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403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 401k Plan overview

Plan Name403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC
Plan identification number 002

403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC Benefits

401k Plan TypeDefined 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.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

COMMUNITY HEALTH CARE, INC. has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY HEALTH CARE, INC.
Employer identification number (EIN):421060724
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about COMMUNITY HEALTH CARE, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1975-06-09
Company Identification Number: 056218
Legal Registered Office Address: 500 W RIVER DR

DAVENPORT
United States of America (USA)
52801

More information about COMMUNITY HEALTH CARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01KEVIN HAGEDORN KEVIN HAGEDORN2018-07-20
0022016-01-01KEVIN HAGEDORN KEVIN HAGEDORN2017-07-27
0022015-01-01KEVIN HAGEDORN KEVIN HAGEDORN2016-07-29
0022014-01-01KEVIN HAGEDORN KEVIN HAGEDORN2015-07-27
0022013-01-01
0022012-01-01JEFF HASSEL JEFF HASSEL2013-10-24
0022011-01-01JEFF HASSEL
0022009-07-01JENNIFER HART
0022009-07-01JENNIFER HART

Plan Statistics for 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC

401k plan membership statisitcs for 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC

Measure Date Value
2022: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2022 401k membership
Total participants, beginning-of-year2022-01-01513
Total number of active participants reported on line 7a of the Form 55002022-01-01436
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-01164
Total of all active and inactive participants2022-01-01602
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01602
Number of participants with account balances2022-01-01444
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-013
2021: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2021 401k membership
Total participants, beginning-of-year2021-01-01446
Total number of active participants reported on line 7a of the Form 55002021-01-01340
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01145
Total of all active and inactive participants2021-01-01485
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01485
Number of participants with account balances2021-01-01424
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0115
2020: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2020 401k membership
Total participants, beginning-of-year2020-01-01398
Total number of active participants reported on line 7a of the Form 55002020-01-01306
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01140
Total of all active and inactive participants2020-01-01446
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01446
Number of participants with account balances2020-01-01400
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0130
2019: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2019 401k membership
Total participants, beginning-of-year2019-01-01359
Total number of active participants reported on line 7a of the Form 55002019-01-01275
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01123
Total of all active and inactive participants2019-01-01398
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01398
Number of participants with account balances2019-01-01385
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0121
2018: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2018 401k membership
Total participants, beginning-of-year2018-01-01357
Total number of active participants reported on line 7a of the Form 55002018-01-01231
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01128
Total of all active and inactive participants2018-01-01359
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01359
Number of participants with account balances2018-01-01353
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0123
2017: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2017 401k membership
Total participants, beginning-of-year2017-01-01351
Total number of active participants reported on line 7a of the Form 55002017-01-01240
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01117
Total of all active and inactive participants2017-01-01357
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01357
Number of participants with account balances2017-01-01350
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0115
2016: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2016 401k membership
Total participants, beginning-of-year2016-01-01305
Total number of active participants reported on line 7a of the Form 55002016-01-01234
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01117
Total of all active and inactive participants2016-01-01351
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01351
Number of participants with account balances2016-01-01344
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0124
2015: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2015 401k membership
Total participants, beginning-of-year2015-01-01300
Total number of active participants reported on line 7a of the Form 55002015-01-01199
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01106
Total of all active and inactive participants2015-01-01305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01305
Number of participants with account balances2015-01-01305
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0140
2014: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2014 401k membership
Total participants, beginning-of-year2014-01-01299
Total number of active participants reported on line 7a of the Form 55002014-01-01201
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0198
Total of all active and inactive participants2014-01-01299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-01300
Number of participants with account balances2014-01-01300
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0129
2013: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2013 401k membership
Total participants, beginning-of-year2013-01-01328
Total number of active participants reported on line 7a of the Form 55002013-01-01230
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0169
Total of all active and inactive participants2013-01-01299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01299
Number of participants with account balances2013-01-01299
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0152
2012: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2012 401k membership
Total participants, beginning-of-year2012-01-01308
Total number of active participants reported on line 7a of the Form 55002012-01-01269
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0142
Total of all active and inactive participants2012-01-01311
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01311
Number of participants with account balances2012-01-01311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0158
2011: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2011 401k membership
Total participants, beginning-of-year2011-01-01307
Total number of active participants reported on line 7a of the Form 55002011-01-01291
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0146
Total of all active and inactive participants2011-01-01337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01337
Number of participants with account balances2011-01-01337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0118
2009: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2009 401k membership
Total participants, beginning-of-year2009-07-01204
Total number of active participants reported on line 7a of the Form 55002009-07-01192
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-0135
Total of all active and inactive participants2009-07-01227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-011
Total participants2009-07-01228
Number of participants with account balances2009-07-01227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-0135

