401k Plan data: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL plan

HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 401k Plan overview

Plan Name	HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL
Plan identification number	515

HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

THE MCLEAN HOSPITAL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: THE MCLEAN HOSPITAL CORPORATION

Employer identification number (EIN): 042697981

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
515 2016-01-01 DONNA CLANCY
515 2016-01-01 CHRISTINE ZOTTOLI
515 2015-01-01 PAUL CHANEY
515 2014-01-01 PAUL CHANEY DONNA CLANCY 2015-07-29
515 2013-01-01 PAUL CHANEY AMY VACCHINA 2014-07-15
515 2012-01-01 PAUL CHANEY AMY VACCHINA 2013-07-09
515 2011-01-01 PAUL CHANEY AMY VACCHINA 2012-07-13
515 2009-01-01 PAUL CHANEY AMY VACCHINA 2010-07-23

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
515	2016-01-01	DONNA CLANCY
515	2016-01-01	CHRISTINE ZOTTOLI
515	2015-01-01	PAUL CHANEY
515	2014-01-01	PAUL CHANEY	DONNA CLANCY	2015-07-29
515	2013-01-01	PAUL CHANEY	AMY VACCHINA	2014-07-15
515	2012-01-01	PAUL CHANEY	AMY VACCHINA	2013-07-09
515	2011-01-01	PAUL CHANEY	AMY VACCHINA	2012-07-13
515	2009-01-01	PAUL CHANEY	AMY VACCHINA	2010-07-23

Plan Statistics for HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL

401k plan membership statisitcs for HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL

Measure Date Value
2016: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2016 401k membership
Total participants, beginning-of-year 2016-01-01 46
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 47
Total of all active and inactive participants 2016-01-01 47
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
2015: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2015 401k membership
Total participants, beginning-of-year 2015-01-01 67
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 46
Total of all active and inactive participants 2015-01-01 46
2014: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2014 401k membership
Total participants, beginning-of-year 2014-01-01 72
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 67
Total of all active and inactive participants 2014-01-01 67
2013: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2013 401k membership
Total participants, beginning-of-year 2013-01-01 65
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 72
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 72
2012: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2012 401k membership
Total participants, beginning-of-year 2012-01-01 88
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 65
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 65
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
2011: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 88
Total of all active and inactive participants 2011-01-01 88
2009: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 115
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 2009-01-01 115
Total of all active and inactive participants 2009-01-01 115

Measure	Date	Value
2016: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2016 401k membership
Total participants, beginning-of-year	2016-01-01	46
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	47
Total of all active and inactive participants	2016-01-01	47
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
2015: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2015 401k membership
Total participants, beginning-of-year	2015-01-01	67
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	46
Total of all active and inactive participants	2015-01-01	46
2014: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2014 401k membership
Total participants, beginning-of-year	2014-01-01	72
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	67
Total of all active and inactive participants	2014-01-01	67
2013: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2013 401k membership
Total participants, beginning-of-year	2013-01-01	65
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	72
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	72
2012: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2012 401k membership
Total participants, beginning-of-year	2012-01-01	88
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	65
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	65
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
2011: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	88
Total of all active and inactive participants	2011-01-01	88
2009: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	115
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	115
Total of all active and inactive participants	2009-01-01	115

Form 5500 Responses for HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL

2016: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2013 form 5500 responses
2013-01-01	Type of plan entity	Single 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 – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 2012 form 5500 responses
2012-01-01	Type of plan entity	Single 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 – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 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	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 – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: HPHC MEDICAL HOSPITALIZATION PLAN FOR EMPLOYEES OF MCLEAN HOSPITAL 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 – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	THE MCLEAN HOSPITAL CORPORATION
Employer identification number (EIN):	042697981
NAIC Classification:	622000
NAIC Description:	Hospitals