Retirement plan

BAYSTATE AMBULANCE 401(K) PLAN

Name: BAYSTATE HEALTH, INC. - BAYSTATE AMBULANCE 401(K) PLAN (2015) Form 5500
Creator: BAYSTATE HEALTH, INC.
License: https://www.dol.gov/general/disclaim
Keywords: Form 5500, ERISA, retirement plan, BAYSTATE AMBULANCE 401(K) PLAN, BAYSTATE HEALTH, INC.

BAYSTATE HEALTH, INC.EIN 04-2105941Plan #002PY 2015

280 CHESTNUT STREET - SPRINGFIELD, MA 01199413-794-7697baystatehealth.orgLinkedIn10001+ employeeshospital & health care

Other plans on this EIN

2 filings

#001Retirement-$837.2M assets #003Retirement-$267.2M assets

Prospect flagsCorrective distributions

Top hat statement on fileNQDC

Filed February 20, 2018 (most recent of 2 filings on file)

Plan administrator

Plan administrator name— Sign in and upgrade to view

280 Chestnut Street

Springfield State: MA Zip Code: 01199

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Plans declared (1)

Baystate Health, Inc. 457(f) Deferred Compensation Plan583 emp

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Total assets (EOY)

$2.9M

-15.5% from 2016

Total participants

202

-0.5% from 2016

Average account balance

$16,449

-13.1% from 2016

Annual return

2.76%

-3.61 pp from 2016

Benchmarks

See 4,452 peers

Peer group

Industry62 - Health Care and Social Assistance

Plan typeDefined contribution

Participants100-249

Cohort4,452 peers

Snapshot2015

Free accounts unlock saves, downloads, and 3-year history.

Analytics

Total assets (EOY)

Plan-year ending balance

Not enough data

1 years with asset history on file

Average account balance

Total assets / participants with a balance (line 6g)

Not enough data

0 years with per-participant data

Participants with account balance

Stacked by status: active / separated vested / retired or beneficiary. Total = line 6g.

Not enough data

0 years with headcount on file

Eligible Participants and Participation

Bars: eligible actives (line 6a). Line: derived rate = active employees with a balance / 6a.

Not enough data

0 years with eligibility data

Contributions (total)

Employer and participant dollars contributed each year

Not enough data

0 years with contributions on file

Contributions per participant

Average employer and participant contribution per enrolled participant

Not enough data

0 years with per-participant contribution data

Asset flow

BOY + contributions + return - distributions = EOY

Year

Annual return

Diverging bars; negative years highlighted

+0.25%

Not enough data

1 years with return on file

Admin fee / account holder

Total admin expenses / participants with a balance (line 6g)

Not enough data

1 years with admin cost on file

Asset composition

Cash / stocks / bonds / mutual funds / real estate / loans over time

Not enough data

0 years with F_SCH_H allocation on file

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Service providers

Top 1 by compensation

Provider	Service type	Compensation
MASSACHUSETTS MUTUAL LIFE INS. CO.1+ years Service code 52 · EIN 04-1590850	Indirect Investment Fees	$5,593

Plan features & details

Pension benefit codes2E2J2F2G3D2T

Plan features

2E
Profit-sharing
Profit-sharing plan.
2F
ERISA section 404(c) plan
This plan or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1 (shifting investment responsibility to participants).
2G
Total participant-directed account plan
Participants have the opportunity to direct the investment of all of the assets allocated to their individual accounts regardless of whether 29 CFR 2550.404c-1 is intended to be met.
2J
Code section 401(k) feature
Cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan under which employees may elect to defer part of their compensation or receive these amounts in cash.
2T
Default investment account
Total or partial participant-directed account plan where plan uses a default investment account for participants who fail to direct assets in their account.
3D
Pre-approved pension plan
A master prototype or volume submitter plan that is the subject of a favorable opinion or advisory letter from the IRS.

Opportunity flags

1 tripped

ComplianceCorrective distributions
Plan reported corrective distributions (failed ADP/ACP testing).

Expense breakdown

Schedule H Part II

Admin total

$6K

$38 / participant

Investment mgmt$4K67.4%
Contract admin$88515.8%
Other / not subdivided$94016.8%

% of EOY assets

0.193%

all-in expense ratio

Categories reported

2 / 9

subdivided buckets used

Audit opinion

Schedule H Part III

Disclaimer opinion

Auditor declined to express an opinion - usually a 103(a)(3)(C) limited-scope election.

Auditor firm: MEYERS BROTHERS KALICKA, P.C.
Auditor EIN: 042713795
Audit fees: (not subdivided)
Opinion code: Disclaimer

Metric

This plan

Peer set

Industry

Size

Avg account balance

$16,449

$46,360-64.5%

$147,618-88.9%

$52,331-68.6%

Participation rate

82.4%

64.9%+17.5pp

84.6%-2.2pp

68.1%+14.3pp

Annual return

2.76%

1.62%+1.1pp

61.98%-59.2pp

4.54%-1.8pp

Employer contribution / active EE

$763

$2,126-64.1%

$5,564-86.3%

$1,882-59.5%

Participant deferral / active EE

$1,295

$2,258-42.6%

$4,895-73.5%

$3,022-57.1%

Admin fee / account holder

$32

$766-95.9%

$11,612-99.7%

$592-94.6%

Provider

Service type

Compensation

MASSACHUSETTS MUTUAL LIFE INS. CO.1+ years

Service code 52 · EIN 04-1590850

Indirect Investment Fees

$5,593

BAYSTATE AMBULANCE 401(K) PLAN

Top hat statement on fileNQDC

Plan administrator

Plans declared (1)

Summary metrics

Benchmarksi

Analytics

Service providersi

Plan features & details

Opportunity flagsi

Expense breakdowni

Audit opinioni

BAYSTATE AMBULANCE 401(K) PLAN

Top hat statement on fileNQDC

Plan administrator

Plans declared (1)

Summary metrics

Benchmarksi

Analytics

Service providersi

Plan features & details

Opportunity flagsi

Expense breakdowni

Audit opinioni

Benchmarks

Service providers

Opportunity flags

Expense breakdown

Audit opinion

Benchmarks

Service providers

Opportunity flags

Expense breakdown

Audit opinion