Financial Data on 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC

Measure Date Value
2022 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-1,229,999
Total of all expenses incurred2022-12-31$1,074,799
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,073,061
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,068,391
Value of total assets at end of year2022-12-31$17,766,737
Value of total assets at beginning of year2022-12-31$20,071,535
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,738
Total interest from all sources2022-12-31$5,212
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$22,824
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$22,824
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,308,089
Participant contributions at end of year2022-12-31$49,685
Participant contributions at beginning of year2022-12-31$46,608
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$70,107
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,304,798
Value of net assets at end of year (total assets less liabilities)2022-12-31$17,766,737
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$20,071,535
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$15,781,203
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$18,063,937
Interest earned on other investments2022-12-31$5,212
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,905,215
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$1,933,704
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-273,576
Net investment gain/loss from pooled separate accounts2022-12-31$-3,052,850
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$690,195
Employer contributions (assets) at end of year2022-12-31$30,634
Employer contributions (assets) at beginning of year2022-12-31$27,286
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,073,061
Contract administrator fees2022-12-31$1,738
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
2021 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$4,909,063
Total of all expenses incurred2021-12-31$612,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$610,924
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,467,462
Value of total assets at end of year2021-12-31$20,071,535
Value of total assets at beginning of year2021-12-31$15,775,399
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,003
Total interest from all sources2021-12-31$22,863
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$40,344
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$40,344
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,211,726
Participant contributions at end of year2021-12-31$46,608
Participant contributions at beginning of year2021-12-31$39,322
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$604,144
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$4,296,136
Value of net assets at end of year (total assets less liabilities)2021-12-31$20,071,535
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$15,775,399
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$18,063,937
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$13,317,959
Interest earned on other investments2021-12-31$22,863
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$1,933,704
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$2,394,877
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$100,063
Net investment gain/loss from pooled separate accounts2021-12-31$2,278,331
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$651,592
Employer contributions (assets) at end of year2021-12-31$27,286
Employer contributions (assets) at beginning of year2021-12-31$23,241
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$610,924
Contract administrator fees2021-12-31$2,003
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$3,862,947
Total of all expenses incurred2020-12-31$1,123,450
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,121,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,821,906
Value of total assets at end of year2020-12-31$15,775,399
Value of total assets at beginning of year2020-12-31$13,035,902
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,944
Total interest from all sources2020-12-31$19,987
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$23,414
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$23,414
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$986,776
Participant contributions at end of year2020-12-31$39,322
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$319,333
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,739,497
Value of net assets at end of year (total assets less liabilities)2020-12-31$15,775,399
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$13,035,902
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$13,317,959
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$11,348,225
Interest earned on other investments2020-12-31$19,987
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$2,394,877
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$1,687,677
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$134,186
Net investment gain/loss from pooled separate accounts2020-12-31$1,863,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$515,797
Employer contributions (assets) at end of year2020-12-31$23,241
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,121,506
Contract administrator fees2020-12-31$1,944
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BKD, LLP
Accountancy firm EIN2020-12-31440160260
2019 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$3,755,777
Total income from all sources (including contributions)2019-12-31$3,755,777
Total of all expenses incurred2019-12-31$857,430
Total of all expenses incurred2019-12-31$857,430
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$855,641
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$855,641
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,553,373
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,553,373
Value of total assets at end of year2019-12-31$13,035,902
Value of total assets at end of year2019-12-31$13,035,902
Value of total assets at beginning of year2019-12-31$10,137,555
Value of total assets at beginning of year2019-12-31$10,137,555
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,789
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,789
Total interest from all sources2019-12-31$28,245
Total interest from all sources2019-12-31$28,245
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$28,885
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$28,885
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$28,885
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$28,885
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$896,949
Contributions received from participants2019-12-31$896,949
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$206,501
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$206,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,898,347
Value of net income/loss2019-12-31$2,898,347
Value of net assets at end of year (total assets less liabilities)2019-12-31$13,035,902
Value of net assets at end of year (total assets less liabilities)2019-12-31$13,035,902
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$10,137,555
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$10,137,555
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$11,348,225
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$11,348,225
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$8,627,858
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$8,627,858
Interest earned on other investments2019-12-31$28,245
Interest earned on other investments2019-12-31$28,245
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,687,677
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,687,677
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,509,697
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,509,697
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$134,412
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$134,412
Net investment gain/loss from pooled separate accounts2019-12-31$2,010,862
Net investment gain/loss from pooled separate accounts2019-12-31$2,010,862
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$449,923
Contributions received in cash from employer2019-12-31$449,923
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$855,641
Contract administrator fees2019-12-31$1,789
Contract administrator fees2019-12-31$1,789
