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PINE CREEK MEDICAL CENTER 401(K) PLAN 401k Plan overview

Plan NamePINE CREEK MEDICAL CENTER 401(K) PLAN
Plan identification number 001

PINE CREEK MEDICAL CENTER 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PINE CREEK MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:PINE CREEK MEDICAL CENTER
Employer identification number (EIN):562384536
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PINE CREEK MEDICAL CENTER 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01DAN GIDEON
0012016-01-01CINDY SLAYDON
0012015-01-01CINDY SLAYDON
0012014-01-01CINDY SLAYDON
0012013-01-01KATHERINE G LOWER
0012012-01-01KATHERINE G LOWER
0012011-01-01KATHERINE G LOWER

Plan Statistics for PINE CREEK MEDICAL CENTER 401(K) PLAN

401k plan membership statisitcs for PINE CREEK MEDICAL CENTER 401(K) PLAN

Measure Date Value
2020: PINE CREEK MEDICAL CENTER 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01134
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-010
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: PINE CREEK MEDICAL CENTER 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01223
Total number of active participants reported on line 7a of the Form 55002019-01-0111
Number of retired or separated participants receiving benefits2019-01-0123
Number of other retired or separated participants entitled to future benefits2019-01-01104
Total of all active and inactive participants2019-01-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01138
Number of participants with account balances2019-01-01134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: PINE CREEK MEDICAL CENTER 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01232
Total number of active participants reported on line 7a of the Form 55002018-01-01133
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0185
Total of all active and inactive participants2018-01-01218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01218
Number of participants with account balances2018-01-01185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: PINE CREEK MEDICAL CENTER 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01228
Total number of active participants reported on line 7a of the Form 55002017-01-01160
Number of retired or separated participants receiving benefits2017-01-0171
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01231
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01231
Number of participants with account balances2017-01-01196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: PINE CREEK MEDICAL CENTER 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01225
Total number of active participants reported on line 7a of the Form 55002016-01-01170
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0159
Total of all active and inactive participants2016-01-01229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01229
Number of participants with account balances2016-01-01185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: PINE CREEK MEDICAL CENTER 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01210
Total number of active participants reported on line 7a of the Form 55002015-01-01178
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0147
Total of all active and inactive participants2015-01-01225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01225
Number of participants with account balances2015-01-01179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: PINE CREEK MEDICAL CENTER 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01196
Total number of active participants reported on line 7a of the Form 55002014-01-01204
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0130
Total of all active and inactive participants2014-01-01234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01234
Number of participants with account balances2014-01-01153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-018
2013: PINE CREEK MEDICAL CENTER 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01196
Total number of active participants reported on line 7a of the Form 55002013-01-01159
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0135
Total of all active and inactive participants2013-01-01194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01194
Number of participants with account balances2013-01-01137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-019
2012: PINE CREEK MEDICAL CENTER 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01171
Total number of active participants reported on line 7a of the Form 55002012-01-01170
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0126
Total of all active and inactive participants2012-01-01196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01196
Number of participants with account balances2012-01-01124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: PINE CREEK MEDICAL CENTER 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01141
Total number of active participants reported on line 7a of the Form 55002011-01-01164
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-017
Total of all active and inactive participants2011-01-01171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01171
Number of participants with account balances2011-01-0198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on PINE CREEK MEDICAL CENTER 401(K) PLAN

