401k Plan data: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL plan

TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 401k Plan overview

Plan Name	TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL
Plan identification number	001

TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 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 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

CLEARFIELD HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: CLEARFIELD HOSPITAL

Employer identification number (EIN): 250979346

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about CLEARFIELD HOSPITAL

Jurisdiction of Incorporation: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE

Incorporation Date:

Company Identification Number: 714002

More information about CLEARFIELD HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01
001 2017-01-01 ROBERT MCKEE
001 2016-01-01 ROBERT MCKEE
001 2015-01-01 ROBERT MCKEE
001 2014-01-01 ROBERT MCKEE
001 2013-01-01 ROBERT MCKEE
001 2012-01-01 ROBERT MCKEE
001 2011-01-01 ROBERT MCKEE
001 2010-01-01 JON STEEN
001 2009-01-01 JON STEEN

Plan Statistics for TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL

401k plan membership statisitcs for TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL

Measure Date Value
2019: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2019 401k membership
Total participants, beginning-of-year 2019-01-01 192
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2018 401k membership
Total participants, beginning-of-year 2018-01-01 211
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 120
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 71
Total of all active and inactive participants 2018-01-01 192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 192
Number of participants with account balances 2018-01-01 154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2017 401k membership
Total participants, beginning-of-year 2017-01-01 195
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 129
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 62
Total participants 2017-01-01 192
Number of participants with account balances 2017-01-01 166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2016 401k membership
Total participants, beginning-of-year 2016-01-01 289
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 157
Number of retired or separated participants receiving benefits 2016-01-01 1
Number of other retired or separated participants entitled to future benefits 2016-01-01 37
Total of all active and inactive participants 2016-01-01 195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 195
Number of participants with account balances 2016-01-01 163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2015 401k membership
Total participants, beginning-of-year 2015-01-01 311
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 249
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 40
Total of all active and inactive participants 2015-01-01 289
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 289
Number of participants with account balances 2015-01-01 136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2014 401k membership
Total participants, beginning-of-year 2014-01-01 343
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 272
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 39
Total of all active and inactive participants 2014-01-01 311
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 311
Number of participants with account balances 2014-01-01 140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2013 401k membership
Total participants, beginning-of-year 2013-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 305
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 38
Total of all active and inactive participants 2013-01-01 343
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 343
Number of participants with account balances 2013-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2012 401k membership
Total participants, beginning-of-year 2012-01-01 328
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 294
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 22
Total of all active and inactive participants 2012-01-01 316
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 316
Number of participants with account balances 2012-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 304
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 311
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 17
Total of all active and inactive participants 2011-01-01 328
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 328
Number of participants with account balances 2011-01-01 141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2010 401k membership
Total participants, beginning-of-year 2010-01-01 334
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 290
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 14
Total of all active and inactive participants 2010-01-01 304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 304
Number of participants with account balances 2010-01-01 136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 326
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 8
Total of all active and inactive participants 2009-01-01 334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 334
Number of participants with account balances 2009-01-01 117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2019: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2019 401k membership
Total participants, beginning-of-year	2019-01-01	192
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2018 401k membership
Total participants, beginning-of-year	2018-01-01	211
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	120
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	71
Total of all active and inactive participants	2018-01-01	192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	192
Number of participants with account balances	2018-01-01	154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2017 401k membership
Total participants, beginning-of-year	2017-01-01	195
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	129
Number of retired or separated participants receiving benefits	2017-01-01	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	62
Total participants	2017-01-01	192
Number of participants with account balances	2017-01-01	166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2016 401k membership
Total participants, beginning-of-year	2016-01-01	289
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	157
Number of retired or separated participants receiving benefits	2016-01-01	1
Number of other retired or separated participants entitled to future benefits	2016-01-01	37
Total of all active and inactive participants	2016-01-01	195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	195
Number of participants with account balances	2016-01-01	163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2015 401k membership
Total participants, beginning-of-year	2015-01-01	311
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	249
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	40
Total of all active and inactive participants	2015-01-01	289
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	289
Number of participants with account balances	2015-01-01	136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2014 401k membership
Total participants, beginning-of-year	2014-01-01	343
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	272
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	39
Total of all active and inactive participants	2014-01-01	311
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	311
Number of participants with account balances	2014-01-01	140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2013 401k membership
Total participants, beginning-of-year	2013-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	305
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	38
Total of all active and inactive participants	2013-01-01	343
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	343
Number of participants with account balances	2013-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2012 401k membership
Total participants, beginning-of-year	2012-01-01	328
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	294
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	22
Total of all active and inactive participants	2012-01-01	316
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	316
Number of participants with account balances	2012-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	304
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	311
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	17
Total of all active and inactive participants	2011-01-01	328
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	328
Number of participants with account balances	2011-01-01	141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2010 401k membership
Total participants, beginning-of-year	2010-01-01	334
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	290
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	14
Total of all active and inactive participants	2010-01-01	304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	304
Number of participants with account balances	2010-01-01	136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	326
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	8
Total of all active and inactive participants	2009-01-01	334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	334
Number of participants with account balances	2009-01-01	117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL

Measure	Date	Value
2019 : TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2019 401k financial data
Total transfer of assets from this plan	2019-12-31	$7,002,875
Total transfer of assets from this plan	2019-12-31	$7,002,875
Total income from all sources (including contributions)	2019-12-31	$1,899,956
Total income from all sources (including contributions)	2019-12-31	$1,899,956
Total of all expenses incurred	2019-12-31	$1,197,468
Total of all expenses incurred	2019-12-31	$1,197,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,185,340
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$525,941
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$525,941
Value of total assets at end of year	2019-12-31	$0
Value of total assets at end of year	2019-12-31	$0
Value of total assets at beginning of year	2019-12-31	$6,300,387
Value of total assets at beginning of year	2019-12-31	$6,300,387
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,128
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,128
Total interest from all sources	2019-12-31	$4,452
Total interest from all sources	2019-12-31	$4,452
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$188,622
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$188,622
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	Yes
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2019-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$188,622
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$188,622
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$255,317
Contributions received from participants	2019-12-31	$255,317
Participant contributions at end of year	2019-12-31	$0
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$34,508
Participant contributions at beginning of year	2019-12-31	$34,508
Participant contributions at end of year	2019-12-31	$0
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$8,678
Participant contributions at beginning of year	2019-12-31	$8,678
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$107,780
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$107,780
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$164
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$164
Other income not declared elsewhere	2019-12-31	$319
Other income not declared elsewhere	2019-12-31	$319
Administrative expenses (other) incurred	2019-12-31	$11,938
Administrative expenses (other) incurred	2019-12-31	$11,938
Total non interest bearing cash at end of year	2019-12-31	$0
Total non interest bearing cash at end of year	2019-12-31	$0
Total non interest bearing cash at beginning of year	2019-12-31	$0
Total non interest bearing cash at beginning of year	2019-12-31	$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	2019-12-31	No
Value of net income/loss	2019-12-31	$702,488
Value of net income/loss	2019-12-31	$702,488
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$0
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$6,300,387
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$6,300,387
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$190
Investment advisory and management fees	2019-12-31	$190
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$6,021,213
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$6,021,213
Interest on participant loans	2019-12-31	$2,736
Interest on participant loans	2019-12-31	$2,736
Interest earned on other investments	2019-12-31	$1,716
Interest earned on other investments	2019-12-31	$1,716
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$235,824
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$235,824
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,180,622
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,180,622
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$162,844
Contributions received in cash from employer	2019-12-31	$162,844
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,185,340
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,185,340
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BKD LLP
Accountancy firm name	2019-12-31	BKD LLP
Accountancy firm EIN	2019-12-31	440160260
2018 : TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$53,739
Total of all expenses incurred	2018-12-31	$597,868
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$583,033
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$403,721
Value of total assets at end of year	2018-12-31	$6,300,387
Value of total assets at beginning of year	2018-12-31	$6,844,516
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$14,835
Total interest from all sources	2018-12-31	$5,435
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$128,261
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$128,261
Administrative expenses professional fees incurred	2018-12-31	$4,750
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$297,095
Participant contributions at end of year	2018-12-31	$34,508
Participant contributions at beginning of year	2018-12-31	$7,035
Participant contributions at end of year	2018-12-31	$8,678
Participant contributions at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$102,072
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$164
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$3
Administrative expenses (other) incurred	2018-12-31	$9,885
Total non interest bearing cash at end of year	2018-12-31	$0
Total non interest bearing cash at beginning of year	2018-12-31	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-544,129
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$6,300,387
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$6,844,516
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$200
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$6,021,213
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$6,593,266
Interest on participant loans	2018-12-31	$659
Interest earned on other investments	2018-12-31	$4,776
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$235,824
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$244,210
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-483,678
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$4,554
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$583,033
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BKD, LLP
Accountancy firm EIN	2018-12-31	440160260
2017 : TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$1,431,801
Total of all expenses incurred	2017-12-31	$633,913
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$624,295
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$430,713
Value of total assets at end of year	2017-12-31	$6,844,516
Value of total assets at beginning of year	2017-12-31	$6,046,628
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$9,618
Total interest from all sources	2017-12-31	$4,641
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$108,861
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$108,861
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$399,595
Participant contributions at end of year	2017-12-31	$7,035
Participant contributions at beginning of year	2017-12-31	$12,708
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$31,118
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$3
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$87
Administrative expenses (other) incurred	2017-12-31	$9,618
Total non interest bearing cash at end of year	2017-12-31	$2
Total non interest bearing cash at beginning of year	2017-12-31	$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	2017-12-31	No
Value of net income/loss	2017-12-31	$797,888
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$6,844,516
