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LIFE LINE HOSPITAL 401(K) PLAN 401k Plan overview

Plan NameLIFE LINE HOSPITAL 401(K) PLAN
Plan identification number 001

LIFE LINE HOSPITAL 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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

LIFE LINE HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:LIFE LINE HOSPITAL
Employer identification number (EIN):753195992
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE LINE HOSPITAL 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01DUANE FRAZIER
0012017-01-01DUANE FRAZIER
0012017-01-01DUANE FRAZIER
0012016-01-01DUANE FRAZIER
0012015-01-01DUANE FRAZIER
0012014-01-01DUANE FRAZIER
0012013-01-01TERRI TESTA
0012012-01-01TERRI TESTA
0012011-01-01WILLIAM VAN FOSSAN
0012010-01-01WILLIAM VAN FOSSAN2011-09-23

Plan Statistics for LIFE LINE HOSPITAL 401(K) PLAN

401k plan membership statisitcs for LIFE LINE HOSPITAL 401(K) PLAN

Measure Date Value
2018: LIFE LINE HOSPITAL 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01234
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-010
Number of participants with account balances2018-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: LIFE LINE HOSPITAL 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01234
Total number of active participants reported on line 7a of the Form 55002017-01-01191
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0134
Total of all active and inactive participants2017-01-01225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01225
Number of participants with account balances2017-01-01115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-013
2016: LIFE LINE HOSPITAL 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01241
Total number of active participants reported on line 7a of the Form 55002016-01-01202
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0132
Total of all active and inactive participants2016-01-01234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01234
Number of participants with account balances2016-01-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: LIFE LINE HOSPITAL 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01224
Total number of active participants reported on line 7a of the Form 55002015-01-01183
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0147
Total of all active and inactive participants2015-01-01230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01230
Number of participants with account balances2015-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-015
2014: LIFE LINE HOSPITAL 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01221
Total number of active participants reported on line 7a of the Form 55002014-01-01186
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0129
Total of all active and inactive participants2014-01-01215
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01215
Number of participants with account balances2014-01-01132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-015
2013: LIFE LINE HOSPITAL 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01208
Total number of active participants reported on line 7a of the Form 55002013-01-01191
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0125
Total of all active and inactive participants2013-01-01216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01216
Number of participants with account balances2013-01-01136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-018
2012: LIFE LINE HOSPITAL 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01228
Total number of active participants reported on line 7a of the Form 55002012-01-01174
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0122
Total of all active and inactive participants2012-01-01196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01196
Number of participants with account balances2012-01-0196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0113
2011: LIFE LINE HOSPITAL 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01172
Total number of active participants reported on line 7a of the Form 55002011-01-01219
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-01221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01221
Number of participants with account balances2011-01-0187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on LIFE LINE HOSPITAL 401(K) PLAN