Measure Date Value
2020 : PINE CREEK MEDICAL CENTER 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-07-31$9,119
Total income from all sources (including contributions)2020-07-31$9,119
Total of all expenses incurred2020-07-31$2,448,573
Total of all expenses incurred2020-07-31$2,448,573
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-07-31$2,426,141
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-07-31$2,426,141
Expenses. Certain deemed distributions of participant loans2020-07-31$6,683
Expenses. Certain deemed distributions of participant loans2020-07-31$6,683
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-07-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-07-31$0
Value of total assets at end of year2020-07-31$0
Value of total assets at end of year2020-07-31$0
Value of total assets at beginning of year2020-07-31$2,439,454
Value of total assets at beginning of year2020-07-31$2,439,454
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-07-31$15,749
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-07-31$15,749
Total interest from all sources2020-07-31$121
Total interest from all sources2020-07-31$121
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-07-31Yes
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-07-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2020-07-31$0
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2020-07-31$0
Administrative expenses professional fees incurred2020-07-31$15,749
Administrative expenses professional fees incurred2020-07-31$15,749
Was this plan covered by a fidelity bond2020-07-31Yes
Was this plan covered by a fidelity bond2020-07-31Yes
Value of fidelity bond cover2020-07-31$1,000,000
Value of fidelity bond cover2020-07-31$1,000,000
If this is an individual account plan, was there a blackout period2020-07-31No
If this is an individual account plan, was there a blackout period2020-07-31No
Were there any nonexempt tranactions with any party-in-interest2020-07-31No
Were there any nonexempt tranactions with any party-in-interest2020-07-31No
Participant contributions at end of year2020-07-31$0
Participant contributions at end of year2020-07-31$0
Participant contributions at beginning of year2020-07-31$6,683
Participant contributions at beginning of year2020-07-31$6,683
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Value of net income/loss2020-07-31$-2,439,454
Value of net income/loss2020-07-31$-2,439,454
Value of net assets at end of year (total assets less liabilities)2020-07-31$0
Value of net assets at end of year (total assets less liabilities)2020-07-31$0
Value of net assets at beginning of year (total assets less liabilities)2020-07-31$2,439,454
Value of net assets at beginning of year (total assets less liabilities)2020-07-31$2,439,454
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-07-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-07-31No
Were any leases to which the plan was party in default or uncollectible2020-07-31No
Were any leases to which the plan was party in default or uncollectible2020-07-31No
Value of interest in pooled separate accounts at end of year2020-07-31$0
Value of interest in pooled separate accounts at end of year2020-07-31$0
Value of interest in pooled separate accounts at beginning of year2020-07-31$375
Value of interest in pooled separate accounts at beginning of year2020-07-31$375
Interest on participant loans2020-07-31$121
Interest on participant loans2020-07-31$121
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-07-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-07-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-07-31$2,432,396
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-07-31$2,432,396
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-07-31$8,998
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-07-31$8,998
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-07-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-07-31No
Was there a failure to transmit to the plan any participant contributions2020-07-31No
Was there a failure to transmit to the plan any participant contributions2020-07-31No
Has the plan failed to provide any benefit when due under the plan2020-07-31No
Has the plan failed to provide any benefit when due under the plan2020-07-31No
Contributions received in cash from employer2020-07-31$0
Contributions received in cash from employer2020-07-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-07-31$2,426,141
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-07-31$2,426,141
Did the plan have assets held for investment2020-07-31Yes
Did the plan have assets held for investment2020-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-07-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-07-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-07-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-07-31Yes
Opinion of an independent qualified public accountant for this plan2020-07-31Disclaimer
Opinion of an independent qualified public accountant for this plan2020-07-31Disclaimer
Accountancy firm name2020-07-31HOWARD & COMPANY
Accountancy firm name2020-07-31HOWARD & COMPANY
Accountancy firm EIN2020-07-31202257536
Accountancy firm EIN2020-07-31202257536
2019 : PINE CREEK MEDICAL CENTER 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$954,362
Total of all expenses incurred2019-12-31$2,196,543
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,169,074
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$387,825
Value of total assets at end of year2019-12-31$2,439,454
Value of total assets at beginning of year2019-12-31$3,681,635
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$27,469
Total interest from all sources2019-12-31$4,422
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-12-31$0
Administrative expenses professional fees incurred2019-12-31$27,469
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$214,426
Participant contributions at end of year2019-12-31$6,683
Participant contributions at beginning of year2019-12-31$153,182
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$54,912
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-1,242,181
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,439,454
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,681,635
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$375
Value of interest in pooled separate accounts at beginning of year2019-12-31$3,090,752
Interest on participant loans2019-12-31$4,422
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$2,432,396
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$437,701
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$562,115
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$118,487
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,169,074
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31HOWARD & COMPANY
Accountancy firm EIN2019-12-31202257536
2018 : PINE CREEK MEDICAL CENTER 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$289,993
Total of all expenses incurred2018-12-31$349,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$326,301
Expenses. Certain deemed distributions of participant loans2018-12-31$6,929
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$485,279
Value of total assets at end of year2018-12-31$3,681,635
Value of total assets at beginning of year2018-12-31$3,741,022
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$16,150
Total interest from all sources2018-12-31$6,033
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$338,238
Participant contributions at end of year2018-12-31$153,182
Participant contributions at beginning of year2018-12-31$103,242
Participant contributions at end of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$19,199
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-59,387
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,681,635
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,741,022
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$3,090,752
Value of interest in pooled separate accounts at beginning of year2018-12-31$3,256,111
Interest on participant loans2018-12-31$6,033
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$437,701
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$381,669
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-201,319
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$127,842
Employer contributions (assets) at end of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$326,301
Contract administrator fees2018-12-31$16,150
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31HOWARD & COMPANY
Accountancy firm EIN2018-12-31202257536
2017 : PINE CREEK MEDICAL CENTER 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$1,023,267
Total of all expenses incurred2017-12-31$626,683
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$612,656
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$521,501
Value of total assets at end of year2017-12-31$3,741,022
Value of total assets at beginning of year2017-12-31$3,344,438
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$14,027
Total interest from all sources2017-12-31$4,086
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$380,319
Participant contributions at end of year2017-12-31$103,242
Participant contributions at beginning of year2017-12-31$83,056
Participant contributions at beginning of year2017-12-31$15,145
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$396,584
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,741,022
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,344,438
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$3,256,111
Value of interest in pooled separate accounts at beginning of year2017-12-31$2,924,866
Interest on participant loans2017-12-31$4,086
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$381,669
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$315,034
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$497,680
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$141,182
Employer contributions (assets) at beginning of year2017-12-31$6,337
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$612,656
Contract administrator fees2017-12-31$14,027
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31HOWARD & COMPANY
Accountancy firm EIN2017-12-31202257536
2016 : PINE CREEK MEDICAL CENTER 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$757,189
Total of all expenses incurred2016-12-31$325,829
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$307,008
Expenses. Certain deemed distributions of participant loans2016-12-31$4,890