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$6,046,628
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$6,593,266
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$5,704,334
Interest on participant loans	2017-12-31	$395
Interest earned on other investments	2017-12-31	$4,246
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$244,210
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$329,499
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$887,586
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$624,295
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	BKD, LLP
Accountancy firm EIN	2017-12-31	440160260
2016 : TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$962,528
Total of all expenses incurred	2016-12-31	$1,272,388
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,255,310
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$504,595
Value of total assets at end of year	2016-12-31	$6,046,628
Value of total assets at beginning of year	2016-12-31	$6,356,488
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$17,078
Total interest from all sources	2016-12-31	$4,821
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$105,484
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$105,484
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$411,237
Participant contributions at end of year	2016-12-31	$12,708
Participant contributions at beginning of year	2016-12-31	$31,791
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$8,575
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$93,358
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$87
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$17,078
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-309,860
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$6,046,628
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$6,356,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$5,704,334
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$5,563,298
Interest on participant loans	2016-12-31	$1,209
Interest earned on other investments	2016-12-31	$3,612
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$752,824
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$752,824
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$329,499
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$347,628
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,255,310
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	Yes
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BKD, LLP
Accountancy firm EIN	2016-12-31	440160260
2015 : TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$437,915
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$898,370
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$859,164
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$379,605
Value of total assets at end of year	2015-12-31	$6,356,488
Value of total assets at beginning of year	2015-12-31	$6,816,943
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$39,206
Total interest from all sources	2015-12-31	$904
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$238,499
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$238,499
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$379,605
Participant contributions at end of year	2015-12-31	$31,791
Participant contributions at beginning of year	2015-12-31	$29,968
Participant contributions at end of year	2015-12-31	$8,575
Participant contributions at beginning of year	2015-12-31	$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	2015-12-31	No
Value of net income/loss	2015-12-31	$-460,455
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$6,356,488
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$6,816,943
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$37,007
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$5,563,298
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$6,249,489
Interest on participant loans	2015-12-31	$904
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$752,824
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$537,486
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$537,486
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-181,093
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$859,164
Contract administrator fees	2015-12-31	$2,199
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BKD, LLP
Accountancy firm EIN	2015-12-31	440160260
2014 : TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$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	$1,025,575
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$708,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$672,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$519,628
Value of total assets at end of year	2014-12-31	$6,816,943
Value of total assets at beginning of year	2014-12-31	$6,499,654
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$35,988
Total interest from all sources	2014-12-31	$1,331
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$261,655
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$261,655
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$417,804
Participant contributions at end of year	2014-12-31	$29,968
Participant contributions at beginning of year	2014-12-31	$40,918
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$101,824
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$317,289
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$6,816,943
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$6,499,654
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$35,988
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$6,249,489
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$5,918,439
Interest on participant loans	2014-12-31	$1,331
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$537,486
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$540,297
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$540,297
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$242,961
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$672,298
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BKD, LLP
Accountancy firm EIN	2014-12-31	440160260
2013 : TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$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	$1,679,804
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$331,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$301,979
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$684,316
Value of total assets at end of year	2013-12-31	$6,499,654
Value of total assets at beginning of year	2013-12-31	$5,151,756
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$29,927
Total interest from all sources	2013-12-31	$1,539
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$216,356
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$216,356
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$653,681
Participant contributions at end of year	2013-12-31	$40,918
Participant contributions at beginning of year	2013-12-31	$41,600
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$30,635
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,347,898
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$6,499,654
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$5,151,756
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$29,927
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$5,918,439
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$4,608,865
Interest on participant loans	2013-12-31	$1,539
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$540,297
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$501,291