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm EIN2019-12-31440160260
Accountancy firm EIN2019-12-31440160260
2018 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$771,445
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,431,870
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,429,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,506,868
Value of total assets at end of year2018-12-31$10,137,555
Value of total assets at beginning of year2018-12-31$10,797,980
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,874
Total interest from all sources2018-12-31$15,202
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$38,848
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$38,848
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$812,812
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$256,445
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-660,425
Value of net assets at end of year (total assets less liabilities)2018-12-31$10,137,555
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$10,797,980
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$8,627,858
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$9,334,249
Interest earned on other investments2018-12-31$15,202
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,509,697
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,463,731
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-67,136
Net investment gain/loss from pooled separate accounts2018-12-31$-722,337
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$437,611
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,429,996
Contract administrator fees2018-12-31$1,874
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BKD, LLP
Accountancy firm EIN2018-12-31440160260
2017 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$2,548,747
Total of all expenses incurred2017-12-31$1,076,490
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,074,538
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,157,125
Value of total assets at end of year2017-12-31$10,797,980
Value of total assets at beginning of year2017-12-31$9,325,723
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,952
Total interest from all sources2017-12-31$15,347
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$27,271
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$27,271
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$756,635
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$73,829
Other income not declared elsewhere2017-12-31$3,978
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,472,257
Value of net assets at end of year (total assets less liabilities)2017-12-31$10,797,980
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$9,325,723
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$9,334,249
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$7,796,530
Interest earned on other investments2017-12-31$15,347
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,463,731
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,529,193
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$53,163
Net investment gain/loss from pooled separate accounts2017-12-31$1,291,863
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$326,661
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,074,538
Contract administrator fees2017-12-31$1,952
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BKD, LLP
Accountancy firm EIN2017-12-31440160260
2016 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$1,893,120
Total of all expenses incurred2016-12-31$500,990
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$498,859
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,247,800
Value of total assets at end of year2016-12-31$9,325,723
Value of total assets at beginning of year2016-12-31$7,933,593
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,131
Total interest from all sources2016-12-31$15,171
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$22,001
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$22,001
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$641,128
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$316,104
Other income not declared elsewhere2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,392,130
Value of net assets at end of year (total assets less liabilities)2016-12-31$9,325,723
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,933,593
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$7,796,530
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$6,332,720
Interest earned on other investments2016-12-31$15,171
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,529,193
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,600,873
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$-14,115
Net investment gain/loss from pooled separate accounts2016-12-31$622,263
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$290,568
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$498,859
Contract administrator fees2016-12-31$2,131
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BKD, LLP
Accountancy firm EIN2016-12-31440160260
2015 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$915,887
Total of all expenses incurred2015-12-31$1,732,942
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,731,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$915,997
Value of total assets at end of year2015-12-31$7,933,593
Value of total assets at beginning of year2015-12-31$8,750,648
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,919
Total interest from all sources2015-12-31$16,204
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$21,655
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$21,655
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$454,288
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$259,297
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-817,055
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,933,593
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$8,750,648
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$6,332,720
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$6,996,800
Value of interest in pooled separate accounts at beginning of year2015-12-31$0
Interest earned on other investments2015-12-31$16,204
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,600,873
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,753,848
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-10,273
Net investment gain/loss from pooled separate accounts2015-12-31$-27,696
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$202,412
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,731,023
Contract administrator fees2015-12-31$1,919
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BKD, LLP
Accountancy firm EIN2015-12-31440160260
2014 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$1,413,841
Total of all expenses incurred2014-12-31$327,226
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$325,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$973,212
Value of total assets at end of year2014-12-31$8,750,648
Value of total assets at beginning of year2014-12-31$7,664,033
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,489
Total interest from all sources2014-12-31$28,638
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$10,385
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$10,385
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$501,532
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$225,722
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,086,615
Value of net assets at end of year (total assets less liabilities)2014-12-31$8,750,648
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$7,664,033
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$6,996,800
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$461,589
Value of interest in pooled separate accounts at end of year2014-12-31$0
Value of interest in pooled separate accounts at beginning of year2014-12-31$5,448,414
Interest earned on other investments2014-12-31$28,638
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$3,524
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$3,524
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$1,753,848
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,750,506
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$38,193
Net investment gain/loss from pooled separate accounts2014-12-31$363,413
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$245,958
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$325,737