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$546,608
Value of total assets at end of year2016-12-31$3,322,903
Value of total assets at beginning of year2016-12-31$2,891,543
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$13,931
Total interest from all sources2016-12-31$4,032
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$355,673
Participant contributions at end of year2016-12-31$83,003
Participant contributions at beginning of year2016-12-31$88,733
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$37,406
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$1,196
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$431,360
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,322,903
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,891,543
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$2,924,866
Value of interest in pooled separate accounts at beginning of year2016-12-31$2,538,592
Interest on participant loans2016-12-31$4,032
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$315,034
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$263,022
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$206,549
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$153,529
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$307,008
Contract administrator fees2016-12-31$13,931
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31HOWARD & COMPANY
Accountancy firm EIN2016-12-31202257536
2015 : PINE CREEK MEDICAL CENTER 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$571,363
Total of all expenses incurred2015-12-31$271,299
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$258,271
Expenses. Certain deemed distributions of participant loans2015-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$595,357
Value of total assets at end of year2015-12-31$2,891,543
Value of total assets at beginning of year2015-12-31$2,591,479
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$13,028
Total interest from all sources2015-12-31$3,697
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$0
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$330,055
Participant contributions at end of year2015-12-31$88,733
Participant contributions at beginning of year2015-12-31$90,208
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$126,459
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Total non interest bearing cash at end of year2015-12-31$1,196
Total non interest bearing cash at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$300,064
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,891,543
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,591,479
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$2,538,592
Value of interest in pooled separate accounts at beginning of year2015-12-31$2,274,394
Interest on participant loans2015-12-31$3,697
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$263,022
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$226,877
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
Net investment gain/loss from pooled separate accounts2015-12-31$-27,691
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$138,843
Employer contributions (assets) at end of year2015-12-31$0
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$258,271
Contract administrator fees2015-12-31$13,028
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31HOWARD & COMPANY
Accountancy firm EIN2015-12-31202257536
2014 : PINE CREEK MEDICAL CENTER 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$606,373
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$533,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$519,472
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$443,997
Value of total assets at end of year2014-12-31$2,591,479
Value of total assets at beginning of year2014-12-31$2,518,478
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$13,900
Total interest from all sources2014-12-31$3,613
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$317,304
Participant contributions at end of year2014-12-31$90,208
Participant contributions at beginning of year2014-12-31$110,323
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$490
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$73,001
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,591,479
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,518,478
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in pooled separate accounts at end of year2014-12-31$2,274,394
Value of interest in pooled separate accounts at beginning of year2014-12-31$2,224,559
Interest on participant loans2014-12-31$3,613
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$226,877
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$182,859
Net investment gain/loss from pooled separate accounts2014-12-31$158,763
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$126,693
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$247
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$519,472
Contract administrator fees2014-12-31$13,900
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31HOWARD & COMPANY
Accountancy firm EIN2014-12-31202257536
2013 : PINE CREEK MEDICAL CENTER 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
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$869,009
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$290,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$278,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$458,087
Value of total assets at end of year2013-12-31$2,518,478
Value of total assets at beginning of year2013-12-31$1,940,187
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$12,130
Total interest from all sources2013-12-31$4,239
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$318,782
Participant contributions at end of year2013-12-31$110,323
Participant contributions at beginning of year2013-12-31$103,301
Participant contributions at end of year2013-12-31$490
Participant contributions at beginning of year2013-12-31$14,429
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$26,046
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Income. Non cash contributions2013-12-31$0
Value of net income/loss2013-12-31$578,291
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,518,478
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,940,187
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$2,224,559
Value of interest in pooled separate accounts at beginning of year2013-12-31$1,801,711
Interest on participant loans2013-12-31$4,239
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$182,859
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$16,139
Net investment gain/loss from pooled separate accounts2013-12-31$406,683
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$113,259
Employer contributions (assets) at end of year2013-12-31$247
Employer contributions (assets) at beginning of year2013-12-31$4,607
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$278,588
Contract administrator fees2013-12-31$12,130
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31HOWARD & COMPANY
Accountancy firm EIN2013-12-31202257536
2012 : PINE CREEK MEDICAL CENTER 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$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$825,568
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$166,340
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$155,943
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$647,375
Value of total assets at end of year2012-12-31$1,940,187
Value of total assets at beginning of year2012-12-31$1,280,959
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$10,397
Total interest from all sources2012-12-31$4,341
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$318,679
Participant contributions at end of year2012-12-31$103,301
Participant contributions at beginning of year2012-12-31$110,635
Participant contributions at end of year2012-12-31$14,429
Participant contributions at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$216,451
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$659,228
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,940,187
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,280,959
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$1,801,711
Value of interest in pooled separate accounts at beginning of year2012-12-31$1,166,661
Interest on participant loans2012-12-31$4,341
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$16,139
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$3,663
Net investment gain/loss from pooled separate accounts2012-12-31$173,852
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$112,245
Employer contributions (assets) at end of year2012-12-31$4,607
Employer contributions (assets) at beginning of year2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$155,943
Contract administrator fees2012-12-31$10,397
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31HOWARD & COMPANY
Accountancy firm EIN2012-12-31202257536
2011 : PINE CREEK MEDICAL CENTER 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$992,060
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$320,261
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$31,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$22,704
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$376,390
Value of total assets at end of year2011-12-31$1,280,959
Value of total assets at beginning of year2011-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$8,658
Total interest from all sources2011-12-31$3,774
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$86,656
Participant contributions at end of year2011-12-31$110,635
Participant contributions at beginning of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$26,057
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$288,899
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,280,959
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$1,166,661
Value of interest in pooled separate accounts at beginning of year2011-12-31$0
Interest on participant loans2011-12-31$3,774
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$3,663
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Net investment gain/loss from pooled separate accounts2011-12-31$-59,903
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$263,677
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$22,704
Contract administrator fees2011-12-31$8,658
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31Yes
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31HOWARD & COMPANY
Accountancy firm EIN2011-12-31202257536