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$501,291
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$777,593
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$301,979
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	BKD, LLP
Accountancy firm EIN	2013-12-31	440160260
2012 : TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$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	$24,050
Total income from all sources (including contributions)	2012-12-31	$1,314,040
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$676,221
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$642,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$754,586
Value of total assets at end of year	2012-12-31	$5,151,756
Value of total assets at beginning of year	2012-12-31	$4,537,987
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$33,425
Total interest from all sources	2012-12-31	$428
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$122,020
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$122,020
Administrative expenses professional fees incurred	2012-12-31	$33,425
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	Yes
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
Contributions received from participants	2012-12-31	$735,149
Participant contributions at end of year	2012-12-31	$41,600
Participant contributions at beginning of year	2012-12-31	$3,131
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$19,437
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$3,141
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$24,050
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$1,743
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	$637,819
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$5,151,756
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,513,937
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$5,110,156
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,529,972
Interest on participant loans	2012-12-31	$428
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$437,006
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$642,796
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	Yes
Did the plan have assets held for investment	2012-12-31	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	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	No
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	BKD, LLP
Accountancy firm EIN	2012-12-31	440160260
2011 : TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$5,458
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$24,050
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$21,322
Total income from all sources (including contributions)	2011-12-31	$666,837
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$207,101
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$162,689
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$711,915
Value of total assets at end of year	2011-12-31	$4,537,987
Value of total assets at beginning of year	2011-12-31	$4,080,981
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$44,412
Total interest from all sources	2011-12-31	$151
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$68,142
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	$68,142
Administrative expenses professional fees incurred	2011-12-31	$44,412
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
Contributions received from participants	2011-12-31	$686,291
Participant contributions at end of year	2011-12-31	$3,131
Participant contributions at beginning of year	2011-12-31	$3,924
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$25,624
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$3,141
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$3,176
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$24,050
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$21,322
Total non interest bearing cash at end of year	2011-12-31	$1,743
Total non interest bearing cash at beginning of year	2011-12-31	$735
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	$459,736
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$4,513,937
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,059,659
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$4,529,972
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$4,073,146
Interest on participant loans	2011-12-31	$151
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-113,371
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$162,689
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	BKD, LLP
Accountancy firm EIN	2011-12-31	440160260
2010 : TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$10,398
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$21,322
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$14,252
Total income from all sources (including contributions)	2010-12-31	$1,004,097
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$64,562
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$23,194
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$633,305
Value of total assets at end of year	2010-12-31	$4,080,981
Value of total assets at beginning of year	2010-12-31	$3,123,978
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$41,368
Total interest from all sources	2010-12-31	$74
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$61,309
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$61,309
Administrative expenses professional fees incurred	2010-12-31	$41,368
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$629,333
Participant contributions at end of year	2010-12-31	$3,924
Participant contributions at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$3,972
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$3,176
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$2,863
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$21,322
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$14,252
Total non interest bearing cash at end of year	2010-12-31	$735
Total non interest bearing cash at beginning of year	2010-12-31	$514
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$939,535
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,059,659
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,109,726
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$4,073,146
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,120,601
Interest on participant loans	2010-12-31	$74
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$309,409
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$23,194
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	BKD, LLP
Accountancy firm EIN	2010-12-31	440160260
2009 : TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL

2019: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	This submission is the final filing	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: TAX SHELTERED ANNUITY PLAN FOR EMPLOYEES OF CLEARFIELD HOSPITAL 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

TA069819

Policy instance

Insurance contract or identification number	TA069819
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

TA069819

Policy instance

Insurance contract or identification number	TA069819
Number of Individuals Covered	145
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

TA069819

Policy instance

Insurance contract or identification number	TA069819
Number of Individuals Covered	166
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	CLEARFIELD HOSPITAL
Employer identification number (EIN):	250979346
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
Incorporation Date:
Company Identification Number:	714002