401k Plan data: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN plan

THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 401k Plan overview

Plan Name	THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN
Plan identification number	002

THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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(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.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

BAYSTATE NOBLE HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: BAYSTATE NOBLE HOSPITAL

Employer identification number (EIN): 222537423

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 DONNA BREWER
002 2016-01-01 DONNA BREWER
002 2015-01-01 BEVERLY FEIN
002 2014-01-01 BEVERLY FEIN
002 2013-01-01 BEVERLY FEIN BEVERLY FEIN 2014-10-15
002 2012-01-01 KELLEY RICHARDS KELLEY RICHARDS 2013-10-15
002 2011-01-01 KELLEY RICHARDS KELLEY RICHARDS 2012-10-12
002 2009-01-01 MS. JOANNE OLLSON MS. JOANNE OLLSON 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01
002	2021-01-01
002	2021-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2017-01-01	DONNA BREWER
002	2016-01-01	DONNA BREWER
002	2015-01-01	BEVERLY FEIN
002	2014-01-01	BEVERLY FEIN
002	2013-01-01	BEVERLY FEIN	BEVERLY FEIN	2014-10-15
002	2012-01-01	KELLEY RICHARDS	KELLEY RICHARDS	2013-10-15
002	2011-01-01	KELLEY RICHARDS	KELLEY RICHARDS	2012-10-12
002	2009-01-01	MS. JOANNE OLLSON	MS. JOANNE OLLSON	2010-10-14

Plan Statistics for THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN

401k plan membership statisitcs for THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN

Measure Date Value
2022: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,079
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 0
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 0
Number of participants with account balances 2022-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,036
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 950
Number of retired or separated participants receiving benefits 2021-01-01 11
Number of other retired or separated participants entitled to future benefits 2021-01-01 118
Total of all active and inactive participants 2021-01-01 1,079
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 1,079
Number of participants with account balances 2021-01-01 998
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 27
2020: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,022
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 921
Number of retired or separated participants receiving benefits 2020-01-01 12
Number of other retired or separated participants entitled to future benefits 2020-01-01 102
Total of all active and inactive participants 2020-01-01 1,035
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 1
Total participants 2020-01-01 1,036
Number of participants with account balances 2020-01-01 958
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 29
2019: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,041
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 928
Number of retired or separated participants receiving benefits 2019-01-01 8
Number of other retired or separated participants entitled to future benefits 2019-01-01 86
Total of all active and inactive participants 2019-01-01 1,022
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1,022
Number of participants with account balances 2019-01-01 975
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 21
2018: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 967
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 744
Number of retired or separated participants receiving benefits 2018-01-01 12
Number of other retired or separated participants entitled to future benefits 2018-01-01 282
Total of all active and inactive participants 2018-01-01 1,038
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 3
Total participants 2018-01-01 1,041
Number of participants with account balances 2018-01-01 1,041
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 34
2017: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 944
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 715
Number of retired or separated participants receiving benefits 2017-01-01 7
Number of other retired or separated participants entitled to future benefits 2017-01-01 212
Total of all active and inactive participants 2017-01-01 934
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 3
Total participants 2017-01-01 937
Number of participants with account balances 2017-01-01 967
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 20
2016: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,017
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 780
Number of retired or separated participants receiving benefits 2016-01-01 4
Number of other retired or separated participants entitled to future benefits 2016-01-01 149
Total of all active and inactive participants 2016-01-01 933
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 2
Total participants 2016-01-01 935
Number of participants with account balances 2016-01-01 886
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 34
2015: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 786
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 800
Number of retired or separated participants receiving benefits 2015-01-01 5
Number of other retired or separated participants entitled to future benefits 2015-01-01 210
Total of all active and inactive participants 2015-01-01 1,015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 2
Total participants 2015-01-01 1,017
Number of participants with account balances 2015-01-01 912
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 32
2014: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 576
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 595
Number of retired or separated participants receiving benefits 2014-01-01 6
Number of other retired or separated participants entitled to future benefits 2014-01-01 184
Total of all active and inactive participants 2014-01-01 785
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 786
Number of participants with account balances 2014-01-01 786
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 6
2013: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 542
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 498
Number of retired or separated participants receiving benefits 2013-01-01 4
Number of other retired or separated participants entitled to future benefits 2013-01-01 69
Total of all active and inactive participants 2013-01-01 571
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 571
Number of participants with account balances 2013-01-01 464
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 19
2012: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 537
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 484
Number of retired or separated participants receiving benefits 2012-01-01 3
Number of other retired or separated participants entitled to future benefits 2012-01-01 55
Total of all active and inactive participants 2012-01-01 542
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 542
Number of participants with account balances 2012-01-01 465
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 519
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 490
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 46
Total of all active and inactive participants 2011-01-01 537
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 537
Number of participants with account balances 2011-01-01 456
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 45
2009: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 506
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 508
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 18
Total of all active and inactive participants 2009-01-01 526
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 526
Number of participants with account balances 2009-01-01 486
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 21

