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NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN 401k Plan overview

Plan NameNORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN
Plan identification number 001

NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NORTH ADAMS REGIONAL HOSPITAL INC has sponsored the creation of one or more 401k plans.

Company Name:NORTH ADAMS REGIONAL HOSPITAL INC
Employer identification number (EIN):041676720
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012011-01-01AMY COLDIRON
0012010-01-01AMY COLDIRON
0012009-01-01AMY COLDIRON

Plan Statistics for NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN

401k plan membership statisitcs for NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN

Measure Date Value
2011: NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01684
Total number of active participants reported on line 7a of the Form 55002011-01-01251
Number of retired or separated participants receiving benefits2011-01-01221
Number of other retired or separated participants entitled to future benefits2011-01-01182
Total of all active and inactive participants2011-01-01654
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-0122
Total participants2011-01-01676
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-012
2010: NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01705
Total number of active participants reported on line 7a of the Form 55002010-01-01272
Number of retired or separated participants receiving benefits2010-01-01202
Number of other retired or separated participants entitled to future benefits2010-01-01192
Total of all active and inactive participants2010-01-01666
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-0118
Total participants2010-01-01684
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-013
2009: NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01714
Total number of active participants reported on line 7a of the Form 55002009-01-01295
Number of retired or separated participants receiving benefits2009-01-01200
Number of other retired or separated participants entitled to future benefits2009-01-01191
Total of all active and inactive participants2009-01-01686
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-0119
Total participants2009-01-01705
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN

Measure Date Value
2011 : NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME 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$4,075
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$17,500
Total income from all sources (including contributions)2011-12-31$908,854
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$1,869,503
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,528,722
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$0
Value of total assets at end of year2011-12-31$28,062,836
Value of total assets at beginning of year2011-12-31$29,036,910
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$340,781
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$806,182
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$806,182
Administrative expenses professional fees incurred2011-12-31$59,200
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$167,889
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$153,267
Administrative expenses (other) incurred2011-12-31$159,188
Liabilities. Value of operating payables at end of year2011-12-31$4,075
Liabilities. Value of operating payables at beginning of year2011-12-31$17,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-960,649
Value of net assets at end of year (total assets less liabilities)2011-12-31$28,058,761
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$29,019,410
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
Investment advisory and management fees2011-12-31$122,393
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$27,894,947
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$28,883,643
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$102,672
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$1,528,722
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 name2011-12-31SAWYER, LLC
Accountancy firm EIN2011-12-31271294850
2010 : NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$17,500
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$33,368
Total income from all sources (including contributions)2010-12-31$5,096,792
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$1,724,687
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,379,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,814,514
Value of total assets at end of year2010-12-31$29,791,869
Value of total assets at beginning of year2010-12-31$26,435,632
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$345,143
Total interest from all sources2010-12-31$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 year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$82,527
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$129,879
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$29,711
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$153,267
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$150,299
Administrative expenses (other) incurred2010-12-31$148,794
Liabilities. Value of operating payables at end of year2010-12-31$17,500
Liabilities. Value of operating payables at beginning of year2010-12-31$33,368
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$3,372,105
Value of net assets at end of year (total assets less liabilities)2010-12-31$29,774,369
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$26,402,264
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$113,822
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$28,883,643
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$25,771,012
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$3,282,278
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,684,635
Employer contributions (assets) at end of year2010-12-31$754,959
Employer contributions (assets) at beginning of year2010-12-31$484,610
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,379,544
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31SAWYER, LLC
Accountancy firm EIN2010-12-31271294850
2009 : NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN

2011: NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME 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 planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: NORTH ADAMS REGIONAL HOSPITAL RETIREMENT INCOME PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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