401k Plan data: CARSON CITY HOSPITAL 401K RETIREMENT PLAN plan

CARSON CITY HOSPITAL 401K RETIREMENT PLAN 401k Plan overview

Plan Name	CARSON CITY HOSPITAL 401K RETIREMENT PLAN
Plan identification number	002

CARSON CITY HOSPITAL 401K RETIREMENT 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

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 401K RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 MATTHEW THOMPSON MATTHEW THOMPSON 2016-12-13
002 2015-01-01 MATTHEW THOMPSON MATTHEW THOMPSON 2016-10-17
002 2014-01-01 MATTHEW THOMPSON
002 2013-01-01 MATTHEW THOMPSON
002 2012-01-01 MATHHEW THOMPSON
002 2011-01-01 LISA MARGARET MARTIN
002 2009-01-01 BRUCE TRAVERSE BRUCE TRAVERSE 2010-10-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2016-01-01	MATTHEW THOMPSON	MATTHEW THOMPSON	2016-12-13
002	2015-01-01	MATTHEW THOMPSON	MATTHEW THOMPSON	2016-10-17
002	2014-01-01	MATTHEW THOMPSON
002	2013-01-01	MATTHEW THOMPSON
002	2012-01-01	MATHHEW THOMPSON
002	2011-01-01	LISA MARGARET MARTIN
002	2009-01-01	BRUCE TRAVERSE	BRUCE TRAVERSE	2010-10-01

Plan Statistics for CARSON CITY HOSPITAL 401K RETIREMENT PLAN

401k plan membership statisitcs for CARSON CITY HOSPITAL 401K RETIREMENT PLAN

Measure Date Value
2016: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 582
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 659
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 498
Number of retired or separated participants receiving benefits 2015-01-01 35
Number of other retired or separated participants entitled to future benefits 2015-01-01 22
Total of all active and inactive participants 2015-01-01 555
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 555
Number of participants with account balances 2015-01-01 582
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 3
2014: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 791
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 534
Number of retired or separated participants receiving benefits 2014-01-01 10
Number of other retired or separated participants entitled to future benefits 2014-01-01 115
Total of all active and inactive participants 2014-01-01 659
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 659
Number of participants with account balances 2014-01-01 632
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 15
2013: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 791
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 518
Number of retired or separated participants receiving benefits 2013-01-01 59
Number of other retired or separated participants entitled to future benefits 2013-01-01 200
Total of all active and inactive participants 2013-01-01 777
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 777
Number of participants with account balances 2013-01-01 763
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 16
2012: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 779
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 648
Number of retired or separated participants receiving benefits 2012-01-01 24
Number of other retired or separated participants entitled to future benefits 2012-01-01 118
Total of all active and inactive participants 2012-01-01 790
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 790
Number of participants with account balances 2012-01-01 767
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 47
2011: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 723
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 599
Number of retired or separated participants receiving benefits 2011-01-01 80
Number of other retired or separated participants entitled to future benefits 2011-01-01 100
Total of all active and inactive participants 2011-01-01 779
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 779
Number of participants with account balances 2011-01-01 750
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 724
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 630
Number of retired or separated participants receiving benefits 2009-01-01 38
Number of other retired or separated participants entitled to future benefits 2009-01-01 89
Total of all active and inactive participants 2009-01-01 757
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 758
Number of participants with account balances 2009-01-01 685
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2016: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	582
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	659
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	498
Number of retired or separated participants receiving benefits	2015-01-01	35
Number of other retired or separated participants entitled to future benefits	2015-01-01	22
Total of all active and inactive participants	2015-01-01	555
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	555
Number of participants with account balances	2015-01-01	582
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	3
2014: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	791
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	534
Number of retired or separated participants receiving benefits	2014-01-01	10
Number of other retired or separated participants entitled to future benefits	2014-01-01	115
Total of all active and inactive participants	2014-01-01	659
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	659
Number of participants with account balances	2014-01-01	632
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	15
2013: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	791
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	518
Number of retired or separated participants receiving benefits	2013-01-01	59
Number of other retired or separated participants entitled to future benefits	2013-01-01	200
Total of all active and inactive participants	2013-01-01	777
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	777
Number of participants with account balances	2013-01-01	763
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	16
2012: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	779
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	648
Number of retired or separated participants receiving benefits	2012-01-01	24
Number of other retired or separated participants entitled to future benefits	2012-01-01	118
Total of all active and inactive participants	2012-01-01	790
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	790
Number of participants with account balances	2012-01-01	767
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	47
2011: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	723
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	599
Number of retired or separated participants receiving benefits	2011-01-01	80
Number of other retired or separated participants entitled to future benefits	2011-01-01	100
Total of all active and inactive participants	2011-01-01	779
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	779
Number of participants with account balances	2011-01-01	750
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	724
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	630
Number of retired or separated participants receiving benefits	2009-01-01	38
Number of other retired or separated participants entitled to future benefits	2009-01-01	89
Total of all active and inactive participants	2009-01-01	757
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	758
Number of participants with account balances	2009-01-01	685
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on CARSON CITY HOSPITAL 401K RETIREMENT PLAN

