401k Plan data: INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN plan

INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN 401k Plan overview

Plan Name	INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN
Plan identification number	001

INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN Benefits

401k Plan Type

Defined 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
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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements 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.

401k Sponsoring company profile

INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION

Employer identification number (EIN): 237385639

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1968-12-24

Company Identification Number: 601134637

Legal Registered Office Address: 101 WEST 8TH AVE

SPOKANE
United States of America (USA)
99204

More information about INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-07-01 SEAN DOUGLAS
001 2009-07-01 SEAN DOUGLAS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2011-07-01	SEAN DOUGLAS
001	2009-07-01	SEAN DOUGLAS

Plan Statistics for INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN

401k plan membership statisitcs for INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN

Measure Date Value
2011: INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 363
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 0
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 0
Number of participants with account balances 2011-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 345
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 120
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 235
Total of all active and inactive participants 2009-07-01 355
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 355
Number of participants with account balances 2009-07-01 308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2011: INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	363
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	0
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	0
Number of participants with account balances	2011-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	345
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	120
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	235
Total of all active and inactive participants	2009-07-01	355
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	355
Number of participants with account balances	2009-07-01	308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN

Measure	Date	Value
2012 : INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total transfer of assets to this plan	2012-06-30	$0
Total transfer of assets from this plan	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$802,845
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$11,871,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$11,870,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$628,721
Value of total assets at end of year	2012-06-30	$0
Value of total assets at beginning of year	2012-06-30	$11,068,258
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$559
Total interest from all sources	2012-06-30	$132,756
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$500,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$245,259
Participant contributions at end of year	2012-06-30	$0
Participant contributions at beginning of year	2012-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$33,481
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$-11,068,258
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$11,068,258
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$7,255,279
Value of interest in pooled separate accounts at end of year	2012-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2012-06-30	$474,551
Interest earned on other investments	2012-06-30	$132,756
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$3,338,199
Expenses. Payments to insurance carriers foe the provision of benefits	2012-06-30	$3,469,342
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-12,570
Net investment gain/loss from pooled separate accounts	2012-06-30	$53,938
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$349,981
Employer contributions (assets) at end of year	2012-06-30	$0
Employer contributions (assets) at beginning of year	2012-06-30	$229
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$8,401,202
Contract administrator fees	2012-06-30	$559
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	ANASTASI & MOORE, PLLC
Accountancy firm EIN	2012-06-30	208149084
2011 : INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$2,231,434
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$590,138
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$590,138
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$762,050
Value of total assets at end of year	2011-06-30	$11,068,258
Value of total assets at beginning of year	2011-06-30	$9,426,962
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$0
Total interest from all sources	2011-06-30	$123,917
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$500,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$265,911
Participant contributions at end of year	2011-06-30	$0
Participant contributions at beginning of year	2011-06-30	$25
Income. Received or receivable in cash from other sources (including rollovers)	2011-06-30	$35,721
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$1,641,296
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$11,068,258
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$9,426,962
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$7,255,279
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$5,692,848
Value of interest in pooled separate accounts at end of year	2011-06-30	$474,551
Value of interest in pooled separate accounts at beginning of year	2011-06-30	$341,886
Interest earned on other investments	2011-06-30	$123,917
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$3,338,199
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$3,296,889
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$1,275,244
Net investment gain/loss from pooled separate accounts	2011-06-30	$70,223
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$460,418
Employer contributions (assets) at end of year	2011-06-30	$229
Employer contributions (assets) at beginning of year	2011-06-30	$95,314
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$590,138
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	ANASTASI & MOORE, PLLC
Accountancy firm EIN	2011-06-30	208149084
2010 : INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN

2011: INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	Yes
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2009: INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION DEFINED CONTRIBUTION RETIREMENT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	INLAND EMPIRE HOSPITAL SERVICES ASSOCIATION
Employer identification number (EIN):	237385639
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1968-12-24
Company Identification Number:	601134637
Legal Registered Office Address:	101 WEST 8TH AVE SPOKANE United States of America (USA) 99204