Contract administrator fees2014-12-31$1,489
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BKD, LLP
Accountancy firm EIN2014-12-31440160260
2013 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$2,205,617
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,175,617
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,173,899
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,044,753
Value of total assets at end of year2013-12-31$7,664,033
Value of total assets at beginning of year2013-12-31$6,634,033
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,718
Total interest from all sources2013-12-31$20,934
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$12,875
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$12,875
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$551,906
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$18,960
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$227,126
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,030,000
Value of net assets at end of year (total assets less liabilities)2013-12-31$7,664,033
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$6,634,033
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$461,589
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$356,018
Value of interest in pooled separate accounts at end of year2013-12-31$5,448,414
Value of interest in pooled separate accounts at beginning of year2013-12-31$4,038,912
Interest earned on other investments2013-12-31$20,934
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$3,524
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$3,228
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$3,228
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,750,506
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$2,205,680
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$74,777
Net investment gain/loss from pooled separate accounts2013-12-31$1,052,278
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$265,721
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$11,235
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,173,899
Contract administrator fees2013-12-31$1,718
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BKD,LLP
Accountancy firm EIN2013-12-31440160260
2012 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$1,573,384
Total of all expenses incurred2012-12-31$418,926
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$417,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,060,601
Value of total assets at end of year2012-12-31$6,634,033
Value of total assets at beginning of year2012-12-31$5,479,575
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,583
Total interest from all sources2012-12-31$41,792
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$480,486
Participant contributions at end of year2012-12-31$18,960
Participant contributions at beginning of year2012-12-31$16,001
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$224,429
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,154,458
Value of net assets at end of year (total assets less liabilities)2012-12-31$6,634,033
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,479,575
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$356,018
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$304,412
Value of interest in pooled separate accounts at end of year2012-12-31$4,038,912
Value of interest in pooled separate accounts at beginning of year2012-12-31$3,106,730
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$3,228
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$2,924
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$2,924
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$41,792
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$2,205,680
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$2,033,751
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$27,280
Net investment gain/loss from pooled separate accounts2012-12-31$443,711
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$355,686
Employer contributions (assets) at end of year2012-12-31$11,235
Employer contributions (assets) at beginning of year2012-12-31$15,757
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$417,343
Contract administrator fees2012-12-31$1,583
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BKD, LLP
Accountancy firm EIN2012-12-31440160260
2011 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2011 401k financial data
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$837,725
Total of all expenses incurred2011-12-31$357,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$356,679
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$911,447
Value of total assets at end of year2011-12-31$5,479,575
Value of total assets at beginning of year2011-12-31$4,999,823
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,294
Total interest from all sources2011-12-31$42,009
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$401,771
Participant contributions at end of year2011-12-31$16,001
Participant contributions at beginning of year2011-12-31$15,014
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$144,071
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$479,752
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,479,575
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,999,823
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$304,412
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$299,512
Value of interest in pooled separate accounts at end of year2011-12-31$3,106,730
Value of interest in pooled separate accounts at beginning of year2011-12-31$2,882,442
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$2,924
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$2,662
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$2,662
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$42,009
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$2,033,751
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$1,785,623
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-16,128
Net investment gain/loss from pooled separate accounts2011-12-31$-99,603
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$365,605
Employer contributions (assets) at end of year2011-12-31$15,757
Employer contributions (assets) at beginning of year2011-12-31$14,570
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$356,679
Contract administrator fees2011-12-31$1,294
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BKD, LLP
Accountancy firm EIN2011-12-31440160260
2010 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$2,743,792
Total of all expenses incurred2010-12-31$118,366
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$117,704
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,354,669
Value of total assets at end of year2010-12-31$4,999,823
Value of total assets at beginning of year2010-12-31$2,374,397
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$662
Total interest from all sources2010-12-31$31,054
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$375,579
Participant contributions at end of year2010-12-31$15,014
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$1,664,237
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$2,625,426
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,999,823
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,374,397
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$299,512
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$241,958
Value of interest in pooled separate accounts at end of year2010-12-31$2,882,442
Value of interest in pooled separate accounts at beginning of year2010-12-31$1,341,476
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$2,662
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$2,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$2,391
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$31,054
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$1,785,623
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$788,572
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$38,633
Net investment gain/loss from pooled separate accounts2010-12-31$319,436
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$314,853
Employer contributions (assets) at end of year2010-12-31$14,570
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$117,704
Contract administrator fees2010-12-31$662
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BKD, LLP
Accountancy firm EIN2010-12-31440160260

