401k Plan data: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN plan

CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 401k Plan overview

Plan Name	CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN
Plan identification number	001

CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).

401k Sponsoring company profile

CARSON CITY HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: CARSON CITY HOSPITAL

Employer identification number (EIN): 381490180

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-07-01 MATTHEW THOMPSON MATTHEW THOMPSON 2016-09-15
001 2014-07-01 MATTHEW THOMPSON MATTHEW THOMPSON 2016-04-13
001 2013-07-01
001 2012-07-01 MATTHEW THOMPSON MATTHEW THOMPSON 2014-04-14
001 2011-07-01 MATTHEW THOMPSON MATTHEW THOMPSON 2013-03-26
001 2009-07-01 DAVID NADEAU

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-07-01	MATTHEW THOMPSON	MATTHEW THOMPSON	2016-09-15
001	2014-07-01	MATTHEW THOMPSON	MATTHEW THOMPSON	2016-04-13
001	2013-07-01
001	2012-07-01	MATTHEW THOMPSON	MATTHEW THOMPSON	2014-04-14
001	2011-07-01	MATTHEW THOMPSON	MATTHEW THOMPSON	2013-03-26
001	2009-07-01	DAVID NADEAU

Plan Statistics for CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN

401k plan membership statisitcs for CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN

Measure Date Value
2015: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 271
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 0
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 276
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 70
Number of retired or separated participants receiving benefits 2014-07-01 52
Number of other retired or separated participants entitled to future benefits 2014-07-01 149
Total of all active and inactive participants 2014-07-01 271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 290
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 75
Number of retired or separated participants receiving benefits 2013-07-01 52
Number of other retired or separated participants entitled to future benefits 2013-07-01 149
Total of all active and inactive participants 2013-07-01 276
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 298
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 92
Number of retired or separated participants receiving benefits 2012-07-01 49
Number of other retired or separated participants entitled to future benefits 2012-07-01 149
Total of all active and inactive participants 2012-07-01 290
Total participants 2012-07-01 290
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 319
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 111
Number of retired or separated participants receiving benefits 2011-07-01 48
Number of other retired or separated participants entitled to future benefits 2011-07-01 139
Total of all active and inactive participants 2011-07-01 298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 342
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 145
Number of retired or separated participants receiving benefits 2009-07-01 49
Number of other retired or separated participants entitled to future benefits 2009-07-01 135
Total of all active and inactive participants 2009-07-01 329
Total participants 2009-07-01 329
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2015: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	271
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	0
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	276
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	70
Number of retired or separated participants receiving benefits	2014-07-01	52
Number of other retired or separated participants entitled to future benefits	2014-07-01	149
Total of all active and inactive participants	2014-07-01	271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	290
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	75
Number of retired or separated participants receiving benefits	2013-07-01	52
Number of other retired or separated participants entitled to future benefits	2013-07-01	149
Total of all active and inactive participants	2013-07-01	276
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	298
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	92
Number of retired or separated participants receiving benefits	2012-07-01	49
Number of other retired or separated participants entitled to future benefits	2012-07-01	149
Total of all active and inactive participants	2012-07-01	290
Total participants	2012-07-01	290
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	319
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	111
Number of retired or separated participants receiving benefits	2011-07-01	48
Number of other retired or separated participants entitled to future benefits	2011-07-01	139
Total of all active and inactive participants	2011-07-01	298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	342
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	145
Number of retired or separated participants receiving benefits	2009-07-01	49
Number of other retired or separated participants entitled to future benefits	2009-07-01	135
Total of all active and inactive participants	2009-07-01	329
Total participants	2009-07-01	329
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN

Measure	Date	Value
2015 : CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2015 401k financial data
Total transfer of assets from this plan	2015-11-05	$7,034
Total income from all sources (including contributions)	2015-11-05	$13
Value of total assets at end of year	2015-11-05	$0
Value of total assets at beginning of year	2015-11-05	$7,021
Total interest from all sources	2015-11-05	$53
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-11-05	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-11-05	$0
Was this plan covered by a fidelity bond	2015-11-05	Yes
Value of fidelity bond cover	2015-11-05	$500,000
If this is an individual account plan, was there a blackout period	2015-11-05	No
Were there any nonexempt tranactions with any party-in-interest	2015-11-05	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-11-05	No
Value of net income/loss	2015-11-05	$13
Value of net assets at end of year (total assets less liabilities)	2015-11-05	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-11-05	$7,021
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-11-05	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-11-05	No
Were any leases to which the plan was party in default or uncollectible	2015-11-05	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-11-05	$7,021
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-11-05	$53
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-11-05	$-40
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-11-05	Yes
Was there a failure to transmit to the plan any participant contributions	2015-11-05	No
Has the plan failed to provide any benefit when due under the plan	2015-11-05	No
Did the plan have assets held for investment	2015-11-05	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	2015-11-05	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-11-05	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-11-05	Yes
Opinion of an independent qualified public accountant for this plan	2015-11-05	Disclaimer
Accountancy firm name	2015-11-05	ANDREWS HOOPER PAVLIK PLC
Accountancy firm EIN	2015-11-05	383133790
Total transfer of assets from this plan	2015-06-30	$2,423,019
Total income from all sources (including contributions)	2015-06-30	$78,718
Total of all expenses incurred	2015-06-30	$225,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$225,069
Value of total assets at end of year	2015-06-30	$7,021
Value of total assets at beginning of year	2015-06-30	$2,577,141
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$750
Total interest from all sources	2015-06-30	$13
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$127,373
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-30	$127,373
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$500,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$-147,101
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$7,021
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$2,577,141
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Investment advisory and management fees	2015-06-30	$750
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$7,021
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$2,310,829
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-06-30	$70,112
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-06-30	$70,112
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-06-30	$13
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$-48,668
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Employer contributions (assets) at beginning of year	2015-06-30	$196,200
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$225,069
Did the plan have assets held for investment	2015-06-30	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	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	ANDREWS HOOPER PAVLIK PLC
Accountancy firm EIN	2015-06-30	383133790
2014 : CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-06-30	$548,431
Total of all expenses incurred	2014-06-30	$886,191
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$886,191
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$196,200
Value of total assets at end of year	2014-06-30	$2,577,141
Value of total assets at beginning of year	2014-06-30	$2,914,901
Total interest from all sources	2014-06-30	$34
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$128,555
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-06-30	$128,555
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Total non interest bearing cash at end of year	2014-06-30	$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	2014-06-30	No
Value of net income/loss	2014-06-30	$-337,760
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$2,577,141
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$2,914,901
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$2,310,829
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$2,803,469
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-06-30	$70,112
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-06-30	$111,432
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-06-30	$111,432
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-06-30	$34
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$223,642
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$196,200
Employer contributions (assets) at end of year	2014-06-30	$196,200
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$886,191
Did the plan have assets held for investment	2014-06-30	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	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	PLANTE & MORAN, PLLC
Accountancy firm EIN	2014-06-30	381357951
2013 : CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2013 401k financial data
Total transfer of assets to this plan	2013-06-30	$0
Total transfer of assets from this plan	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$444,878
Total of all expenses incurred	2013-06-30	$298,012
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$295,667
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$145,380
Value of total assets at end of year	2013-06-30	$2,914,901
Value of total assets at beginning of year	2013-06-30	$2,768,035
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$2,345
Total interest from all sources	2013-06-30	$59
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$81,778
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-06-30	$81,778
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Income. Received or receivable in cash from other sources (including rollovers)	2013-06-30	$380
Total non interest bearing cash at beginning of year	2013-06-30	$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	2013-06-30	No
Value of net income/loss	2013-06-30	$146,866
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$2,914,901
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$2,768,035
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Investment advisory and management fees	2013-06-30	$2,345
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$2,803,469
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$2,602,913
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-06-30	$111,432
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-06-30	$165,122
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-06-30	$165,122
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-06-30	$59
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$217,661
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$145,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$295,667
Did the plan have assets held for investment	2013-06-30	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	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	PLANTE & MORAN, PLLC
Accountancy firm EIN	2013-06-30	381357951
2012 : CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2012 401k financial data
Total transfer of assets to this plan	2012-06-30	$0
Total transfer of assets from this plan	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$264,918
Total of all expenses incurred	2012-06-30	$814,509
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$806,097
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$188,000
Value of total assets at end of year	2012-06-30	$2,768,035
Value of total assets at beginning of year	2012-06-30	$3,317,626
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$8,412
Total interest from all sources	2012-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$86,347
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-06-30	$86,347
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Administrative expenses (other) incurred	2012-06-30	$3,410
Total non interest bearing cash at end of year	2012-06-30	$0
Total non interest bearing cash at beginning of year	2012-06-30	$79,457
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$-549,591
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$2,768,035
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$3,317,626
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Investment advisory and management fees	2012-06-30	$5,002
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$2,768,035
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$3,135,581
Interest earned on other investments	2012-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-06-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-06-30	$102,588
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-06-30	$102,588
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-9,429
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$188,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$806,097
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	CROWE HORWATH LLP
Accountancy firm EIN	2012-06-30	350921680
2011 : CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$580,018
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$463,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$454,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$65,000
Value of total assets at end of year	2011-06-30	$3,317,626
Value of total assets at beginning of year	2011-06-30	$3,201,014
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$8,509
Total interest from all sources	2011-06-30	$137
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Administrative expenses (other) incurred	2011-06-30	$3,084
Total non interest bearing cash at end of year	2011-06-30	$79,457
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$116,612
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$3,317,626
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$3,201,014
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Investment advisory and management fees	2011-06-30	$5,425
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$3,135,581
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$2,924,292
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-06-30	$102,588
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-06-30	$276,722
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-06-30	$276,722
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-06-30	$137
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$514,881
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$65,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$454,897
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	CROWE HOWARTH LLP
Accountancy firm EIN	2011-06-30	350921680
2010 : CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN

2015: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	This submission is the final filing	Yes
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: CARSON CITY HOSPITAL HOURLY AND SALARIED EMPLOYEES RETIREMENT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CARSON CITY HOSPITAL
Employer identification number (EIN):	381490180
NAIC Classification:	622000
NAIC Description:	Hospitals