401k Plan data: NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN plan

NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN 401k Plan overview

Plan Name	NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN
Plan identification number	003

NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN Benefits

401k Plan Type	Defined 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

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 NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2014-01-01 HAROLD B. MURPHY
003 2013-01-01 HAROLD B. MURPHY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2014-01-01	HAROLD B. MURPHY
003	2013-01-01	HAROLD B. MURPHY

Plan Statistics for NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN

401k plan membership statisitcs for NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN

Measure Date Value
2014: NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 654
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 626
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 581
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 71
Total of all active and inactive participants 2013-01-01 654
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 654
Number of participants with account balances 2013-01-01 347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 7

Measure	Date	Value
2014: NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	654
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	626
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	581
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	71
Total of all active and inactive participants	2013-01-01	654
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	654
Number of participants with account balances	2013-01-01	347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	7

Financial Data on NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN

Measure	Date	Value
2014 : NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$1,530,541
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$19,762,407
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$19,701,583
Expenses. Certain deemed distributions of participant loans	2014-12-31	$3,629
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$984,834
Value of total assets at end of year	2014-12-31	$0
Value of total assets at beginning of year	2014-12-31	$18,231,866
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$57,195
Total interest from all sources	2014-12-31	$70,213
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$64,247
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$64,247
Administrative expenses professional fees incurred	2014-12-31	$39,906
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
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
Contributions received from participants	2014-12-31	$397,714
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$134,302
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$390,274
Administrative expenses (other) incurred	2014-12-31	$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	2014-12-31	No
Value of net income/loss	2014-12-31	$-18,231,866
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$18,231,866
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	$15,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$12,938,810
Interest on participant loans	2014-12-31	$3,349
Interest earned on other investments	2014-12-31	$66,864
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$79,457
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$79,457
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$5,079,297
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$411,247
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	$196,846
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$19,701,583
Contract administrator fees	2014-12-31	$2,289
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	Yes
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	SAWYER, LLC
Accountancy firm EIN	2014-12-31	271294850
2013 : NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$5,151,795
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,485,743
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,379,839
Expenses. Certain deemed distributions of participant loans	2013-12-31	$104,665
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,368,785
Value of total assets at end of year	2013-12-31	$18,237,811
Value of total assets at beginning of year	2013-12-31	$14,571,759
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,239
Total interest from all sources	2013-12-31	$64,061
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$365,296
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$365,296
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
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
Contributions received from participants	2013-12-31	$1,473,924
Participant contributions at end of year	2013-12-31	$140,246
Participant contributions at beginning of year	2013-12-31	$125,595
Participant contributions at beginning of year	2013-12-31	$23,683
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$126,096
Total non interest bearing cash at beginning of year	2013-12-31	$1
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	$3,666,052
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$18,237,811
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$14,571,759
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$13,018,268
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$9,441,685
Interest on participant loans	2013-12-31	$9,118
Interest earned on other investments	2013-12-31	$54,943
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$79,457
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$678
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$678
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$5,079,297
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$4,970,817
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,353,653
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	$768,765
Employer contributions (assets) at beginning of year	2013-12-31	$9,300
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,379,839
Contract administrator fees	2013-12-31	$1,239
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	SAWYER, LLC
Accountancy firm EIN	2013-12-31	271294850

Form 5500 Responses for NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN

2014: NORTHERN BERKSHIRE HEALTHCARE 403(B) 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	Yes
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	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NORTHERN BERKSHIRE HEALTHCARE 403(B) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
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	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

70986

Policy instance

Insurance contract or identification number	70986
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

70986

Policy instance

Insurance contract or identification number	70986
Number of Individuals Covered	347
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 number

892382-007

Policy instance

Insurance contract or identification number	892382-007
Number of Individuals Covered	0
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

Potentially related plans

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

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