Form 5500 Responses for 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC

2022: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE, INC 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 1
Insurance contract or identification number053983-A
Number of Individuals Covered435
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,560
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees5560
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 1
Insurance contract or identification number053983-A
Number of Individuals Covered485
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,419
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees4419
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 1
Insurance contract or identification number053983-A
Number of Individuals Covered446
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,419
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4419
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 1
Insurance contract or identification number053983-A
Number of Individuals Covered398
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,035
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees5035
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 1
Insurance contract or identification number053983-A
Number of Individuals Covered359
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,413
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3413
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 1
Insurance contract or identification number053983-A
Number of Individuals Covered357
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,045
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees5045
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameMILWAUKEE REGIONAL OFFICE
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberEXT0104013EE
Policy instance 2
Insurance contract or identification numberEXT0104013EE
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $154
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $147
Insurance broker organization code?3
Insurance broker nameDAVID MEANS
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberEXT0104013EE
Policy instance 2
Insurance contract or identification numberEXT0104013EE
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $147
Insurance broker organization code?3
Insurance broker nameDAVID L AUSTIN
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 1
Insurance contract or identification number053983-A
Number of Individuals Covered305
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,442
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1442
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameMILWAUKEE REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 2
Insurance contract or identification number053983-A
Number of Individuals Covered300
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,829
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1829
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameMILWAUKEE REGIONAL OFFICE
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberEXT0104013EE
Policy instance 1
Insurance contract or identification numberEXT0104013EE
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $183
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $131
Insurance broker organization code?3
Insurance broker nameSEAN R STEVENS
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 1
Insurance contract or identification number053983-A
Number of Individuals Covered299
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,831
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1831
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameMINNEAPOLIS REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 1
Insurance contract or identification number053983-A
Number of Individuals Covered311
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $729
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees334
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameJUSTIN KONECK
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 1
Insurance contract or identification number053983-A
Number of Individuals Covered337
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $8,805
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053983-A
Policy instance 1
Insurance contract or identification number053983-A
Number of Individuals Covered297
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,120
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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