISCOLL, P.C.
Accountancy firm EIN2012-12-31042684828
2011 : NORTH SHORE MEDICAL CENTER 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$9,808,142
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$7,156,858
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$7,133,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$13,240,358
Value of total assets at end of year2011-12-31$132,252,823
Value of total assets at beginning of year2011-12-31$129,601,539
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$23,349
Total interest from all sources2011-12-31$3,511,654
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Administrative expenses professional fees incurred2011-12-31$23,349
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$12,686,723
Participant contributions at end of year2011-12-31$2,139,252
Participant contributions at beginning of year2011-12-31$1,974,653
Participant contributions at end of year2011-12-31$202,853
Participant contributions at beginning of year2011-12-31$0
Assets. Other investments not covered elsewhere at end of year2011-12-31$6,160,023
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$6,275,134
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$553,635
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$2,651,284
Value of net assets at end of year (total assets less liabilities)2011-12-31$132,252,823
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$129,601,539
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 registered invesment companies (eg mutual funds) at end of year2011-12-31$123,750,695
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$121,351,752
Interest earned on other investments2011-12-31$3,511,654
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-6,943,870
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$7,133,509
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
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 name2011-12-31FEELEY & DRISCOLL, P.C.
Accountancy firm EIN2011-12-31042684828

Form 5500 Responses for NORTH SHORE MEDICAL CENTER 403(B) PLAN

2013: NORTH SHORE MEDICAL CENTER 403(B) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingYes
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 – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: NORTH SHORE MEDICAL CENTER 403(B) 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 – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: NORTH SHORE MEDICAL CENTER 403(B) 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 – TrustYes
2011-01-01Plan benefit arrangement - TrustYes

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