401k Plan data: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN plan

ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 401k Plan overview

Plan Name	ATHOL MEMORIAL HOSPITAL 401 (K) PLAN
Plan identification number	002

ATHOL MEMORIAL HOSPITAL 401 (K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.

401k Sponsoring company profile

ATHOL MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: ATHOL MEMORIAL HOSPITAL

Employer identification number (EIN): 042126583

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ATHOL MEMORIAL HOSPITAL 401 (K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-10-01
002 2016-10-01 BOB CROSBY BOB CROSBY 2018-06-25
002 2015-10-01 BOB CROSBY BOB CROSBY 2017-06-15
002 2014-10-01 BOB CROSBY BOB CROSBY 2016-06-13
002 2013-10-01 JENNIFER CORMIER JENNIFER CORMIER 2015-02-12
002 2012-10-01 SALLY SWAN SALLY SWAN 2014-07-10
002 2011-10-01 SALLY SWAN SALLY SWAN 2013-04-08
002 2009-10-01 DEAN FLEMING DEAN FLEMING 2011-07-14
002 2009-10-01 DEAN FLEMING DEAN FLEMING 2011-07-14
002 2009-10-01 DEAN FLEMING DEAN FLEMING 2011-07-14
002 2008-10-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2017-10-01
002	2016-10-01	BOB CROSBY	BOB CROSBY	2018-06-25
002	2015-10-01	BOB CROSBY	BOB CROSBY	2017-06-15
002	2014-10-01	BOB CROSBY	BOB CROSBY	2016-06-13
002	2013-10-01	JENNIFER CORMIER	JENNIFER CORMIER	2015-02-12
002	2012-10-01	SALLY SWAN	SALLY SWAN	2014-07-10
002	2011-10-01	SALLY SWAN	SALLY SWAN	2013-04-08
002	2009-10-01	DEAN FLEMING	DEAN FLEMING	2011-07-14
002	2009-10-01	DEAN FLEMING	DEAN FLEMING	2011-07-14
002	2009-10-01	DEAN FLEMING	DEAN FLEMING	2011-07-14
002	2008-10-01

Plan Statistics for ATHOL MEMORIAL HOSPITAL 401 (K) PLAN

401k plan membership statisitcs for ATHOL MEMORIAL HOSPITAL 401 (K) PLAN

Measure Date Value
2017: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 177
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 0
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 0
Total of all active and inactive participants 2017-10-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-10-01 0
Total participants 2017-10-01 0
Number of participants with account balances 2017-10-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-10-01 0
2016: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 161
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 151
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 26
Total of all active and inactive participants 2016-10-01 177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 177
Number of participants with account balances 2016-10-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 2
2015: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 173
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 132
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 29
Total of all active and inactive participants 2015-10-01 161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 161
Number of participants with account balances 2015-10-01 96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 3
2014: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 176
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 143
Number of retired or separated participants receiving benefits 2014-10-01 30
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 173
Number of participants with account balances 2014-10-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 3
2013: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 196
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 153
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 23
Total of all active and inactive participants 2013-10-01 176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 176
Number of participants with account balances 2013-10-01 88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 0
2012: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 229
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 170
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 26
Total of all active and inactive participants 2012-10-01 196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 196
Number of participants with account balances 2012-10-01 103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 0
2011: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 219
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 201
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 28
Total of all active and inactive participants 2011-10-01 229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 229
Number of participants with account balances 2011-10-01 115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2009: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 258
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 203
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 24
Total of all active and inactive participants 2009-10-01 227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 227
Number of participants with account balances 2009-10-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 1

Measure	Date	Value
2017: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	177
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	0
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	0
Total of all active and inactive participants	2017-10-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-10-01	0
Total participants	2017-10-01	0
Number of participants with account balances	2017-10-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-10-01	0
2016: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	161
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	151
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	26
Total of all active and inactive participants	2016-10-01	177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	177
Number of participants with account balances	2016-10-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	2
2015: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	173
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	132
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	29
Total of all active and inactive participants	2015-10-01	161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	161
Number of participants with account balances	2015-10-01	96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	3
2014: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	176
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	143
Number of retired or separated participants receiving benefits	2014-10-01	30
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	173
Number of participants with account balances	2014-10-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	3
2013: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	196
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	153
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	23
Total of all active and inactive participants	2013-10-01	176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	176
Number of participants with account balances	2013-10-01	88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	0
2012: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	229
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	170
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	26
Total of all active and inactive participants	2012-10-01	196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	196
Number of participants with account balances	2012-10-01	103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	0
2011: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	219
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	201
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	28
Total of all active and inactive participants	2011-10-01	229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	229
Number of participants with account balances	2011-10-01	115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2009: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	258
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	203
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	24
Total of all active and inactive participants	2009-10-01	227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	227
Number of participants with account balances	2009-10-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	1