Measure	Date	Value
2016 : CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2016 401k financial data
Total transfer of assets from this plan	2016-02-26	$16,503,193
Total income from all sources (including contributions)	2016-02-26	$3,107
Value of total assets at beginning of year	2016-02-26	$16,500,086
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-02-26	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-02-26	$0
Was this plan covered by a fidelity bond	2016-02-26	Yes
Value of fidelity bond cover	2016-02-26	$1,000,000
If this is an individual account plan, was there a blackout period	2016-02-26	No
Were there any nonexempt tranactions with any party-in-interest	2016-02-26	No
Participant contributions at beginning of year	2016-02-26	$47,143
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-02-26	$145,480
Other income not declared elsewhere	2016-02-26	$3,107
Total non interest bearing cash at beginning of year	2016-02-26	$15,922,155
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-02-26	No
Value of net income/loss	2016-02-26	$3,107
Value of net assets at end of year (total assets less liabilities)	2016-02-26	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-02-26	$16,500,086
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-02-26	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-02-26	No
Were any leases to which the plan was party in default or uncollectible	2016-02-26	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-02-26	No
Was there a failure to transmit to the plan any participant contributions	2016-02-26	No
Has the plan failed to provide any benefit when due under the plan	2016-02-26	No
Employer contributions (assets) at beginning of year	2016-02-26	$385,308
Did the plan have assets held for investment	2016-02-26	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	2016-02-26	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-02-26	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-02-26	Yes
Opinion of an independent qualified public accountant for this plan	2016-02-26	Disclaimer
Accountancy firm name	2016-02-26	ANDREWS HOOPER PAVLIK PLC
Accountancy firm EIN	2016-02-26	383133790
2015 : CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$1,766,017
Total of all expenses incurred	2015-12-31	$2,681,344
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,613,366
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,815,415
Value of total assets at end of year	2015-12-31	$16,500,086
Value of total assets at beginning of year	2015-12-31	$17,415,413
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$67,978
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$119,315
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$119,315
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,429,687
Participant contributions at end of year	2015-12-31	$47,143
Participant contributions at beginning of year	2015-12-31	$49,057
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$9
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$145,480
Administrative expenses (other) incurred	2015-12-31	$541
Total non interest bearing cash at end of year	2015-12-31	$15,922,155
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-915,327
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$16,500,086
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$17,415,413
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$67,437
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$2,527,924
Value of interest in common/collective trusts at beginning of year	2015-12-31	$14,435,814
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-119,247
Net investment gain or loss from common/collective trusts	2015-12-31	$-49,466
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$385,719
Employer contributions (assets) at end of year	2015-12-31	$385,308
Employer contributions (assets) at beginning of year	2015-12-31	$402,618
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,613,366
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	ANDREWS HOOPER PAVLIK PLC
Accountancy firm EIN	2015-12-31	383133790
2014 : CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$3,003,510
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,571,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,496,476
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,857,098
Value of total assets at end of year	2014-12-31	$17,415,413
Value of total assets at beginning of year	2014-12-31	$15,983,517
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$75,138
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$138,077
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$138,077
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,434,584
Participant contributions at end of year	2014-12-31	$49,057
Participant contributions at beginning of year	2014-12-31	$38,422
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$19,896
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$25,291
Other income not declared elsewhere	2014-12-31	$88
Administrative expenses (other) incurred	2014-12-31	$43,360
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,431,896
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$17,415,413
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$15,983,517
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$31,778
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$2,527,924
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,041,447
Value of interest in common/collective trusts at end of year	2014-12-31	$14,435,814
Value of interest in common/collective trusts at beginning of year	2014-12-31	$13,154,047
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$29,892
Net investment gain or loss from common/collective trusts	2014-12-31	$978,355
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$402,618
Employer contributions (assets) at end of year	2014-12-31	$402,618
Employer contributions (assets) at beginning of year	2014-12-31	$724,310
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,496,476
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2014-12-31	381357951
2013 : CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$4,074,053
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$2,160,067
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,094,592
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,811,025
Value of total assets at end of year	2013-12-31	$15,983,517
Value of total assets at beginning of year	2013-12-31	$14,069,531
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$65,475
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$89,103
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$89,103
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,086,715
Participant contributions at end of year	2013-12-31	$38,422
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$25,291
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$1,625
Administrative expenses (other) incurred	2013-12-31	$36,529
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,913,986
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$15,983,517
