401k Plan data: CRITTENDEN REGIONAL HOSPITAL plan

CRITTENDEN REGIONAL HOSPITAL 401k Plan overview

Plan Name	CRITTENDEN REGIONAL HOSPITAL
Plan identification number	502

CRITTENDEN REGIONAL HOSPITAL Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Other welfare benefit cover

401k Sponsoring company profile

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

Company Name: CRITTENDEN REGIONAL HOSPITAL

Employer identification number (EIN): 320057545

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CRITTENDEN REGIONAL HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2013-01-01 LYNDA TANT
502 2012-01-01 TERRY CHAMBERS
502 2011-01-01 TERRY CHAMBERS
502 2009-01-01 TERRY CHAMBERS

Plan id#	Filing Submission Date	Name of Administrator
502	2013-01-01	LYNDA TANT
502	2012-01-01	TERRY CHAMBERS
502	2011-01-01	TERRY CHAMBERS
502	2009-01-01	TERRY CHAMBERS

Plan Statistics for CRITTENDEN REGIONAL HOSPITAL

401k plan membership statisitcs for CRITTENDEN REGIONAL HOSPITAL

Measure Date Value
2013: CRITTENDEN REGIONAL HOSPITAL 2013 401k membership
Total participants, beginning-of-year 2013-01-01 361
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 369
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 369
2012: CRITTENDEN REGIONAL HOSPITAL 2012 401k membership
Total participants, beginning-of-year 2012-01-01 484
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 455
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 2012-01-01 455
2011: CRITTENDEN REGIONAL HOSPITAL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 459
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 484
Total of all active and inactive participants 2011-01-01 484
2009: CRITTENDEN REGIONAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 378
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 360
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 2009-01-01 360

Measure	Date	Value
2013: CRITTENDEN REGIONAL HOSPITAL 2013 401k membership
Total participants, beginning-of-year	2013-01-01	361
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	369
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	369
2012: CRITTENDEN REGIONAL HOSPITAL 2012 401k membership
Total participants, beginning-of-year	2012-01-01	484
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	455
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	455
2011: CRITTENDEN REGIONAL HOSPITAL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	459
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	484
Total of all active and inactive participants	2011-01-01	484
2009: CRITTENDEN REGIONAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	378
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	360
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	360

Form 5500 Responses for CRITTENDEN REGIONAL HOSPITAL

2013: CRITTENDEN REGIONAL HOSPITAL 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: CRITTENDEN REGIONAL HOSPITAL 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: CRITTENDEN REGIONAL HOSPITAL 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: CRITTENDEN REGIONAL HOSPITAL 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 – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	CRITTENDEN REGIONAL HOSPITAL
Employer identification number (EIN):	320057545
NAIC Classification:	622000
NAIC Description:	Hospitals