401k Plan data: CAMINO HEALTHCARE 401A PLAN plan

CAMINO HEALTHCARE 401A PLAN 401k Plan overview

Plan Name	CAMINO HEALTHCARE 401A PLAN
Plan identification number	003

CAMINO HEALTHCARE 401A PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

EL CAMINO HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: EL CAMINO HOSPITAL

Employer identification number (EIN): 943167314

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about EL CAMINO HOSPITAL

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C1826391

More information about EL CAMINO HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAMINO HEALTHCARE 401A PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2011-01-01 JULIE JOHNSTON
003 2010-01-01 JULIE JOHNSTON
003 2009-01-01 JULIE JOHNSTON JULIE JOHNSTON 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2011-01-01	JULIE JOHNSTON
003	2010-01-01	JULIE JOHNSTON
003	2009-01-01	JULIE JOHNSTON	JULIE JOHNSTON	2010-10-12

Plan Statistics for CAMINO HEALTHCARE 401A PLAN

401k plan membership statisitcs for CAMINO HEALTHCARE 401A PLAN

Measure Date Value
2011: CAMINO HEALTHCARE 401A PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 0
Number of participants with account balances 2011-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: CAMINO HEALTHCARE 401A PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 11
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 16
Total of all active and inactive participants 2010-01-01 27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 27
Number of participants with account balances 2010-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: CAMINO HEALTHCARE 401A PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 0
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 20
Total of all active and inactive participants 2009-01-01 20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 20
Number of participants with account balances 2009-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: CAMINO HEALTHCARE 401A PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	0
Number of participants with account balances	2011-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: CAMINO HEALTHCARE 401A PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	11
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	16
Total of all active and inactive participants	2010-01-01	27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	27
Number of participants with account balances	2010-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: CAMINO HEALTHCARE 401A PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	0
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	20
Total of all active and inactive participants	2009-01-01	20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	20
Number of participants with account balances	2009-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CAMINO HEALTHCARE 401A PLAN

Measure	Date	Value
2011 : CAMINO HEALTHCARE 401A PLAN 2011 401k financial data
Total income from all sources	2011-11-07	$-132
Expenses. Total of all expenses incurred	2011-11-07	$183,965
Benefits paid (including direct rollovers)	2011-11-07	$183,824
Total plan assets at end of year	2011-11-07	$0
Total plan assets at beginning of year	2011-11-07	$184,097
Value of fidelity bond covering the plan	2011-11-07	$5,000,000
Expenses. Other expenses not covered elsewhere	2011-11-07	$141
Other income received	2011-11-07	$-132
Net income (gross income less expenses)	2011-11-07	$-184,097
Net plan assets at end of year (total assets less liabilities)	2011-11-07	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-11-07	$184,097
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-11-07	$0
2010 : CAMINO HEALTHCARE 401A PLAN 2010 401k financial data
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$8,722
Expenses. Total of all expenses incurred	2010-12-31	$45,566
Benefits paid (including direct rollovers)	2010-12-31	$45,332
Total plan assets at end of year	2010-12-31	$184,097
Total plan assets at beginning of year	2010-12-31	$220,941
Value of fidelity bond covering the plan	2010-12-31	$5,000,000
Other income received	2010-12-31	$8,722
Net income (gross income less expenses)	2010-12-31	$-36,844
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$184,097
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$220,941
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$234
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : CAMINO HEALTHCARE 401A 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 CAMINO HEALTHCARE 401A PLAN

2011: CAMINO HEALTHCARE 401A PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	Yes
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: CAMINO HEALTHCARE 401A PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: CAMINO HEALTHCARE 401A 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	EL CAMINO HOSPITAL
Employer identification number (EIN):	943167314
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C1826391