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COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN 401k Plan overview

Plan NameCOMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN
Plan identification number 001

COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.

401k Sponsoring company profile

COMMUNITY HOSPITAL OF LONG BEACH has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY HOSPITAL OF LONG BEACH
Employer identification number (EIN):954827724
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about COMMUNITY HOSPITAL OF LONG BEACH

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C2259374

More information about COMMUNITY HOSPITAL OF LONG BEACH

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012012-07-01NORMAN RASMUSSEN2013-04-22
0012011-07-01NORMAN RASMUSSEN NORMAN RASMUSSEN2013-04-15
0012010-07-01NORMAN RASMUSSEN NORMAN RASMUSSEN2013-04-12
0012009-07-01VALERIE MARTIN

Plan Statistics for COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN

401k plan membership statisitcs for COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN

Measure Date Value
2011: COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01599
Total number of active participants reported on line 7a of the Form 55002011-07-010
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-0176
Total of all active and inactive participants2011-07-0176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-0176
Number of participants with account balances2011-07-0176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2010: COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01571
Total number of active participants reported on line 7a of the Form 55002010-07-01546
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-0153
Total of all active and inactive participants2010-07-01599
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-07-010
Total participants2010-07-01599
Number of participants with account balances2010-07-01211
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-07-010
2009: COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01674
Total number of active participants reported on line 7a of the Form 55002009-07-01545
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-0124
Total of all active and inactive participants2009-07-01569
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-012
Total participants2009-07-01571
Number of participants with account balances2009-07-01272
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Financial Data on COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN

Measure Date Value
2012 : COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$976
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$6,330
Total income from all sources (including contributions)2012-06-30$-40,753
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$3,600,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$3,588,665
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$13,492
Value of total assets at end of year2012-06-30$1,140,187
Value of total assets at beginning of year2012-06-30$4,786,941
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$11,982
Total interest from all sources2012-06-30$27,408
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$10,583
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2012-06-30$0
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$10,583
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
If this is an individual account plan, was there a blackout period2012-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$25
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$13,467
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$32,055
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$1,253
Assets. Loans (other than to participants) at end of year2012-06-30$107,097
Assets. Loans (other than to participants) at beginning of year2012-06-30$43,063
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$976
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$6,330
Total non interest bearing cash at end of year2012-06-30$1,098
Total non interest bearing cash at beginning of year2012-06-30$107
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-3,641,400
Value of net assets at end of year (total assets less liabilities)2012-06-30$1,139,211
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$4,780,611
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$725,756
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$3,361,168
Interest on participant loans2012-06-30$1,901
Interest earned on other investments2012-06-30$25,504
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$19
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-06-30$274,162
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-06-30$1,381,350
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$-92,236
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$3,588,665
Contract administrator fees2012-06-30$11,982
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30MOSS ADAMS
Accountancy firm EIN2012-06-30910189318
2011 : COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$6,330
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$2,048
Total income from all sources (including contributions)2011-06-30$1,816,048
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$2,080,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$2,064,007
Value of total corrective distributions2011-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$938,953
Value of total assets at end of year2011-06-30$4,786,941
Value of total assets at beginning of year2011-06-30$5,047,436
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$16,818
Total interest from all sources2011-06-30$45,721
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$29,629
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2011-06-30$0
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$29,629
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
If this is an individual account plan, was there a blackout period2011-06-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$938,139
Participant contributions at beginning of year2011-06-30$40,225
Income. Received or receivable in cash from other sources (including rollovers)2011-06-30$814
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$1,253
Assets. Loans (other than to participants) at end of year2011-06-30$43,063
Assets. Loans (other than to participants) at beginning of year2011-06-30$173,868
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$6,330
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$2,048
Other income not declared elsewhere2011-06-30$-1,623
Total non interest bearing cash at end of year2011-06-30$107
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$-264,777
Value of net assets at end of year (total assets less liabilities)2011-06-30$4,780,611
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$5,045,388
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$3,361,168
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$3,357,728
Interest on participant loans2011-06-30$967
Interest earned on other investments2011-06-30$44,753
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$12,614
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$12,614
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-06-30$1,381,350
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$1,314,750
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$803,368
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$0
Employer contributions (assets) at beginning of year2011-06-30$148,251
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$2,064,007
Contract administrator fees2011-06-30$16,818
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30Yes
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30MOSS ADAMS
Accountancy firm EIN2011-06-30954827724
2010 : COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-06-30$0

Form 5500 Responses for COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN

2011: COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedYes
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: COMMUNITY HOSPITAL OF LONG BEACH 403(B) RETIRMENT PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR33812
Policy instance 1
Insurance contract or identification numberCR33812
Number of Individuals Covered76
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $16,121
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893146-007
Policy instance 2
Insurance contract or identification number893146-007
Number of Individuals Covered0
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $1,281
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR33812
Policy instance 1
Insurance contract or identification numberCR33812
Number of Individuals Covered165
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $23,655
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117419
Policy instance 2
Insurance contract or identification number0117419
Number of Individuals Covered499
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $10,559
Total amount of fees paid to insurance companyUSD $2,316
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $62,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893146-007
Policy instance 3
Insurance contract or identification number893146-007
Number of Individuals Covered47
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $2,038
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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