Financial Data on ATHOL MEMORIAL HOSPITAL 401 (K) PLAN

Measure	Date	Value
2018 : ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-07-23	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-07-23	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-07-23	$0
Total income from all sources (including contributions)	2018-07-23	$257,752
Total loss/gain on sale of assets	2018-07-23	$0
Total of all expenses incurred	2018-07-23	$5,208,166
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-07-23	$5,194,921
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-07-23	$84,877
Value of total assets at end of year	2018-07-23	$0
Value of total assets at beginning of year	2018-07-23	$4,950,414
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-07-23	$13,245
Total interest from all sources	2018-07-23	$1,891
Total dividends received (eg from common stock, registered investment company shares)	2018-07-23	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-07-23	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-07-23	$0
Was this plan covered by a fidelity bond	2018-07-23	Yes
Value of fidelity bond cover	2018-07-23	$500,000
If this is an individual account plan, was there a blackout period	2018-07-23	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-07-23	$0
Were there any nonexempt tranactions with any party-in-interest	2018-07-23	No
Contributions received from participants	2018-07-23	$71,743
Participant contributions at end of year	2018-07-23	$0
Participant contributions at beginning of year	2018-07-23	$56,872
Administrative expenses (other) incurred	2018-07-23	$13,135
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-07-23	No
Value of net income/loss	2018-07-23	$-4,950,414
Value of net assets at end of year (total assets less liabilities)	2018-07-23	$0
Value of net assets at beginning of year (total assets less liabilities)	2018-07-23	$4,950,414
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-07-23	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-07-23	No
Were any leases to which the plan was party in default or uncollectible	2018-07-23	No
Value of interest in pooled separate accounts at end of year	2018-07-23	$0
Value of interest in pooled separate accounts at beginning of year	2018-07-23	$4,855,601
Interest on participant loans	2018-07-23	$1,171
Interest earned on other investments	2018-07-23	$720
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-07-23	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-07-23	$37,941
Net investment gain/loss from pooled separate accounts	2018-07-23	$170,984
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-07-23	No
Was there a failure to transmit to the plan any participant contributions	2018-07-23	No
Has the plan failed to provide any benefit when due under the plan	2018-07-23	No
Contributions received in cash from employer	2018-07-23	$13,134
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-07-23	$5,194,921
Contract administrator fees	2018-07-23	$110
Did the plan have assets held for investment	2018-07-23	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	2018-07-23	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-07-23	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-07-23	Yes
Opinion of an independent qualified public accountant for this plan	2018-07-23	Disclaimer
Accountancy firm name	2018-07-23	BDO USA LLP
Accountancy firm EIN	2018-07-23	135381590
2017 : ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Total income from all sources (including contributions)	2017-09-30	$930,705
Total loss/gain on sale of assets	2017-09-30	$0
Total of all expenses incurred	2017-09-30	$758,692
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-09-30	$757,406
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-09-30	$379,644
Value of total assets at end of year	2017-09-30	$4,950,414
Value of total assets at beginning of year	2017-09-30	$4,778,401
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-09-30	$1,286
Total interest from all sources	2017-09-30	$3,915
Total dividends received (eg from common stock, registered investment company shares)	2017-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-09-30	No
Was this plan covered by a fidelity bond	2017-09-30	Yes
Value of fidelity bond cover	2017-09-30	$500,000
If this is an individual account plan, was there a blackout period	2017-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-09-30	No
Contributions received from participants	2017-09-30	$323,213
Participant contributions at end of year	2017-09-30	$56,872
Participant contributions at beginning of year	2017-09-30	$81,412
Administrative expenses (other) incurred	2017-09-30	$1,050
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Value of net income/loss	2017-09-30	$172,013
Value of net assets at end of year (total assets less liabilities)	2017-09-30	$4,950,414
Value of net assets at beginning of year (total assets less liabilities)	2017-09-30	$4,778,401
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-09-30	No
Were any leases to which the plan was party in default or uncollectible	2017-09-30	No
Value of interest in pooled separate accounts at end of year	2017-09-30	$4,855,601
Value of interest in pooled separate accounts at beginning of year	2017-09-30	$4,659,495
Interest on participant loans	2017-09-30	$2,500
Interest earned on other investments	2017-09-30	$1,415
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-09-30	$37,941
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-09-30	$37,494
Net investment gain/loss from pooled separate accounts	2017-09-30	$547,146
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-09-30	No
Was there a failure to transmit to the plan any participant contributions	2017-09-30	No
Has the plan failed to provide any benefit when due under the plan	2017-09-30	No
Contributions received in cash from employer	2017-09-30	$56,431
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-09-30	$757,406
Contract administrator fees	2017-09-30	$236
Did the plan have assets held for investment	2017-09-30	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	2017-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-09-30	Disclaimer
Accountancy firm name	2017-09-30	BDO USA, LLP
Accountancy firm EIN	2017-09-30	135381590
2016 : ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total income from all sources (including contributions)	2016-09-30	$759,473