Measure Date Value
2018 : LIFE LINE HOSPITAL 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-04$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-04$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-04$0
Total income from all sources (including contributions)2018-09-04$152,481
Total loss/gain on sale of assets2018-09-04$0
Total of all expenses incurred2018-09-04$2,204,724
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-04$2,153,819
Expenses. Certain deemed distributions of participant loans2018-09-04$49,774
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-04$104,596
Value of total assets at end of year2018-09-04$0
Value of total assets at beginning of year2018-09-04$2,052,243
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-04$1,131
Total interest from all sources2018-09-04$1,894
Total dividends received (eg from common stock, registered investment company shares)2018-09-04$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-04Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-09-04$0
Administrative expenses professional fees incurred2018-09-04$694
Was this plan covered by a fidelity bond2018-09-04Yes
Value of fidelity bond cover2018-09-04$205,225
If this is an individual account plan, was there a blackout period2018-09-04No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-04$0
Were there any nonexempt tranactions with any party-in-interest2018-09-04No
Contributions received from participants2018-09-04$56,873
Participant contributions at end of year2018-09-04$0
Participant contributions at beginning of year2018-09-04$42,614
Income. Received or receivable in cash from other sources (including rollovers)2018-09-04$14,521
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-04No
Value of net income/loss2018-09-04$-2,052,243
Value of net assets at end of year (total assets less liabilities)2018-09-04$0
Value of net assets at beginning of year (total assets less liabilities)2018-09-04$2,052,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-04No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-04No
Were any leases to which the plan was party in default or uncollectible2018-09-04No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-04$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-04$2,009,507
Interest on participant loans2018-09-04$1,894
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-09-04$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-09-04$122
Net investment gain/loss from pooled separate accounts2018-09-04$45,991
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-04No
Was there a failure to transmit to the plan any participant contributions2018-09-04No
Has the plan failed to provide any benefit when due under the plan2018-09-04No
Contributions received in cash from employer2018-09-04$33,202
Employer contributions (assets) at end of year2018-09-04$0
Employer contributions (assets) at beginning of year2018-09-04$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-04$2,153,819
Contract administrator fees2018-09-04$437
Did the plan have assets held for investment2018-09-04Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-04No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-04Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-04Yes
Opinion of an independent qualified public accountant for this plan2018-09-04Disclaimer
Accountancy firm name2018-09-04R.D. HOAG & ASSOCIATES, LLC
Accountancy firm EIN2018-09-04823685723
2017 : LIFE LINE HOSPITAL 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$468,946
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$166,420
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$164,485
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$189,956
Value of total assets at end of year2017-12-31$2,052,243
Value of total assets at beginning of year2017-12-31$1,749,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,935
Total interest from all sources2017-12-31$2,436
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$700
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$205,224
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$141,884
Participant contributions at end of year2017-12-31$42,614
Participant contributions at beginning of year2017-12-31$45,872
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$302,526
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,052,243
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,749,717
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,009,507
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,701,995
Interest on participant loans2017-12-31$2,436
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$122
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$0
Net investment gain/loss from pooled separate accounts2017-12-31$276,554
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$48,072
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$1,850
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$164,485
Contract administrator fees2017-12-31$1,235
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31R.D. HOAG & ASSOCIATES, LLC
Accountancy firm EIN2017-12-31823685723
2016 : LIFE LINE HOSPITAL 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$319,667
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$108,383
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$104,692
Value of total corrective distributions2016-12-31$2,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$216,487
Value of total assets at end of year2016-12-31$1,749,717
Value of total assets at beginning of year2016-12-31$1,538,433
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,280
Total interest from all sources2016-12-31$1,986
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$500
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$153,844
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$167,808
Participant contributions at end of year2016-12-31$45,872
Participant contributions at beginning of year2016-12-31$28,552
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,248
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$211,284
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,749,717
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,538,433
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,701,995
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,502,759
Interest on participant loans2016-12-31$1,986
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$874
Net investment gain/loss from pooled separate accounts2016-12-31$101,194
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$47,431
Employer contributions (assets) at end of year2016-12-31$1,850
Employer contributions (assets) at beginning of year2016-12-31$6,248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$104,692
Contract administrator fees2016-12-31$780
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31R.D. HOAG & ASSOCIATES, PC
Accountancy firm EIN2016-12-31251365816
2015 : LIFE LINE HOSPITAL 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$243,237
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$238,346
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$229,914
Value of total corrective distributions2015-12-31$7,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$274,039
Value of total assets at end of year2015-12-31$1,538,433
Value of total assets at beginning of year2015-12-31$1,533,542
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$627
Total interest from all sources2015-12-31$807
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$627
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$153,355
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$208,390
Participant contributions at end of year2015-12-31$28,552
Participant contributions at beginning of year2015-12-31$10,792
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$5,063
Other income not declared elsewhere2015-12-31$438
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$4,891
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,538,433
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,533,542
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,502,759
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,456,327
Interest on participant loans2015-12-31$807
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$874
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$3,222
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-32,047
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$60,586
Employer contributions (assets) at end of year2015-12-31$6,248
Employer contributions (assets) at beginning of year2015-12-31$63,201
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$229,914
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31LALLY & CO.
Accountancy firm EIN2015-12-31251846963
2014 : LIFE LINE HOSPITAL 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$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$413,293
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$148,530
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$142,245
Value of total corrective distributions2014-12-31$5,644
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$363,090
Value of total assets at end of year2014-12-31$1,533,542
Value of total assets at beginning of year2014-12-31$1,268,779
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$641
Total interest from all sources2014-12-31$260
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$100
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$126,878
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$230,705
Participant contributions at end of year2014-12-31$10,792
Participant contributions at beginning of year2014-12-31$2,849
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$61,818
Administrative expenses (other) incurred2014-12-31$541
Total non interest bearing cash at end of year2014-12-31$0
Total non interest bearing cash at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$264,763
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,533,542
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,268,779
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,456,327
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,263,344
Interest on participant loans2014-12-31$260
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$3,222
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$2,586
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$49,943
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$70,567
Employer contributions (assets) at end of year2014-12-31$63,201
Employer contributions (assets) at beginning of year2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$142,245
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31LALLY & CO.
Accountancy firm EIN2014-12-31251846963
2013 : LIFE LINE HOSPITAL 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$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$99
Total income from all sources (including contributions)2013-12-31$508,367
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$209,717
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$195,053
Value of total corrective distributions2013-12-31$11,807
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$351,797
Value of total assets at end of year2013-12-31$1,268,779
Value of total assets at beginning of year2013-12-31$970,228
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,857
Total interest from all sources2013-12-31$124
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$100,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$230,721
Participant contributions at end of year2013-12-31$2,849
Participant contributions at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$44,896
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$298,650
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,268,779
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$970,129
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,263,344
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$969,626
Interest on participant loans2013-12-31$124
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$2,586
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$602
Net investment gain/loss from pooled separate accounts2013-12-31$156,446
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$76,180
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$195,053
Contract administrator fees2013-12-31$2,857
Liabilities. Value of benefit claims payable at end of year2013-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$99
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31LALLY & CO.
Accountancy firm EIN2013-12-31251846963
2012 : LIFE LINE HOSPITAL 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$99
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$414,338
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$46,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$42,549
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$325,356
Value of total assets at end of year2012-12-31$970,228
Value of total assets at beginning of year2012-12-31$602,259
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$3,919
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$100,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$248,264
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$45,640
Administrative expenses (other) incurred2012-12-31$3,919
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$367,870
Value of net assets at end of year (total assets less liabilities)2012-12-31$970,129
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$602,259
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$969,626
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$602,259
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$602
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Net investment gain/loss from pooled separate accounts2012-12-31$88,982
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$31,452
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$42,549
Liabilities. Value of benefit claims payable at end of year2012-12-31$99
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$0
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31LALLY & CO.
Accountancy firm EIN2012-12-31251846963
2011 : LIFE LINE HOSPITAL 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$327,717
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$14,994
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$12,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$344,375
Value of total assets at end of year2011-12-31$602,259
Value of total assets at beginning of year2011-12-31$289,536
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,602
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$100,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$217,859
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$110,846
Administrative expenses (other) incurred2011-12-31$2,602
Total non interest bearing cash at end of year2011-12-31$0
Total non interest bearing cash at beginning of year2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$312,723
Value of net assets at end of year (total assets less liabilities)2011-12-31$602,259
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$289,536
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$602,259
Value of interest in pooled separate accounts at beginning of year2011-12-31$289,536
Interest earned on other investments2011-12-31$0
Net investment gain/loss from pooled separate accounts2011-12-31$-16,658
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$15,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$12,392
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31LALLY & CO.
Accountancy firm EIN2011-12-31251846963

Form 5500 Responses for LIFE LINE HOSPITAL 401(K) PLAN

2018: LIFE LINE HOSPITAL 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: LIFE LINE HOSPITAL 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: LIFE LINE HOSPITAL 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: LIFE LINE HOSPITAL 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: LIFE LINE HOSPITAL 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: LIFE LINE HOSPITAL 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: LIFE LINE HOSPITAL 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: LIFE LINE HOSPITAL 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
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 – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number97152
Policy instance 1
Insurance contract or identification number97152
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-09-04
Total amount of commissions paid to insurance brokerUSD $6,147
Total amount of fees paid to insurance companyUSD $852
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,147
Insurance broker organization code?3
Amount paid for insurance broker fees702
Additional information about fees paid to insurance brokerTPA COMP NOT PAID FROM CONTRACT PAID BY JOHN HANCOCK TO TPA
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number97152
Policy instance 1
Insurance contract or identification number97152
Number of Individuals Covered117
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,470
Total amount of fees paid to insurance companyUSD $984
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,470
Insurance broker organization code?3
Amount paid for insurance broker fees958
Additional information about fees paid to insurance brokerTPA COMP NOT PAID FROM CONTRACT PAID BY JOHN HANCOCK TO TPA
Insurance broker nameDUNBAR, BENDER & ZAPF, INC.

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