401k Plan data: BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN plan

BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 401k Plan overview

Plan Name	BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN
Plan identification number	002

BATH COUNTY COMMUNITY HOSPITAL 401(A) 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.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

BATH COMMUNITY HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: BATH COMMUNITY HOSPITAL

Employer identification number (EIN): 540505913

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2010-01-01 TROY SNEAD TROY SNEAD 2013-01-15
002 2009-01-01 TROY SNEAD TROY SNEAD 2013-01-15
002 2008-01-01 TROY SNEAD

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2010-01-01	TROY SNEAD	TROY SNEAD	2013-01-15
002	2009-01-01	TROY SNEAD	TROY SNEAD	2013-01-15
002	2008-01-01	TROY SNEAD

Plan Statistics for BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN

401k plan membership statisitcs for BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN

Measure Date Value
2010: BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 139
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 0
Number of participants with account balances 2010-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 150
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 135
Number of other retired or separated participants entitled to future benefits 2009-01-01 16
Total of all active and inactive participants 2009-01-01 151
Total participants 2009-01-01 151
Number of participants with account balances 2009-01-01 137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 5
2008: BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 138
Number of other retired or separated participants entitled to future benefits 2008-01-01 2
Total of all active and inactive participants 2008-01-01 140
Total participants 2008-01-01 140
Number of participants with account balances 2008-01-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 7

Measure	Date	Value
2010: BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	0
Number of participants with account balances	2010-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	150
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	135
Number of other retired or separated participants entitled to future benefits	2009-01-01	16
Total of all active and inactive participants	2009-01-01	151
Total participants	2009-01-01	151
Number of participants with account balances	2009-01-01	137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	5
2008: BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	138
Number of other retired or separated participants entitled to future benefits	2008-01-01	2
Total of all active and inactive participants	2008-01-01	140
Total participants	2008-01-01	140
Number of participants with account balances	2008-01-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	7

