401k Plan data: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN plan

NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 401k Plan overview

Plan Name	NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN
Plan identification number	001

NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
Profit-sharing
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 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NORTHCREST MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: NORTHCREST MEDICAL CENTER

Employer identification number (EIN): 621046595

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 KIM PRIDGEN KIM PRIDGEN 2017-09-28
001 2015-01-01 KIM PRIDGEN KIM PRIDGEN 2016-10-11
001 2015-01-01 KIM PRIDGEN KIM PRIDGEN 2016-10-11
001 2014-01-01 KIMBERLY WALKER KIMBERLY WALKER 2015-08-12
001 2013-01-01 AMBER KING AMBER KING 2014-10-10
001 2012-01-01 AMBER KING AMBER KING 2013-10-14
001 2011-01-01 AMBER KING AMBER KING 2012-10-18
001 2010-01-01 AMBER KING AMBER KING 2011-10-17
001 2009-01-01 AMBER KING AMBER KING 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	KIM PRIDGEN	KIM PRIDGEN	2017-09-28
001	2015-01-01	KIM PRIDGEN	KIM PRIDGEN	2016-10-11
001	2015-01-01	KIM PRIDGEN	KIM PRIDGEN	2016-10-11
001	2014-01-01	KIMBERLY WALKER	KIMBERLY WALKER	2015-08-12
001	2013-01-01	AMBER KING	AMBER KING	2014-10-10
001	2012-01-01	AMBER KING	AMBER KING	2013-10-14
001	2011-01-01	AMBER KING	AMBER KING	2012-10-18
001	2010-01-01	AMBER KING	AMBER KING	2011-10-17
001	2009-01-01	AMBER KING	AMBER KING	2010-10-15

Plan Statistics for NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN

401k plan membership statisitcs for NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN

Measure Date Value
2016: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 700
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 695
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 434
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 241
Total of all active and inactive participants 2015-01-01 675
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 675
Number of participants with account balances 2015-01-01 563
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 7
2014: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 780
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 446
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 227
Total of all active and inactive participants 2014-01-01 673
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 673
Number of participants with account balances 2014-01-01 558
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 31
2013: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 816
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 479
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 308
Total of all active and inactive participants 2013-01-01 787
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 787
Number of participants with account balances 2013-01-01 686
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 11
2012: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 755
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 670
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 133
Total of all active and inactive participants 2012-01-01 803
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 803
Number of participants with account balances 2012-01-01 578
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 45
2011: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 731
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 643
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 106
Total of all active and inactive participants 2011-01-01 749
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 749
Number of participants with account balances 2011-01-01 554
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 28
2010: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 875
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 521
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 201
Total of all active and inactive participants 2010-01-01 722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 722
Number of participants with account balances 2010-01-01 631
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 35
2009: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 860
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 658
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 213
Total of all active and inactive participants 2009-01-01 871
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 871
Number of participants with account balances 2009-01-01 602
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 35

Measure	Date	Value
2016: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	700
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	695
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	434
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	241
Total of all active and inactive participants	2015-01-01	675
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	675
Number of participants with account balances	2015-01-01	563
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	7
2014: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	780
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	446
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	227
Total of all active and inactive participants	2014-01-01	673
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	673
Number of participants with account balances	2014-01-01	558
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	31
2013: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	816
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	479
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	308
Total of all active and inactive participants	2013-01-01	787
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	787
Number of participants with account balances	2013-01-01	686
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	11
2012: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	755
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	670
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	133
Total of all active and inactive participants	2012-01-01	803
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	803
Number of participants with account balances	2012-01-01	578
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	45
2011: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	731
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	643
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	106
Total of all active and inactive participants	2011-01-01	749
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	749
Number of participants with account balances	2011-01-01	554
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	28
2010: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	875
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	521
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	201
Total of all active and inactive participants	2010-01-01	722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	722
Number of participants with account balances	2010-01-01	631
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	35
2009: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	860
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	658
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	213
Total of all active and inactive participants	2009-01-01	871
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	871
Number of participants with account balances	2009-01-01	602
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	35

