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HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN 401k Plan overview

Plan NameHUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN
Plan identification number 002

HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) 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.
  • 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

HUDSON REGIONAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:HUDSON REGIONAL HOSPITAL
Employer identification number (EIN):812857619
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022020-01-01
0022020-01-01
0022019-01-01
0022019-01-01

Plan Statistics for HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN

401k plan membership statisitcs for HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN

Measure Date Value
2020: HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01211
Total of all active and inactive participants2020-01-010
Total participants2020-01-010
2019: HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01186
Total number of active participants reported on line 7a of the Form 55002019-01-01206
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-015
Total of all active and inactive participants2019-01-01211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01211
Number of participants with account balances2019-01-01160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0118

Financial Data on HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN

Measure Date Value
2020 : HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-02-01$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-02-01$0
Total unrealized appreciation/depreciation of assets2020-02-01$0
Total transfer of assets from this plan2020-02-01$480,696
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-02-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-02-01$0
Expenses. Interest paid2020-02-01$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-02-01$0
Total income from all sources (including contributions)2020-02-01$56,187
Total loss/gain on sale of assets2020-02-01$0
Total of all expenses incurred2020-02-01$4,890
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-02-01$1,883
Expenses. Certain deemed distributions of participant loans2020-02-01$0
Value of total corrective distributions2020-02-01$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-02-01$50,916
Value of total assets at end of year2020-02-01$0
Value of total assets at beginning of year2020-02-01$429,399
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-02-01$3,007
Total income from rents2020-02-01$0
Total interest from all sources2020-02-01$0
Total dividends received (eg from common stock, registered investment company shares)2020-02-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-02-01Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2020-02-01$0
Total dividends received from registered investment company shares (eg mutual funds)2020-02-01$0
Administrative expenses professional fees incurred2020-02-01$0
Was this plan covered by a fidelity bond2020-02-01Yes
Value of fidelity bond cover2020-02-01$2,000,000
If this is an individual account plan, was there a blackout period2020-02-01No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-02-01$0
Were there any nonexempt tranactions with any party-in-interest2020-02-01No
Contributions received from participants2020-02-01$50,916
Income. Received or receivable in cash from other sources (including rollovers)2020-02-01$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-02-01$0
Other income not declared elsewhere2020-02-01$0
Administrative expenses (other) incurred2020-02-01$3,007
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-01No
Income. Non cash contributions2020-02-01$0
Value of net income/loss2020-02-01$51,297
Value of net assets at end of year (total assets less liabilities)2020-02-01$0
Value of net assets at beginning of year (total assets less liabilities)2020-02-01$429,399
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-02-01No
Were any loans by the plan or fixed income obligations due to the plan in default2020-02-01No
Were any leases to which the plan was party in default or uncollectible2020-02-01No
Investment advisory and management fees2020-02-01$0
Value of interest in pooled separate accounts at end of year2020-02-01$0
Value of interest in pooled separate accounts at beginning of year2020-02-01$429,399
Interest on participant loans2020-02-01$0
Income. Interest from loans (other than to participants)2020-02-01$0
Interest earned on other investments2020-02-01$0
Income. Interest from US Government securities2020-02-01$0
Income. Interest from corporate debt instruments2020-02-01$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-02-01$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-02-01$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-02-01$0
Net investment gain/loss from pooled separate accounts2020-02-01$5,271
Net investment gain or loss from common/collective trusts2020-02-01$0
Net gain/loss from 103.12 investment entities2020-02-01$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-02-01No
Was there a failure to transmit to the plan any participant contributions2020-02-01No
Has the plan failed to provide any benefit when due under the plan2020-02-01No
Contributions received in cash from employer2020-02-01$0
Income. Dividends from preferred stock2020-02-01$0
Income. Dividends from common stock2020-02-01$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-02-01$1,883
Contract administrator fees2020-02-01$0
Did the plan have assets held for investment2020-02-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-02-01Yes
Aggregate proceeds on sale of assets2020-02-01$0
Aggregate carrying amount (costs) on sale of assets2020-02-01$0
Opinion of an independent qualified public accountant for this plan2020-02-01Disclaimer
Accountancy firm name2020-02-01MARCUM LLP
Accountancy firm EIN2020-02-01111986323
2019 : HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$437,509
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$8,110
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$6,127
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$409,326
Value of total assets at end of year2019-12-31$429,399
Value of total assets at beginning of year2019-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,983
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$288,634
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$15,843
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$429,399
Value of net assets at end of year (total assets less liabilities)2019-12-31$429,399
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$126
Value of interest in pooled separate accounts at end of year2019-12-31$429,399
Net investment gain/loss from pooled separate accounts2019-12-31$28,183
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$104,849
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,127
Contract administrator fees2019-12-31$1,857
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MARCUM LLP
Accountancy firm EIN2019-12-31111986323

Form 5500 Responses for HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN

2020: HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: HUDSON REGIONAL HOSPITAL HPAE UNION 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number342941
Policy instance 1
Insurance contract or identification number342941
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $172
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $172
Insurance broker organization code?3
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number342941
Policy instance 1
Insurance contract or identification number342941
Number of Individuals Covered160
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $792
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $792
Insurance broker organization code?3

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