Total loss/gain on sale of assets	2016-09-30	$0
Total of all expenses incurred	2016-09-30	$736,849
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$728,751
Value of total corrective distributions	2016-09-30	$6,300
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$361,196
Value of total assets at end of year	2016-09-30	$4,778,401
Value of total assets at beginning of year	2016-09-30	$4,755,777
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$1,798
Total interest from all sources	2016-09-30	$5,197
Total dividends received (eg from common stock, registered investment company shares)	2016-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-09-30	No
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$500,000
If this is an individual account plan, was there a blackout period	2016-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Contributions received from participants	2016-09-30	$290,450
Participant contributions at end of year	2016-09-30	$81,412
Participant contributions at beginning of year	2016-09-30	$86,799
Income. Received or receivable in cash from other sources (including rollovers)	2016-09-30	$17,512
Administrative expenses (other) incurred	2016-09-30	$1,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Value of net income/loss	2016-09-30	$22,624
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$4,778,401
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$4,755,777
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Value of interest in pooled separate accounts at end of year	2016-09-30	$4,659,495
Value of interest in pooled separate accounts at beginning of year	2016-09-30	$4,632,563
Interest on participant loans	2016-09-30	$3,834
Interest earned on other investments	2016-09-30	$1,363
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-09-30	$37,494
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-09-30	$36,415
Net investment gain/loss from pooled separate accounts	2016-09-30	$393,080
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	No
Was there a failure to transmit to the plan any participant contributions	2016-09-30	No
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Contributions received in cash from employer	2016-09-30	$53,234
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$728,751
Contract administrator fees	2016-09-30	$298
Did the plan have assets held for investment	2016-09-30	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	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-09-30	Disclaimer
Accountancy firm name	2016-09-30	BDO USA, LLP
Accountancy firm EIN	2016-09-30	135381590
2015 : ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total income from all sources (including contributions)	2015-09-30	$242,136
Total loss/gain on sale of assets	2015-09-30	$0
Total of all expenses incurred	2015-09-30	$671,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$669,948
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$378,163
Value of total assets at end of year	2015-09-30	$4,755,777
Value of total assets at beginning of year	2015-09-30	$5,184,907
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$1,318
Total interest from all sources	2015-09-30	$5,334
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$500,000
If this is an individual account plan, was there a blackout period	2015-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Contributions received from participants	2015-09-30	$314,180
Participant contributions at end of year	2015-09-30	$86,799
Participant contributions at beginning of year	2015-09-30	$77,195
Income. Received or receivable in cash from other sources (including rollovers)	2015-09-30	$12,698
Administrative expenses (other) incurred	2015-09-30	$960
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$-429,130
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$4,755,777
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$5,184,907
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Value of interest in pooled separate accounts at end of year	2015-09-30	$4,632,563
Value of interest in pooled separate accounts at beginning of year	2015-09-30	$5,070,346
Interest on participant loans	2015-09-30	$4,025
Interest earned on other investments	2015-09-30	$1,309
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-09-30	$36,415
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-09-30	$37,366
Net investment gain/loss from pooled separate accounts	2015-09-30	$-141,361
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Contributions received in cash from employer	2015-09-30	$51,285
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$669,948
Contract administrator fees	2015-09-30	$358
Did the plan have assets held for investment	2015-09-30	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	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-30	Disclaimer
Accountancy firm name	2015-09-30	FEELEY & DRISCOLL, PC
Accountancy firm EIN	2015-09-30	042684828
2014 : ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total income from all sources (including contributions)	2014-09-30	$874,307
Total loss/gain on sale of assets	2014-09-30	$0
Total of all expenses incurred	2014-09-30	$1,077,953
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$1,066,128
Value of total corrective distributions	2014-09-30	$9,819
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$435,907
Value of total assets at end of year	2014-09-30	$5,184,907
Value of total assets at beginning of year	2014-09-30	$5,388,553
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$2,006
Total interest from all sources	2014-09-30	$4,638
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$500,000
If this is an individual account plan, was there a blackout period	2014-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Contributions received from participants	2014-09-30	$275,806
Participant contributions at end of year	2014-09-30	$77,195
Participant contributions at beginning of year	2014-09-30	$78,518
Income. Received or receivable in cash from other sources (including rollovers)	2014-09-30	$160,101
Administrative expenses (other) incurred	2014-09-30	$1,650
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Value of net income/loss	2014-09-30	$-203,646
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$5,184,907
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$5,388,553
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Value of interest in pooled separate accounts at end of year	2014-09-30	$5,070,346
Value of interest in pooled separate accounts at beginning of year	2014-09-30	$5,273,317
Interest on participant loans	2014-09-30	$3,347
Interest earned on other investments	2014-09-30	$1,291
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-09-30	$37,366
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-09-30	$36,718
Net investment gain/loss from pooled separate accounts	2014-09-30	$433,762
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$1,066,128
Contract administrator fees	2014-09-30	$356
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	2014-09-30	No
Did the plan have assets held for investment	2014-09-30	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	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	FEELEY & DRISCOLL, PC
Accountancy firm EIN	2014-09-30	042684828
2013 : ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total income from all sources (including contributions)	2013-09-30	$926,515
Total loss/gain on sale of assets	2013-09-30	$0
Total of all expenses incurred	2013-09-30	$640,525
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$624,335
Expenses. Certain deemed distributions of participant loans	2013-09-30	$14,475
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$297,290
Value of total assets at end of year	2013-09-30	$5,388,553
Value of total assets at beginning of year	2013-09-30	$5,102,563
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$1,715
Total interest from all sources	2013-09-30	$4,670
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$500,000
If this is an individual account plan, was there a blackout period	2013-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Contributions received from participants	2013-09-30	$293,329
Participant contributions at end of year	2013-09-30	$78,518
Participant contributions at beginning of year	2013-09-30	$101,607
Income. Received or receivable in cash from other sources (including rollovers)	2013-09-30	$3,961
Administrative expenses (other) incurred	2013-09-30	$1,275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$285,990
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$5,388,553
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$5,102,563
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Value of interest in pooled separate accounts at end of year	2013-09-30	$5,273,317
Value of interest in pooled separate accounts at beginning of year	2013-09-30	$4,964,554
Interest on participant loans	2013-09-30	$3,430
Interest earned on other investments	2013-09-30	$1,240
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-09-30	$36,718
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-09-30	$36,402
Net investment gain/loss from pooled separate accounts	2013-09-30	$624,555
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$624,335
Contract administrator fees	2013-09-30	$440
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	2013-09-30	No
Did the plan have assets held for investment	2013-09-30	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	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-09-30	Disclaimer
Accountancy firm name	2013-09-30	FEELEY & DRISCOLL, PC
Accountancy firm EIN	2013-09-30	042684828
2012 : ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total income from all sources (including contributions)	2012-09-30	$1,104,414
Total loss/gain on sale of assets	2012-09-30	$0
Total of all expenses incurred	2012-09-30	$716,615
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$699,237
Value of total corrective distributions	2012-09-30	$5,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$287,271
Value of total assets at end of year	2012-09-30	$5,102,563
Value of total assets at beginning of year	2012-09-30	$4,714,764
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$11,698
Total interest from all sources	2012-09-30	$6,723
Total dividends received (eg from common stock, registered investment company shares)	2012-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$100,000
If this is an individual account plan, was there a blackout period	2012-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Contributions received from participants	2012-09-30	$287,271
Participant contributions at end of year	2012-09-30	$101,607
Participant contributions at beginning of year	2012-09-30	$111,929
Administrative expenses (other) incurred	2012-09-30	$4,389
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$387,799
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$5,102,563
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$4,714,764
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-09-30	$4,964,554
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-09-30	$4,568,580
Interest on participant loans	2012-09-30	$5,528
Interest earned on other investments	2012-09-30	$1,195
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-09-30	$36,402
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-09-30	$34,255
Net investment gain/loss from pooled separate accounts	2012-09-30	$810,420
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	No
Was there a failure to transmit to the plan any participant contributions	2012-09-30	No
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$699,237
Contract administrator fees	2012-09-30	$7,309
Did the plan have assets held for investment	2012-09-30	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	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-09-30	Disclaimer
Accountancy firm name	2012-09-30	BOLLUS LYNCH, LLP
Accountancy firm EIN	2012-09-30	043037870
2011 : ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Expenses. Interest paid	2011-09-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2011-09-30	$0
Total income from all sources (including contributions)	2011-09-30	$273,283
Total loss/gain on sale of assets	2011-09-30	$0
Total of all expenses incurred	2011-09-30	$540,708
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$513,876
Expenses. Certain deemed distributions of participant loans	2011-09-30	$0
Value of total corrective distributions	2011-09-30	$5,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$371,386
Value of total assets at end of year	2011-09-30	$4,714,764
Value of total assets at beginning of year	2011-09-30	$4,982,189
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-09-30	$20,885
Total interest from all sources	2011-09-30	$7,655
Total dividends received (eg from common stock, registered investment company shares)	2011-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Assets. Real estate other than employer real property at end of year	2011-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2011-09-30	$0
Administrative expenses professional fees incurred	2011-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2011-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-09-30	$0
Was this plan covered by a fidelity bond	2011-09-30	Yes
Value of fidelity bond cover	2011-09-30	$100,000
If this is an individual account plan, was there a blackout period	2011-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Contributions received from participants	2011-09-30	$371,386
Participant contributions at end of year	2011-09-30	$111,929
Participant contributions at beginning of year	2011-09-30	$121,212
Participant contributions at end of year	2011-09-30	$0
Participant contributions at beginning of year	2011-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2011-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-09-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-09-30	$0
Assets. Loans (other than to participants) at end of year	2011-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2011-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-09-30	$0
Other income not declared elsewhere	2011-09-30	$0
Administrative expenses (other) incurred	2011-09-30	$4,835
Liabilities. Value of operating payables at end of year	2011-09-30	$0
Liabilities. Value of operating payables at beginning of year	2011-09-30	$0
Total non interest bearing cash at end of year	2011-09-30	$0
Total non interest bearing cash at beginning of year	2011-09-30	$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	2011-09-30	No
Income. Non cash contributions	2011-09-30	$0
Value of net income/loss	2011-09-30	$-267,425
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$4,714,764
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$4,982,189
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Assets. partnership/joint venture interests at end of year	2011-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2011-09-30	$0
Investment advisory and management fees	2011-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-09-30	$4,568,580
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-09-30	$4,800,138
Value of interest in pooled separate accounts at end of year	2011-09-30	$0
Value of interest in pooled separate accounts at beginning of year	2011-09-30	$0
Interest on participant loans	2011-09-30	$5,989
Interest earned on other investments	2011-09-30	$1,666
Value of interest in master investment trust accounts at end of year	2011-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2011-09-30	$0
Value of interest in common/collective trusts at end of year	2011-09-30	$0
Value of interest in common/collective trusts at beginning of year	2011-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-09-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2011-09-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-09-30	$34,255
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-09-30	$60,839
Expenses. Payments to insurance carriers foe the provision of benefits	2011-09-30	$0
Asset value of US Government securities at end of year	2011-09-30	$0
Asset value of US Government securities at beginning of year	2011-09-30	$0
Net investment gain/loss from pooled separate accounts	2011-09-30	$-105,758
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	No
Was there a failure to transmit to the plan any participant contributions	2011-09-30	No
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Assets. Invements in employer securities at end of year	2011-09-30	$0
Assets. Invements in employer securities at beginning of year	2011-09-30	$0
Assets. Value of employer real property at end of year	2011-09-30	$0
Assets. Value of employer real property at beginning of year	2011-09-30	$0
Contributions received in cash from employer	2011-09-30	$0
Employer contributions (assets) at end of year	2011-09-30	$0
Employer contributions (assets) at beginning of year	2011-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-09-30	$513,876
Asset. Corporate debt instrument preferred debt at end of year	2011-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2011-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2011-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2011-09-30	$0
Contract administrator fees	2011-09-30	$16,050
Assets. Corporate common stocks other than exployer securities at end of year	2011-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2011-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2011-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-09-30	$0
Did the plan have assets held for investment	2011-09-30	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	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Liabilities. Value of acquisition indebtedness at end of year	2011-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-09-30	Disclaimer
Accountancy firm name	2011-09-30	BOLLUS LYNCH, LLP
Accountancy firm EIN	2011-09-30	043037870

Form 5500 Responses for ATHOL MEMORIAL HOSPITAL 401 (K) PLAN

2017: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	Yes
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan funding arrangement – Trust	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement - Trust	Yes
2016: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2009: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	Yes
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes
2008: ATHOL MEMORIAL HOSPITAL 401 (K) PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

45225

Policy instance

Insurance contract or identification number	45225
Number of Individuals Covered	0
Insurance policy start date	2017-10-01
Insurance policy end date	2018-07-30
Total amount of commissions paid to insurance broker	USD $12,400
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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?	Yes
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

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:	ATHOL MEMORIAL HOSPITAL
Employer identification number (EIN):	042126583
NAIC Classification:	622000
NAIC Description:	Hospitals