401k Plan data: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN plan

COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 401k Plan overview

Plan Name	COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN
Plan identification number	002

COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.

401k Sponsoring company profile

COMMUNITY HOSPITAL, WATERVLIET has sponsored the creation of one or more 401k plans.

Company Name: COMMUNITY HOSPITAL, WATERVLIET

Employer identification number (EIN): 381368745

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-01-01 CHRIS KUHLMANN
002 2011-01-01 CHRIS KUHLMANN CHRIS KUHLMANN 2012-10-09
002 2010-01-01 CHRIS KUHLMANN
002 2009-10-01 CHRIS KUHLMANN
002 2008-10-01 CHRIS KUHLMANN
002 2008-10-01 CHRIS KUHLMANN 2010-10-15
002 2007-10-01 CHRIS KUHLMANN
002 2007-10-01 CHRIS KUHLMANN 2010-10-15
002 2006-10-01 CHRIS KUHLMANN 2010-10-15
002 2005-10-01 CHRIS KUHLMANN 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2012-01-01	CHRIS KUHLMANN
002	2011-01-01	CHRIS KUHLMANN	CHRIS KUHLMANN	2012-10-09
002	2010-01-01	CHRIS KUHLMANN
002	2009-10-01	CHRIS KUHLMANN
002	2008-10-01	CHRIS KUHLMANN
002	2008-10-01		CHRIS KUHLMANN	2010-10-15
002	2007-10-01	CHRIS KUHLMANN
002	2007-10-01		CHRIS KUHLMANN	2010-10-15
002	2006-10-01		CHRIS KUHLMANN	2010-10-15
002	2005-10-01		CHRIS KUHLMANN	2010-10-15

Plan Statistics for COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN

401k plan membership statisitcs for COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN

Measure Date Value
2012: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 285
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 265
Number of other retired or separated participants entitled to future benefits 2011-01-01 19
Total of all active and inactive participants 2011-01-01 284
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 285
Number of participants with account balances 2011-01-01 158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 10
2010: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 159
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 276
Number of retired or separated participants receiving benefits 2010-01-01 2
Number of other retired or separated participants entitled to future benefits 2010-01-01 3
Total of all active and inactive participants 2010-01-01 281
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 281
Number of participants with account balances 2010-01-01 127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 118
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 276
Number of retired or separated participants receiving benefits 2009-10-01 2
Number of other retired or separated participants entitled to future benefits 2009-10-01 3
Total of all active and inactive participants 2009-10-01 281
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 281
Number of participants with account balances 2009-10-01 159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 0
2008: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2008 401k membership
Total of all active and inactive participants 2008-10-01 0
Total participants 2008-10-01 0
2007: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2007 401k membership
Total of all active and inactive participants 2007-10-01 0
Total participants 2007-10-01 0

Measure	Date	Value
2012: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	285
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	265
Number of other retired or separated participants entitled to future benefits	2011-01-01	19
Total of all active and inactive participants	2011-01-01	284
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	285
Number of participants with account balances	2011-01-01	158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	10
2010: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	159
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	276
Number of retired or separated participants receiving benefits	2010-01-01	2
Number of other retired or separated participants entitled to future benefits	2010-01-01	3
Total of all active and inactive participants	2010-01-01	281
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	281
Number of participants with account balances	2010-01-01	127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	118
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	276
Number of retired or separated participants receiving benefits	2009-10-01	2
Number of other retired or separated participants entitled to future benefits	2009-10-01	3
Total of all active and inactive participants	2009-10-01	281
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	281
Number of participants with account balances	2009-10-01	159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	0
2008: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2008 401k membership
Total of all active and inactive participants	2008-10-01	0
Total participants	2008-10-01	0
2007: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2007 401k membership
Total of all active and inactive participants	2007-10-01	0
Total participants	2007-10-01	0

