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NORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN 401k Plan overview

Plan NameNORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN
Plan identification number 001

NORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CARE REGIONAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:CARE REGIONAL MEDICAL CENTER
Employer identification number (EIN):742950758
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012013-01-01JAY STACY2013-11-18
0012012-01-01JAY STACY2013-07-29
0012011-01-01SHERRY GWYNN SHERRY GWYNN2012-10-05

Plan Statistics for NORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN

401k plan membership statisitcs for NORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN

Measure Date Value
2011: NORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0172
Total number of active participants reported on line 7a of the Form 55002011-01-0180
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-013
Total of all active and inactive participants2011-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0183
Number of participants with account balances2011-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on NORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN

Measure Date Value
2011 : NORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$462,566
Expenses. Total of all expenses incurred2011-12-31$1,370
Benefits paid (including direct rollovers)2011-12-31$1,370
Total plan assets at end of year2011-12-31$461,196
Total plan assets at beginning of year2011-12-31$0
Value of fidelity bond covering the plan2011-12-31$50,000
Total contributions received or receivable from participants2011-12-31$101,201
Contributions received from other sources (not participants or employers)2011-12-31$352,767
Other income received2011-12-31$-3,925
Net income (gross income less expenses)2011-12-31$461,196
Net plan assets at end of year (total assets less liabilities)2011-12-31$461,196
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$0
Total contributions received or receivable from employer(s)2011-12-31$12,523
2010 : NORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$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$215,067
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$396,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$358,048
Expenses. Certain deemed distributions of participant loans2010-12-31$25,787
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$0
Value of total assets at end of year2010-12-31$1,866,531
Value of total assets at beginning of year2010-12-31$2,048,277
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$12,978
Total interest from all sources2010-12-31$422
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Participant contributions at beginning of year2010-12-31$9,565
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$9,871
Administrative expenses (other) incurred2010-12-31$3,275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-181,746
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,866,531
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,048,277
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$1,854,859
Value of interest in pooled separate accounts at beginning of year2010-12-31$2,012,601
Interest on participant loans2010-12-31$422
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$11,672
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$26,111
Net investment gain/loss from pooled separate accounts2010-12-31$214,645
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$348,177
Contract administrator fees2010-12-31$9,703
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31Yes
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No

Form 5500 Responses for NORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN

2011: NORTH BAY GENERAL HOSPITAL 401K SAVINGS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes

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