Form 5500 Responses for PINE CREEK MEDICAL CENTER 401(K) PLAN

2020: PINE CREEK MEDICAL CENTER 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PINE CREEK MEDICAL CENTER 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PINE CREEK MEDICAL CENTER 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PINE CREEK MEDICAL CENTER 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PINE CREEK MEDICAL CENTER 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PINE CREEK MEDICAL CENTER 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PINE CREEK MEDICAL CENTER 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: PINE CREEK MEDICAL CENTER 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PINE CREEK MEDICAL CENTER 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: PINE CREEK MEDICAL CENTER 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85460-1
Policy instance 1
Insurance contract or identification numberRM 85460-1
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM85460-1
Policy instance 1
Insurance contract or identification numberRM85460-1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,963
Total amount of fees paid to insurance companyUSD $0
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 BrokerUSD $3,963
Amount paid for insurance broker fees0
Insurance broker organization code?4
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM85460-1
Policy instance 1
Insurance contract or identification numberRM85460-1
Number of Individuals Covered123
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $10,718
Total amount of fees paid to insurance companyUSD $0
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 BrokerUSD $9,116
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISIONS
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM85460-1
Policy instance 1
Insurance contract or identification numberRM85460-1
Number of Individuals Covered195
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $11,032
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 BrokerUSD $9,692
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameJAY RICHARD BACH

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