Measure	Date	Value
2022: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,079
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	0
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	0
Number of participants with account balances	2022-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,036
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	950
Number of retired or separated participants receiving benefits	2021-01-01	11
Number of other retired or separated participants entitled to future benefits	2021-01-01	118
Total of all active and inactive participants	2021-01-01	1,079
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	1,079
Number of participants with account balances	2021-01-01	998
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	27
2020: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,022
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	921
Number of retired or separated participants receiving benefits	2020-01-01	12
Number of other retired or separated participants entitled to future benefits	2020-01-01	102
Total of all active and inactive participants	2020-01-01	1,035
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	1
Total participants	2020-01-01	1,036
Number of participants with account balances	2020-01-01	958
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	29
2019: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,041
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	928
Number of retired or separated participants receiving benefits	2019-01-01	8
Number of other retired or separated participants entitled to future benefits	2019-01-01	86
Total of all active and inactive participants	2019-01-01	1,022
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1,022
Number of participants with account balances	2019-01-01	975
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	21
2018: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	967
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	744
Number of retired or separated participants receiving benefits	2018-01-01	12
Number of other retired or separated participants entitled to future benefits	2018-01-01	282
Total of all active and inactive participants	2018-01-01	1,038
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	3
Total participants	2018-01-01	1,041
Number of participants with account balances	2018-01-01	1,041
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	34
2017: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	944
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	715
Number of retired or separated participants receiving benefits	2017-01-01	7
Number of other retired or separated participants entitled to future benefits	2017-01-01	212
Total of all active and inactive participants	2017-01-01	934
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	3
Total participants	2017-01-01	937
Number of participants with account balances	2017-01-01	967
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	20
2016: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,017
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	780
Number of retired or separated participants receiving benefits	2016-01-01	4
Number of other retired or separated participants entitled to future benefits	2016-01-01	149
Total of all active and inactive participants	2016-01-01	933
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	2
Total participants	2016-01-01	935
Number of participants with account balances	2016-01-01	886
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	34
2015: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	786
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	800
Number of retired or separated participants receiving benefits	2015-01-01	5
Number of other retired or separated participants entitled to future benefits	2015-01-01	210
Total of all active and inactive participants	2015-01-01	1,015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	2
Total participants	2015-01-01	1,017
Number of participants with account balances	2015-01-01	912
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	32
2014: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	576
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	595
Number of retired or separated participants receiving benefits	2014-01-01	6
Number of other retired or separated participants entitled to future benefits	2014-01-01	184
Total of all active and inactive participants	2014-01-01	785
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	786
Number of participants with account balances	2014-01-01	786
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	6
2013: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	542
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	498
Number of retired or separated participants receiving benefits	2013-01-01	4
Number of other retired or separated participants entitled to future benefits	2013-01-01	69
Total of all active and inactive participants	2013-01-01	571
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	571
Number of participants with account balances	2013-01-01	464
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	19
2012: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	537
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	484
Number of retired or separated participants receiving benefits	2012-01-01	3
Number of other retired or separated participants entitled to future benefits	2012-01-01	55
Total of all active and inactive participants	2012-01-01	542
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	542
Number of participants with account balances	2012-01-01	465
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	519
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	490
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	46
Total of all active and inactive participants	2011-01-01	537
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	537
Number of participants with account balances	2011-01-01	456
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	45
2009: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	506
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	508
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	18
Total of all active and inactive participants	2009-01-01	526
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	526
Number of participants with account balances	2009-01-01	486
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	21

