401k Plan data: BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN plan

BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN 401k Plan overview

Plan Name	BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN
Plan identification number	004

BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION 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.
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) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MCLAREN BAY REGION has sponsored the creation of one or more 401k plans.

Company Name: MCLAREN BAY REGION

Employer identification number (EIN): 381976271

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2012-01-01 SUSAN JOINER
004 2011-01-01 SUSAN JOINER
004 2010-01-01 SUSAN JOINER 2011-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
004	2012-01-01	SUSAN JOINER
004	2011-01-01	SUSAN JOINER
004	2010-01-01	SUSAN JOINER	2011-10-13

Plan Statistics for BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN

401k plan membership statisitcs for BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN

Measure Date Value
2012: BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 716
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 773
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 682
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 33
Total of all active and inactive participants 2011-01-01 716
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 716
Number of participants with account balances 2011-01-01 715
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2012: BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	716
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	773
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	682
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	33
Total of all active and inactive participants	2011-01-01	716
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	716
Number of participants with account balances	2011-01-01	715
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN

Measure	Date	Value
2012 : BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets from this plan	2012-12-31	$5,270,859
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	$44,127
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$78,919
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$78,839
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	$0
Value of total assets at end of year	2012-12-31	$0
Value of total assets at beginning of year	2012-12-31	$5,305,651
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$80
Total interest from all sources	2012-12-31	$-430
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$3,947
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$3,947
Administrative expenses professional fees incurred	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
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
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$19,375
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$980
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	$-34,792
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$5,305,651
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	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,485,166
Interest on participant loans	2012-12-31	$-10
Interest earned on other investments	2012-12-31	$-420
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$801,110
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	$40,610
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
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	$77,859
Contract administrator fees	2012-12-31	$80
Did the plan have assets held for investment	2012-12-31	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	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	Yes
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	PLANTE MORAN, PLLC
Accountancy firm EIN	2012-12-31	038135795
2011 : BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION 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	$979
Total transfer of assets from this plan	2011-12-31	$19,947
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	$6,637
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$376,729
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$365,509
Expenses. Certain deemed distributions of participant loans	2011-12-31	$5,351
Value of total corrective distributions	2011-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$0
Value of total assets at end of year	2011-12-31	$5,305,651
Value of total assets at beginning of year	2011-12-31	$5,694,711
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$5,869
Total interest from all sources	2011-12-31	$21,595
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$159,980
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	$159,980
Administrative expenses professional fees incurred	2011-12-31	$0
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
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
Participant contributions at end of year	2011-12-31	$19,375
Participant contributions at beginning of year	2011-12-31	$21,381
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	$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	2011-12-31	No
Value of net income/loss	2011-12-31	$-370,092
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$5,305,651
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$5,694,711
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	$3,399
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$4,485,166
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$4,797,821
Interest on participant loans	2011-12-31	$1,051
Interest earned on other investments	2011-12-31	$20,544
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$801,110
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$875,509
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	$-174,938
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
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	$365,509
Contract administrator fees	2011-12-31	$2,470
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	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	PLANTE MORAN, PLLC
Accountancy firm EIN	2011-12-31	038135795

Form 5500 Responses for BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN

2012: BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION PLAN 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	Yes
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: BAY REGIONAL MEDICAL CENTER MATCHING DEFINED CONTRIBUTION PENSION 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	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

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Company Name:	MCLAREN BAY REGION
Employer identification number (EIN):	381976271
NAIC Classification:	622000
NAIC Description:	Hospitals