Financial Data on COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN

Measure	Date	Value
2012 : COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 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	$0
Total income from all sources (including contributions)	2012-12-31	$339,379
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$6,090,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$6,085,989
Expenses. Certain deemed distributions of participant loans	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$0
Value of total assets at end of year	2012-12-31	$0
Value of total assets at beginning of year	2012-12-31	$5,750,775
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$4,165
Total interest from all sources	2012-12-31	$759
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$27,819
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$27,819
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$0
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$32,327
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$357
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$0
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	$0
Other income not declared elsewhere	2012-12-31	$25,218
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	$-5,750,775
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$5,750,775
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	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,339,083
Interest on participant loans	2012-12-31	$759
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,091,636
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$285,583
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
Contributions received in cash from employer	2012-12-31	$0
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$287,372
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$6,085,989
Contract administrator fees	2012-12-31	$4,165
Did the plan have assets held for investment	2012-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2012-12-31	381357951
2011 : COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$819,438
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$416,477
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$412,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$747,174
Value of total assets at end of year	2011-12-31	$5,750,775
Value of total assets at beginning of year	2011-12-31	$5,347,814
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$3,823
Total interest from all sources	2011-12-31	$2,412
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$109,951
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	$109,951
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	$342,858
Participant contributions at end of year	2011-12-31	$32,327
Participant contributions at beginning of year	2011-12-31	$63,972
Participant contributions at end of year	2011-12-31	$357
Participant contributions at beginning of year	2011-12-31	$8,959
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$3,330
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$39,831
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	$402,961
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$5,750,775
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$5,347,814
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	$4,339,083
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$4,273,167
Interest on participant loans	2011-12-31	$2,412
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,091,636
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,001,716
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-79,930
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
Contributions received in cash from employer	2011-12-31	$400,986
Employer contributions (assets) at end of year	2011-12-31	$287,372
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$412,654
Contract administrator fees	2011-12-31	$3,823
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	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	PLANTE & MORAN PLLC
Accountancy firm EIN	2011-12-31	381357951
2010 : COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$742,392
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$725,075
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$720,307
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$281,051
Value of total assets at end of year	2010-12-31	$5,347,814
Value of total assets at beginning of year	2010-12-31	$5,330,497
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$4,768
Total interest from all sources	2010-12-31	$3,640
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$64,938
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	$64,938
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	$281,051
Participant contributions at end of year	2010-12-31	$92,466
Participant contributions at beginning of year	2010-12-31	$52,862
Participant contributions at end of year	2010-12-31	$8,959
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$2,127,079
Other income not declared elsewhere	2010-12-31	$40,745
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	$17,317
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$5,347,814
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$5,330,497
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	$4,273,167
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,009,549
Interest on participant loans	2010-12-31	$3,640
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$973,222
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,141,007
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$352,018
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
Contributions received in cash from employer	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$720,307
Contract administrator fees	2010-12-31	$4,768
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	2010-12-31	No
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	PLANTE & MORAN PLLC
Accountancy firm EIN	2010-12-31	381357951
2009 : COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 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 COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN

2012: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 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 – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes
2008: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	Yes
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No
2007: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2007 form 5500 responses
2007-10-01	Type of plan entity	Single employer plan
2007-10-01	Submission has been amended	Yes
2007-10-01	This submission is the final filing	No
2007-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-10-01	Plan is a collectively bargained plan	No
2006: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2006 form 5500 responses
2006-10-01	Type of plan entity	Single employer plan
2006-10-01	Submission has been amended	Yes
2006-10-01	This submission is the final filing	No
2006-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-10-01	Plan is a collectively bargained plan	No
2005: COMMUNITY HOSPITAL, WATERVLIET 403(B) PLAN 2005 form 5500 responses
2005-10-01	Type of plan entity	Single employer plan
2005-10-01	Submission has been amended	Yes
2005-10-01	This submission is the final filing	No
2005-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-10-01	Plan is a collectively bargained plan	No

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Company Name:	COMMUNITY HOSPITAL, WATERVLIET
Employer identification number (EIN):	381368745
NAIC Classification:	622000
NAIC Description:	Hospitals