Financial Data on THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN

Measure	Date	Value
2022 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-05-27	$0
Total transfer of assets from this plan	2022-05-27	$34,278,441
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-05-27	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-05-27	$0
Total income from all sources (including contributions)	2022-05-27	$-2,728,664
Total loss/gain on sale of assets	2022-05-27	$0
Total of all expenses incurred	2022-05-27	$1,311,726
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-05-27	$1,286,947
Expenses. Certain deemed distributions of participant loans	2022-05-27	$0
Value of total corrective distributions	2022-05-27	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-05-27	$1,148,106
Value of total assets at end of year	2022-05-27	$0
Value of total assets at beginning of year	2022-05-27	$38,318,831
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-05-27	$24,779
Total interest from all sources	2022-05-27	$51,569
Total dividends received (eg from common stock, registered investment company shares)	2022-05-27	$151,216
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-05-27	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2022-05-27	$0
Total dividends received from registered investment company shares (eg mutual funds)	2022-05-27	$151,216
Administrative expenses professional fees incurred	2022-05-27	$3,194
Was this plan covered by a fidelity bond	2022-05-27	Yes
Value of fidelity bond cover	2022-05-27	$5,000,000
If this is an individual account plan, was there a blackout period	2022-05-27	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2022-05-27	$0
Were there any nonexempt tranactions with any party-in-interest	2022-05-27	No
Contributions received from participants	2022-05-27	$896,695
Participant contributions at end of year	2022-05-27	$0
Participant contributions at beginning of year	2022-05-27	$157,406
Income. Received or receivable in cash from other sources (including rollovers)	2022-05-27	$22,218
Administrative expenses (other) incurred	2022-05-27	$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	2022-05-27	No
Value of net income/loss	2022-05-27	$-4,040,390
Value of net assets at end of year (total assets less liabilities)	2022-05-27	$0
Value of net assets at beginning of year (total assets less liabilities)	2022-05-27	$38,318,831
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-05-27	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-05-27	No
Were any leases to which the plan was party in default or uncollectible	2022-05-27	No
Investment advisory and management fees	2022-05-27	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-05-27	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-05-27	$30,591,320
Interest on participant loans	2022-05-27	$3,531
Interest earned on other investments	2022-05-27	$48,038
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-05-27	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-05-27	$7,570,105
Expenses. Payments to insurance carriers foe the provision of benefits	2022-05-27	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-05-27	$-4,079,555
Net investment gain/loss from pooled separate accounts	2022-05-27	$0
Net investment gain or loss from common/collective trusts	2022-05-27	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-05-27	No
Was there a failure to transmit to the plan any participant contributions	2022-05-27	No
Has the plan failed to provide any benefit when due under the plan	2022-05-27	No
Contributions received in cash from employer	2022-05-27	$229,193
Income. Dividends from common stock	2022-05-27	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-05-27	$1,286,947
Contract administrator fees	2022-05-27	$21,585
Did the plan have assets held for investment	2022-05-27	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	2022-05-27	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-05-27	Yes
Opinion of an independent qualified public accountant for this plan	2022-05-27	Unqualified
Accountancy firm name	2022-05-27	MEYERS BROTHERS KALICKA P.C.
Accountancy firm EIN	2022-05-27	042712795
2021 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total transfer of assets to this plan	2021-12-31	$2,551
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$7,410,632
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$4,253,852
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$4,198,497
Expenses. Certain deemed distributions of participant loans	2021-12-31	$3,154
Value of total corrective distributions	2021-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$2,897,105
Value of total assets at end of year	2021-12-31	$38,318,830
Value of total assets at beginning of year	2021-12-31	$35,159,499
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$52,201
Total interest from all sources	2021-12-31	$160,968
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$1,268,825
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$1,268,825
Administrative expenses professional fees incurred	2021-12-31	$2,918
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$2,065,946
Participant contributions at end of year	2021-12-31	$157,405
Participant contributions at beginning of year	2021-12-31	$207,895
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$234,265
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-12-31	$0
Other income not declared elsewhere	2021-12-31	$0
Administrative expenses (other) incurred	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$3,156,780
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$38,318,830
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$35,159,499
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$30,591,320
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$26,094,263
Interest on participant loans	2021-12-31	$9,081
Interest earned on other investments	2021-12-31	$151,887
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$7,570,105
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$8,857,341
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$3,083,734
Net investment gain/loss from pooled separate accounts	2021-12-31	$0
Net investment gain or loss from common/collective trusts	2021-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$596,894
Income. Dividends from common stock	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$4,198,497
Contract administrator fees	2021-12-31	$49,283
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	MEYERS BROTHER KALICKA P.C.
Accountancy firm EIN	2021-12-31	044000000
2020 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$6,486,484
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$3,756,436
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$3,687,785
Expenses. Certain deemed distributions of participant loans	2020-12-31	$6,908
Value of total corrective distributions	2020-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,657,844
Value of total assets at end of year	2020-12-31	$35,159,499