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$14,069,531
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$28,946
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,041,447
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,694,306
Value of interest in common/collective trusts at end of year	2013-12-31	$13,154,047
Value of interest in common/collective trusts at beginning of year	2013-12-31	$11,641,862
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$318,694
Net investment gain or loss from common/collective trusts	2013-12-31	$1,855,231
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$724,310
Employer contributions (assets) at end of year	2013-12-31	$724,310
Employer contributions (assets) at beginning of year	2013-12-31	$731,738
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,094,592
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	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	PLANTE & MORAN
Accountancy firm EIN	2013-12-31	381357951
2012 : CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$3,212,418
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,487,998
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,426,284
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,719,869
Value of total assets at end of year	2012-12-31	$14,069,531
Value of total assets at beginning of year	2012-12-31	$12,345,111
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$61,714
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$43,697
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$43,697
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$982,807
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$1,964
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$1,625
Administrative expenses (other) incurred	2012-12-31	$34,930
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,724,420
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$14,069,531
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$12,345,111
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$26,784
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$1,694,306
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,116,038
Value of interest in common/collective trusts at end of year	2012-12-31	$11,641,862
Value of interest in common/collective trusts at beginning of year	2012-12-31	$10,510,289
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$144,517
Net investment gain or loss from common/collective trusts	2012-12-31	$1,304,335
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$735,098
Employer contributions (assets) at end of year	2012-12-31	$731,738
Employer contributions (assets) at beginning of year	2012-12-31	$718,784
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,426,284
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	2012-12-31	Yes
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	CROWE HORWATH, LLP
Accountancy firm EIN	2012-12-31	350921680
2011 : CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$1,618,263
Total of all expenses incurred	2011-12-31	$1,191,528
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,135,020
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,794,815
Value of total assets at end of year	2011-12-31	$12,345,111
Value of total assets at beginning of year	2011-12-31	$11,918,376
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$56,508
Total interest from all sources	2011-12-31	$5,714
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$25,583
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$25,583
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$994,314
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$81,717
Other income not declared elsewhere	2011-12-31	$2,555
Total non interest bearing cash at end of year	2011-12-31	$718,784
Total non interest bearing cash at beginning of year	2011-12-31	$727,094
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$426,735
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$12,345,111
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$11,918,376
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$25,614
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,116,038
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,119,095
Value of interest in common/collective trusts at end of year	2011-12-31	$10,510,289
Value of interest in common/collective trusts at beginning of year	2011-12-31	$10,072,187
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$5,714
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-55,063
Net investment gain or loss from common/collective trusts	2011-12-31	$-155,341
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$718,784
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,135,020
Contract administrator fees	2011-12-31	$30,894
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	CROWE HORWATH, LLP
Accountancy firm EIN	2011-12-31	350921680
2010 : CARSON CITY HOSPITAL 401K RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$2,966,528
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$885,388
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$833,694
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,655,600
Value of total assets at end of year	2010-12-31	$11,918,376
Value of total assets at beginning of year	2010-12-31	$9,837,236
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$51,694
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$19,465
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$19,465
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$779,362
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$149,144
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$2,081,140
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$11,918,376
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$9,837,236
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$16,285
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,119,095
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$789,279
Value of interest in common/collective trusts at end of year	2010-12-31	$10,072,187
Value of interest in common/collective trusts at beginning of year	2010-12-31	$8,378,182
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$124,546
Net investment gain or loss from common/collective trusts	2010-12-31	$1,166,917
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$727,094
Employer contributions (assets) at end of year	2010-12-31	$727,094
Employer contributions (assets) at beginning of year	2010-12-31	$669,775
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$833,694
Contract administrator fees	2010-12-31	$35,409
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	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Liabilities. Value of acquisition indebtedness at beginning of year	2010-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	CROWE HORWATH LLP
Accountancy firm EIN	2010-12-31	350921680

Form 5500 Responses for CARSON CITY HOSPITAL 401K RETIREMENT PLAN

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