Financial Data on BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN

Measure	Date	Value
2010 : BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets	2010-11-04	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2010-11-04	$0
Total unrealized appreciation/depreciation of assets	2010-11-04	$0
Total transfer of assets to this plan	2010-11-04	$0
Total transfer of assets from this plan	2010-11-04	$0
Total income from all sources (including contributions)	2010-11-04	$217,260
Total loss/gain on sale of assets	2010-11-04	$0
Total of all expenses incurred	2010-11-04	$1,858,994
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-11-04	$1,858,489
Expenses. Certain deemed distributions of participant loans	2010-11-04	$0
Value of total corrective distributions	2010-11-04	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-11-04	$105,954
Value of total assets at end of year	2010-11-04	$0
Value of total assets at beginning of year	2010-11-04	$1,641,734
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-11-04	$505
Total interest from all sources	2010-11-04	$5,625
Total dividends received (eg from common stock, registered investment company shares)	2010-11-04	$443
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-11-04	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-11-04	$443
Administrative expenses professional fees incurred	2010-11-04	$0
Was this plan covered by a fidelity bond	2010-11-04	Yes
Value of fidelity bond cover	2010-11-04	$50,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-11-04	$0
Were there any nonexempt tranactions with any party-in-interest	2010-11-04	No
Contributions received from participants	2010-11-04	$0
Participant contributions at beginning of year	2010-11-04	$81,103
Participant contributions at end of year	2010-11-04	$0
Participant contributions at beginning of year	2010-11-04	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-11-04	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-11-04	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-11-04	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-11-04	$0
Other income not declared elsewhere	2010-11-04	$0
Administrative expenses (other) incurred	2010-11-04	$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	2010-11-04	No
Value of net income/loss	2010-11-04	$-1,641,734
Value of net assets at end of year (total assets less liabilities)	2010-11-04	$0
Value of net assets at beginning of year (total assets less liabilities)	2010-11-04	$1,641,734
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-11-04	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-11-04	No
Were any leases to which the plan was party in default or uncollectible	2010-11-04	No
Investment advisory and management fees	2010-11-04	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-11-04	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-11-04	$1,461,891
Interest on participant loans	2010-11-04	$3,676
Income. Interest from loans (other than to participants)	2010-11-04	$0
Interest earned on other investments	2010-11-04	$1,949
Income. Interest from US Government securities	2010-11-04	$0
Income. Interest from corporate debt instruments	2010-11-04	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-11-04	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-11-04	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-11-04	$93,126
Expenses. Payments to insurance carriers foe the provision of benefits	2010-11-04	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-11-04	$105,238
Net investment gain/loss from pooled separate accounts	2010-11-04	$0
Net investment gain or loss from common/collective trusts	2010-11-04	$0
Net gain/loss from 103.12 investment entities	2010-11-04	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-11-04	No
Was there a failure to transmit to the plan any participant contributions	2010-11-04	No
Has the plan failed to provide any benefit when due under the plan	2010-11-04	No
Contributions received in cash from employer	2010-11-04	$105,954
Employer contributions (assets) at end of year	2010-11-04	$0
Employer contributions (assets) at beginning of year	2010-11-04	$5,614
Income. Dividends from preferred stock	2010-11-04	$0
Income. Dividends from common stock	2010-11-04	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-11-04	$1,858,489
Contract administrator fees	2010-11-04	$505
Did the plan have assets held for investment	2010-11-04	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	2010-11-04	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-11-04	Yes
Aggregate proceeds on sale of assets	2010-11-04	$0
Aggregate carrying amount (costs) on sale of assets	2010-11-04	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-11-04	Yes
Opinion of an independent qualified public accountant for this plan	2010-11-04	Disclaimer
Accountancy firm name	2010-11-04	BROWN, EDWARDS & CO, LLP
Accountancy firm EIN	2010-11-04	540504608
2009 : BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0
2008 : BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 2008 401k financial data
Total income from all sources (including contributions)	2008-12-31	$-477,547
Total of all expenses incurred	2008-12-31	$18,829
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2008-12-31	$18,276
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2008-12-31	$150,315
Value of total assets at end of year	2008-12-31	$1,398,764
Value of total assets at beginning of year	2008-12-31	$1,895,140
Total of administrative expenses incurred including professional, contract, advisory and management fees	2008-12-31	$553
Total interest from all sources	2008-12-31	$4,069
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2008-12-31	No
Was this plan covered by a fidelity bond	2008-12-31	Yes
Value of fidelity bond cover	2008-12-31	$50,000
If this is an individual account plan, was there a blackout period	2008-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2008-12-31	No
Participant contributions at end of year	2008-12-31	$50,135
Participant contributions at beginning of year	2008-12-31	$6,225
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2008-12-31	No
Value of net income/loss	2008-12-31	$-496,376
Value of net assets at end of year (total assets less liabilities)	2008-12-31	$1,398,764
Value of net assets at beginning of year (total assets less liabilities)	2008-12-31	$1,895,140
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2008-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2008-12-31	No
Were any leases to which the plan was party in default or uncollectible	2008-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2008-12-31	$1,249,555
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2008-12-31	$1,802,864
Interest on participant loans	2008-12-31	$1,288
Interest earned on other investments	2008-12-31	$2,781
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2008-12-31	$93,108
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2008-12-31	$80,368
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2008-12-31	$-631,931
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2008-12-31	No
Was there a failure to transmit to the plan any participant contributions	2008-12-31	No
Has the plan failed to provide any benefit when due under the plan	2008-12-31	No
Contributions received in cash from employer	2008-12-31	$150,315
Employer contributions (assets) at end of year	2008-12-31	$5,966
Employer contributions (assets) at beginning of year	2008-12-31	$5,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2008-12-31	$18,276
Contract administrator fees	2008-12-31	$553
Did the plan have assets held for investment	2008-12-31	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	2008-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2008-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2008-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2008-12-31	Disclaimer
Accountancy firm name	2008-12-31	BROWN, EDWARDS & CO, LLP
Accountancy firm EIN	2008-12-31	540504608

Form 5500 Responses for BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN

2010: BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	Yes
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: BATH COUNTY COMMUNITY HOSPITAL 401(A) 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2008: BATH COUNTY COMMUNITY HOSPITAL 401(A) PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

BATH COUNTY FAMILY PRACTICE PROFIT SHARING PLAN [EIN = 541472309]

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Company Name:	BATH COMMUNITY HOSPITAL
Employer identification number (EIN):	540505913
NAIC Classification:	622000
NAIC Description:	Hospitals