Value of total assets at beginning of year	2020-12-31	$32,429,451
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$61,743
Total interest from all sources	2020-12-31	$186,031
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$646,256
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$646,256
Administrative expenses professional fees incurred	2020-12-31	$3,710
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$1,877,257
Participant contributions at end of year	2020-12-31	$207,895
Participant contributions at beginning of year	2020-12-31	$259,665
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$139,204
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-31	$0
Other income not declared elsewhere	2020-12-31	$0
Administrative expenses (other) incurred	2020-12-31	$75
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$2,730,048
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$35,159,499
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$32,429,451
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$26,094,263
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$24,842,466
Interest on participant loans	2020-12-31	$11,648
Interest earned on other investments	2020-12-31	$174,383
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$8,857,341
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$7,327,320
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$2,996,353
Net investment gain/loss from pooled separate accounts	2020-12-31	$0
Net investment gain or loss from common/collective trusts	2020-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$641,383
Income. Dividends from common stock	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$3,687,785
Contract administrator fees	2020-12-31	$57,958
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	MEYERS BROTHERS KALICKA P.C.
Accountancy firm EIN	2020-12-31	042712795
2019 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$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	$7,796,355
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$3,313,386
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,216,769
Expenses. Certain deemed distributions of participant loans	2019-12-31	$26,813
Value of total corrective distributions	2019-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,807,501
Value of total assets at end of year	2019-12-31	$32,429,451
Value of total assets at beginning of year	2019-12-31	$27,946,482
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$69,804
Total interest from all sources	2019-12-31	$93,446
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$619,056
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$554,900
Administrative expenses professional fees incurred	2019-12-31	$393
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,986,631
Participant contributions at end of year	2019-12-31	$259,665
Participant contributions at beginning of year	2019-12-31	$346,888
Participant contributions at beginning of year	2019-12-31	$172,269
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$141,774
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$0
Other income not declared elsewhere	2019-12-31	$0
Administrative expenses (other) incurred	2019-12-31	$0
Total non interest bearing cash at beginning of year	2019-12-31	$4,711
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$4,482,969
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$32,429,451
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$27,946,482
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$3,994
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$24,842,466
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$19,627,572
Interest on participant loans	2019-12-31	$15,034
Interest earned on other investments	2019-12-31	$78,412
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$7,327,320
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$7,735,506
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$4,276,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$679,096
Employer contributions (assets) at beginning of year	2019-12-31	$59,536
Income. Dividends from common stock	2019-12-31	$64,156
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$3,216,769
Contract administrator fees	2019-12-31	$65,417
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	MEYERS BROTHERS KALICKA P.C.
Accountancy firm EIN	2019-12-31	042713795
2018 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$2,186,114
Total of all expenses incurred	2018-12-31	$2,650,607
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$2,439,215
Expenses. Certain deemed distributions of participant loans	2018-12-31	$57,055
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,328,716
Value of total assets at end of year	2018-12-31	$27,946,482
Value of total assets at beginning of year	2018-12-31	$28,410,975
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$154,337
Total interest from all sources	2018-12-31	$171,789
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$453,588
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$453,588
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$2,211,945
Participant contributions at end of year	2018-12-31	$346,888
Participant contributions at beginning of year	2018-12-31	$398,749
Participant contributions at end of year	2018-12-31	$172,269
Participant contributions at beginning of year	2018-12-31	$86
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$352,052
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$2,089
Administrative expenses (other) incurred	2018-12-31	$103,765
Total non interest bearing cash at end of year	2018-12-31	$4,711
Total non interest bearing cash at beginning of year	2018-12-31	$16,461
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-464,493
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$27,946,482
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$28,410,975
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$50,572
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$19,627,572
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$20,301,576
Interest on participant loans	2018-12-31	$6,014
Interest earned on other investments	2018-12-31	$165,772
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$392
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$392
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$7,735,506
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$7,691,593
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-1,767,979
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$764,719
Employer contributions (assets) at end of year	2018-12-31	$59,536
Employer contributions (assets) at beginning of year	2018-12-31	$29
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$2,439,215
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	MEYERS BROTHERS KALICKA, PC
Accountancy firm EIN	2018-12-31	042713795
2017 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$6,048,887