Financial Data on NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN

Measure	Date	Value
2016 : NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2016 401k financial data
Total transfer of assets from this plan	2016-12-31	$3,615,245
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$266
Total income from all sources (including contributions)	2016-12-31	$440,891
Total of all expenses incurred	2016-12-31	$3,389,125
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$3,311,422
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$122,564
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$6,563,745
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$77,703
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Assets. Real estate other than employer real property at end of year	2016-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Participant contributions at end of year	2016-12-31	$0
Participant contributions at end of year	2016-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$73,257
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$0
Assets. Loans (other than to participants) at end of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$266
Liabilities. Value of operating payables at end of year	2016-12-31	$0
Total non interest bearing cash at end of year	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-2,948,234
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$6,563,479
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Assets. partnership/joint venture interests at end of year	2016-12-31	$0
Investment advisory and management fees	2016-12-31	$29,143
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$0
Value of interest in pooled separate accounts at end of year	2016-12-31	$0
Value of interest in master investment trust accounts at end of year	2016-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2016-12-31	$6,563,745
Value of interest in common/collective trusts at end of year	2016-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$0
Asset value of US Government securities at end of year	2016-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Assets. Invements in employer securities at end of year	2016-12-31	$0
Assets. Value of employer real property at end of year	2016-12-31	$0
Contributions received in cash from employer	2016-12-31	$49,307
Employer contributions (assets) at end of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$3,311,422
Asset. Corporate debt instrument preferred debt at end of year	2016-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2016-12-31	$0
Contract administrator fees	2016-12-31	$48,560
Assets. Corporate common stocks other than exployer securities at end of year	2016-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2016-12-31	$0
Did the plan have assets held for investment	2016-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Liabilities. Value of acquisition indebtedness at end of year	2016-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	KRAFTCPAS, PLLC
Accountancy firm EIN	2016-12-31	620713250
2015 : NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$266
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$20,336
Total income from all sources (including contributions)	2015-12-31	$193,167
Total of all expenses incurred	2015-12-31	$939,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$878,975
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$227,691
Value of total assets at end of year	2015-12-31	$6,563,745
Value of total assets at beginning of year	2015-12-31	$7,330,530
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$60,907
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$161,430
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$266
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$20,336
Other income not declared elsewhere	2015-12-31	$801
Administrative expenses (other) incurred	2015-12-31	$3,125
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-746,715
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$6,563,479
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$7,310,194
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$30,889
Value of interest in master investment trust accounts at end of year	2015-12-31	$6,563,745
Value of interest in master investment trust accounts at beginning of year	2015-12-31	$7,330,530
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$66,261
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$878,975
Contract administrator fees	2015-12-31	$26,893
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	KRAFTCPAS, PLLC
Accountancy firm EIN	2015-12-31	620713250
2014 : NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$20,336
Total income from all sources (including contributions)	2014-12-31	$768,733
Total of all expenses incurred	2014-12-31	$1,132,923
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,052,711
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$250,452
Value of total assets at end of year	2014-12-31	$7,330,530
Value of total assets at beginning of year	2014-12-31	$7,674,384
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$80,212
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$180,951
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$20,336
Administrative expenses (other) incurred	2014-12-31	$3,348
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-364,190
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$7,310,194
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$7,674,384
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$33,274
Value of interest in master investment trust accounts at end of year	2014-12-31	$7,330,530
Value of interest in master investment trust accounts at beginning of year	2014-12-31	$7,674,384
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$69,501
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,052,711
Contract administrator fees	2014-12-31	$43,590
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	KRAFTCPAS, PLLC
Accountancy firm EIN	2014-12-31	620713250
2013 : NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$1,121,881
Total of all expenses incurred	2013-12-31	$1,015,563
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$988,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$125,011
Value of total assets at end of year	2013-12-31	$7,674,384
Value of total assets at beginning of year	2013-12-31	$7,568,066
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$26,910
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$1,582
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$80,692
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$106,318
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$7,674,384
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$7,568,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$22,663
Value of interest in master investment trust accounts at end of year	2013-12-31	$7,674,384
Value of interest in master investment trust accounts at beginning of year	2013-12-31	$7,568,066
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$44,319
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$988,653
Contract administrator fees	2013-12-31	$2,665
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	KRAFTCPAS, PLLC
Accountancy firm EIN	2013-12-31	620713250
2012 : NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$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	$664,517
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$335,111
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$329,527
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$41,257
Value of total assets at end of year	2012-12-31	$7,568,066
Value of total assets at beginning of year	2012-12-31	$7,238,660
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$5,584
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$5,584
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$21,828
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$329,406
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$7,568,066
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$7,238,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in master investment trust accounts at end of year	2012-12-31	$7,568,066
Value of interest in master investment trust accounts at beginning of year	2012-12-31	$6,626,426
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$19,429
Employer contributions (assets) at beginning of year	2012-12-31	$612,234
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$329,527
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	Yes
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	KRAFT, LLP
Accountancy firm EIN	2012-12-31	620713250
2011 : NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$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	$581,654
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$892,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$889,550
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$732,253
Value of total assets at end of year	2011-12-31	$7,238,660
Value of total assets at beginning of year	2011-12-31	$7,549,096
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,540
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$1,932
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$74,532
Administrative expenses (other) incurred	2011-12-31	$608
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-310,436
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$7,238,660
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$7,549,096
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in master investment trust accounts at end of year	2011-12-31	$6,626,426
Value of interest in master investment trust accounts at beginning of year	2011-12-31	$6,951,102
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$657,721
Employer contributions (assets) at end of year	2011-12-31	$612,234
Employer contributions (assets) at beginning of year	2011-12-31	$597,994
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$889,550
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	Yes
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	HORNE, LLP
Accountancy firm EIN	2011-12-31	201941244
2010 : NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,384,697
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$442,550
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$440,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$747,277
Value of total assets at end of year	2010-12-31	$7,549,096
Value of total assets at beginning of year	2010-12-31	$6,606,949
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,859
Total interest from all sources	2010-12-31	$0
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 year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$1,859
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$597,994
Amount contributed by the employer to the plan for this plan year	2010-12-31	$597,994
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$28,051
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$942,147
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$7,549,096
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$6,606,949
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$4,703,213
Value of interest in master investment trust accounts at end of year	2010-12-31	$6,951,102
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,345,382
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,345,382
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$719,226
Employer contributions (assets) at end of year	2010-12-31	$597,994
Employer contributions (assets) at beginning of year	2010-12-31	$558,354
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$440,691
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	Yes
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	HORNE, LLP
Accountancy firm EIN	2010-12-31	201941244
2009 : NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$558,354
Amount contributed by the employer to the plan for this plan year	2009-12-31	$558,354

Form 5500 Responses for NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN

2016: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT 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 – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTHCREST MEDICAL CENTER EMPLOYEES RETIREMENT 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

NORTHCREST MEDICAL CENTER RETIREMENT TRUST [EIN = 356925013]

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Company Name:	NORTHCREST MEDICAL CENTER
Employer identification number (EIN):	621046595
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers