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LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameLAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN
Plan identification number 001

LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN Benefits

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

401k Sponsoring company profile

LAKE TAHOE REGIONAL HOSPITALISTS has sponsored the creation of one or more 401k plans.

Company Name:LAKE TAHOE REGIONAL HOSPITALISTS
Employer identification number (EIN):260755054
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01JULIE ROSER2019-11-15 JULIE ROSER2019-11-15
0012018-01-01JULIE ROSER2019-10-10 JULIE ROSER2019-10-10
0012017-01-01
0012016-01-01
0012015-01-01JOSE AGUIRRE, M.D.2016-10-14
0012014-01-01JOSE AGUIRRE, M.D.2015-10-15
0012013-01-01JOSE AGUIRRE, M.D.2014-10-15
0012012-01-01JOSE AGUIRRE, M.D.2013-11-26
0012011-01-01JOSE AGUIRRE, M.D.2012-10-15
0012010-01-01JOSE AGUIRRE, M.D.2011-10-12

Plan Statistics for LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN

Measure Date Value
2019: LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01143
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01142
Total number of active participants reported on line 7a of the Form 55002018-01-01110
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0133
Total of all active and inactive participants2018-01-01143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01143
Number of participants with account balances2018-01-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010

Financial Data on LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN

Measure Date Value
2019 : LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-01-31$0
2018 : LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$392
Total income from all sources (including contributions)2018-12-31$518,834
Total of all expenses incurred2018-12-31$297,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$338,896
Value of total corrective distributions2018-12-31$-47,715
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$798,508
Value of total assets at end of year2018-12-31$3,781,162
Value of total assets at beginning of year2018-12-31$3,560,296
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$6,395
Total interest from all sources2018-12-31$3,753
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$6,395
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$380,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$485,343
Participant contributions at end of year2018-12-31$115,770
Participant contributions at beginning of year2018-12-31$52,030
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$18,050
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$392
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$221,258
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,781,162
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,559,904
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$3,199,912
Value of interest in pooled separate accounts at beginning of year2018-12-31$3,114,354
Interest on participant loans2018-12-31$3,753
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$170,583
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$98,034
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-283,427
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$295,115
Employer contributions (assets) at end of year2018-12-31$294,897
Employer contributions (assets) at beginning of year2018-12-31$295,878
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$338,896
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BLATT & DAUMAN LLP
Accountancy firm EIN2018-12-31112778625

Form 5500 Responses for LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN

2019: LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: LAKE TAHOE REGIONAL HOSPITALISTS 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number8382840
Policy instance 1
Insurance contract or identification number8382840
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $270
Total amount of fees paid to insurance companyUSD $435
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $270
Insurance broker organization code?3
Amount paid for insurance broker fees435
Additional information about fees paid to insurance brokerFEES
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number838284
Policy instance 1
Insurance contract or identification number838284
Number of Individuals Covered100
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $36,384
Total amount of fees paid to insurance companyUSD $1,241
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,797
Insurance broker organization code?3
Amount paid for insurance broker fees1241
Additional information about fees paid to insurance brokerFEES

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