Total of all expenses incurred	2017-12-31	$2,722,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$2,492,784
Expenses. Certain deemed distributions of participant loans	2017-12-31	$142,593
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$2,717,663
Value of total assets at end of year	2017-12-31	$28,410,975
Value of total assets at beginning of year	2017-12-31	$25,084,439
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$86,974
Total interest from all sources	2017-12-31	$165,059
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$576,969
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$576,969
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,892,899
Participant contributions at end of year	2017-12-31	$398,749
Participant contributions at beginning of year	2017-12-31	$494,639
Participant contributions at end of year	2017-12-31	$86
Participant contributions at beginning of year	2017-12-31	$409
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$119,607
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$2,089
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$827
Administrative expenses (other) incurred	2017-12-31	$41,286
Total non interest bearing cash at end of year	2017-12-31	$16,461
Total non interest bearing cash at beginning of year	2017-12-31	$12,638
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$3,326,536
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$28,410,975
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$25,084,439
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$45,688
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$20,301,576
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$17,559,397
Interest on participant loans	2017-12-31	$12,325
Interest earned on other investments	2017-12-31	$152,733
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$392
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$5,539
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$5,539
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$7,691,593
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$7,010,728
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$2,589,196
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$705,157
Employer contributions (assets) at end of year	2017-12-31	$29
Employer contributions (assets) at beginning of year	2017-12-31	$262
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$2,492,784
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	MEYERS BROTHERS KALICKA, PC
Accountancy firm EIN	2017-12-31	042713795
2016 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$5,221,416
Total of all expenses incurred	2016-12-31	$3,454,870
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$3,376,030
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,356,120
Value of total assets at end of year	2016-12-31	$25,084,439
Value of total assets at beginning of year	2016-12-31	$23,317,893
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$78,840
Total interest from all sources	2016-12-31	$160,894
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$350,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$350,840
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$2,214,842
Participant contributions at end of year	2016-12-31	$494,639
Participant contributions at beginning of year	2016-12-31	$388,676
Participant contributions at end of year	2016-12-31	$409
Participant contributions at beginning of year	2016-12-31	$61,975
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$250,000
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$827
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$284
Administrative expenses (other) incurred	2016-12-31	$37,802
Total non interest bearing cash at end of year	2016-12-31	$12,638
Total non interest bearing cash at beginning of year	2016-12-31	$9,656
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,766,546
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$25,084,439
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$23,317,893
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$41,038
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$17,559,397
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$16,365,117
Interest on participant loans	2016-12-31	$13,930
Interest earned on other investments	2016-12-31	$146,964
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$5,539
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$2,912
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$2,912
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$7,010,728
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$6,461,970
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,353,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$891,278
Employer contributions (assets) at end of year	2016-12-31	$262
Employer contributions (assets) at beginning of year	2016-12-31	$27,303
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$3,376,030
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	MEYERS BROTHERS KALICKA, PC
Accountancy firm EIN	2016-12-31	042713795
2015 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$4,184,293
Total of all expenses incurred	2015-12-31	$1,823,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,752,468
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$4,196,930
Value of total assets at end of year	2015-12-31	$23,317,893
Value of total assets at beginning of year	2015-12-31	$20,957,228
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$71,160
Total interest from all sources	2015-12-31	$144,407
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$513,969
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$513,969
Administrative expenses professional fees incurred	2015-12-31	$38,094
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$2,404,132
Participant contributions at end of year	2015-12-31	$388,676
Participant contributions at beginning of year	2015-12-31	$378,340
Participant contributions at end of year	2015-12-31	$61,975
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$922,579
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$284
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$320
Administrative expenses (other) incurred	2015-12-31	$33,066
Total non interest bearing cash at end of year	2015-12-31	$9,656
Total non interest bearing cash at beginning of year	2015-12-31	$5,546
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$2,360,665
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$23,317,893
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$20,957,228
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$16,365,117
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$14,886,455
Interest on participant loans	2015-12-31	$12,634
Interest earned on other investments	2015-12-31	$131,772
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$2,912
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$60,136
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$60,136
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$6,461,970
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$5,626,431
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-671,013
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$870,219
Employer contributions (assets) at end of year	2015-12-31	$27,303
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,752,468
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	MEYERS BROTHERS KALICKA
Accountancy firm EIN	2015-12-31	042713795
2014 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2014 401k financial data
Total transfer of assets to this plan	2014-12-31	$124,028
Total income from all sources (including contributions)	2014-12-31	$5,126,050
Total of all expenses incurred	2014-12-31	$2,587,209
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,504,490
Expenses. Certain deemed distributions of participant loans	2014-12-31	$11,006
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,762,169
Value of total assets at end of year	2014-12-31	$20,957,228
Value of total assets at beginning of year	2014-12-31	$18,294,359
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$71,713
Total interest from all sources	2014-12-31	$119,360
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$508,108
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$508,108
Was this plan covered by a fidelity bond	2014-12-31	No
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,943,419
Participant contributions at end of year	2014-12-31	$378,340
Participant contributions at beginning of year	2014-12-31	$303,061
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$975,151
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$320
Administrative expenses (other) incurred	2014-12-31	$44,046
Total non interest bearing cash at end of year	2014-12-31	$5,546
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$2,538,841
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$20,957,228
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$18,294,359
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$27,667
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$14,886,455
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$14,127,222
Interest on participant loans	2014-12-31	$9,185
Interest earned on other investments	2014-12-31	$110,175
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$60,136
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$5,626,431
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$3,864,076
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$736,413
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$843,599
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,504,490
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	No
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MORIARTY PRIMACK
Accountancy firm EIN	2014-12-31	043191789
2013 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$30,692
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$4,611,564
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$993,147
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$986,949
Expenses. Certain deemed distributions of participant loans	2013-12-31	$0
Value of total corrective distributions	2013-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,152,080
Value of total assets at end of year	2013-12-31	$18,294,359
Value of total assets at beginning of year	2013-12-31	$14,645,250
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$6,198
Total interest from all sources	2013-12-31	$37,331
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$598,010
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$598,010
Administrative expenses professional fees incurred	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	No
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,362,533
Participant contributions at end of year	2013-12-31	$303,061
Participant contributions at beginning of year	2013-12-31	$220,430
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$42,289
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$0
Administrative expenses (other) incurred	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,618,417
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$18,294,359
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$14,645,250
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$14,127,222
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$10,691,019
Value of interest in pooled separate accounts at end of year	2013-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$0
Interest on participant loans	2013-12-31	$9,382
Interest earned on other investments	2013-12-31	$27,949
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Value of interest in common/collective trusts at beginning of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$3,864,076
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$3,733,801
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,824,143
Net investment gain/loss from pooled separate accounts	2013-12-31	$0
Net investment gain or loss from common/collective trusts	2013-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Assets. Invements in employer securities at end of year	2013-12-31	$0
Assets. Invements in employer securities at beginning of year	2013-12-31	$0
Contributions received in cash from employer	2013-12-31	$747,258
Income. Dividends from common stock	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$986,949
Contract administrator fees	2013-12-31	$6,198
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MORIARTY PRIMACK
Accountancy firm EIN	2013-12-31	043191789
2012 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$3,495,585
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$971,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$968,707
Expenses. Certain deemed distributions of participant loans	2012-12-31	$0
Value of total corrective distributions	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,117,948
Value of total assets at end of year	2012-12-31	$14,645,250
Value of total assets at beginning of year	2012-12-31	$12,121,657
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,285
Total interest from all sources	2012-12-31	$40,235
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$506,743
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$506,743
Administrative expenses professional fees incurred	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	No
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,354,703
Participant contributions at end of year	2012-12-31	$220,430
Participant contributions at beginning of year	2012-12-31	$213,689
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$64,692
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$0
Other income not declared elsewhere	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,523,593
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$14,645,250
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$12,121,657
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$10,691,019
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$8,946,862
Value of interest in pooled separate accounts at end of year	2012-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$0
Interest on participant loans	2012-12-31	$8,092
Interest earned on other investments	2012-12-31	$32,143
Value of interest in common/collective trusts at end of year	2012-12-31	$0
Value of interest in common/collective trusts at beginning of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$3,733,801
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$2,961,106
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$830,659
Net investment gain/loss from pooled separate accounts	2012-12-31	$0
Net investment gain or loss from common/collective trusts	2012-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Assets. Invements in employer securities at end of year	2012-12-31	$0
Assets. Invements in employer securities at beginning of year	2012-12-31	$0
Contributions received in cash from employer	2012-12-31	$698,553
Income. Dividends from common stock	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$968,707
Contract administrator fees	2012-12-31	$3,285
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MORIARTY PRIMACK
Accountancy firm EIN	2012-12-31	043191789
2011 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$1,705
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	$1,763,078
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$726,932
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$725,514
Expenses. Certain deemed distributions of participant loans	2011-12-31	$0
Value of total corrective distributions	2011-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,131,072
Value of total assets at end of year	2011-12-31	$12,121,657
Value of total assets at beginning of year	2011-12-31	$11,083,806
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,418
Total interest from all sources	2011-12-31	$44,769
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$230,174
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$230,174
Administrative expenses professional fees incurred	2011-12-31	$0
Was this plan covered by a fidelity bond	2011-12-31	No
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,392,755
Participant contributions at end of year	2011-12-31	$213,689
Participant contributions at beginning of year	2011-12-31	$167,333
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$134,707
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$0
Administrative expenses (other) incurred	2011-12-31	$488
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,036,146
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$12,121,657
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$11,083,806
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$8,946,862
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$8,692,248
Value of interest in pooled separate accounts at end of year	2011-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$0
Interest on participant loans	2011-12-31	$5,882
Interest earned on other investments	2011-12-31	$38,887
Value of interest in common/collective trusts at end of year	2011-12-31	$0
Value of interest in common/collective trusts at beginning of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$2,961,106
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$2,224,225
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-642,937
Net investment gain/loss from pooled separate accounts	2011-12-31	$0
Net investment gain or loss from common/collective trusts	2011-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Assets. Invements in employer securities at end of year	2011-12-31	$0
Assets. Invements in employer securities at beginning of year	2011-12-31	$0
Contributions received in cash from employer	2011-12-31	$603,610
Income. Dividends from common stock	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$725,514
Contract administrator fees	2011-12-31	$930
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MORIARTY PRIMACK
Accountancy firm EIN	2011-12-31	043191789
2010 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$575
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	$3,420,957
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$774,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$755,501
Expenses. Certain deemed distributions of participant loans	2010-12-31	$13,597
Value of total corrective distributions	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,343,164
Value of total assets at end of year	2010-12-31	$11,083,806
Value of total assets at beginning of year	2010-12-31	$8,437,058
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$5,686
Total interest from all sources	2010-12-31	$5,107
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$138,268
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$138,268
Administrative expenses professional fees incurred	2010-12-31	$0
Was this plan covered by a fidelity bond	2010-12-31	No
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,474,576
Participant contributions at end of year	2010-12-31	$167,333
Participant contributions at beginning of year	2010-12-31	$90,763
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$99,990
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$0
Other income not declared elsewhere	2010-12-31	$35,054
Administrative expenses (other) incurred	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$2,646,173
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$11,083,806
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$8,437,058
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$8,692,248
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$6,804,622
Value of interest in pooled separate accounts at end of year	2010-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$0
Interest on participant loans	2010-12-31	$5,107
Interest earned on other investments	2010-12-31	$0
Value of interest in common/collective trusts at end of year	2010-12-31	$0
Value of interest in common/collective trusts at beginning of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$2,224,225
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,541,673
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$899,364
Net investment gain/loss from pooled separate accounts	2010-12-31	$0
Net investment gain or loss from common/collective trusts	2010-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Assets. Invements in employer securities at end of year	2010-12-31	$0
Assets. Invements in employer securities at beginning of year	2010-12-31	$0
Contributions received in cash from employer	2010-12-31	$768,598
Income. Dividends from common stock	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$755,501
Contract administrator fees	2010-12-31	$5,686
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MORIARTY & PRIMACK, PC
Accountancy firm EIN	2010-12-31	043191789
2009 : THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) 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

Form 5500 Responses for THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN

2022: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	Yes
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: THE TRUSTEES OF NOBLE HOSPITAL, INC. 403(B) 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

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60677

Policy instance

Insurance contract or identification number	MR 60677
Number of Individuals Covered	0
Insurance policy start date	2022-01-01
Insurance policy end date	2022-05-27
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60677

Policy instance

Insurance contract or identification number	MR 60677
Number of Individuals Covered	1079
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60677

Policy instance

Insurance contract or identification number	MR 60677
Number of Individuals Covered	1036
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

TA069538

Policy instance

Insurance contract or identification number	TA069538
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60677

Policy instance

Insurance contract or identification number	MR 60677
Number of Individuals Covered	1022
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

TA069538

Policy instance

Insurance contract or identification number	TA069538
Number of Individuals Covered	1
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

TA069538

Policy instance

Insurance contract or identification number	TA069538
Number of Individuals Covered	967
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

TA069538

Policy instance

Insurance contract or identification number	TA069538
Number of Individuals Covered	912
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

TA069538

Policy instance

Insurance contract or identification number	TA069538
Number of Individuals Covered	786
Insurance policy start date	2014-02-01
Insurance policy end date	2014-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60087

Policy instance

Insurance contract or identification number	MR 60087
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-02-03
Total amount of commissions paid to insurance broker	USD $492
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $246
Insurance broker organization code?	3
Insurance broker name	DOMINIC DANIEL MALONI

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60087

Policy instance

Insurance contract or identification number	MR 60087
Number of Individuals Covered	488
Insurance policy start date	2014-01-01
Insurance policy end date	2014-02-03
Total amount of commissions paid to insurance broker	USD $492
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $246
Insurance broker organization code?	3
Insurance broker name	DOMINIC DANIEL MALONI

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60087

Policy instance

Insurance contract or identification number	MR 60087
Number of Individuals Covered	542
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $6,849
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $3,467
Insurance broker organization code?	3
Insurance broker name	DOMINIC DANIEL MALONI

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60087

Policy instance

Insurance contract or identification number	MR 60087
Number of Individuals Covered	537
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,278
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60087

Policy instance

Insurance contract or identification number	MR 60087
Number of Individuals Covered	519
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $4,008
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

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Company Name:	BAYSTATE NOBLE HOSPITAL
Employer identification number (EIN):	222537423
NAIC Classification:	622000
NAIC Description:	Hospitals