401k Plan data: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN plan

WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 401k Plan overview

Plan Name	WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN
Plan identification number	001

WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

WASHINGTON HEALTH SYSTEM GREENE has sponsored the creation of one or more 401k plans.

Company Name: WASHINGTON HEALTH SYSTEM GREENE

Employer identification number (EIN): 473884840

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-07-01
001 2020-07-01
001 2019-07-01
001 2018-07-01
001 2017-07-01
001 2016-07-01 BARBARA MCCULLOUGH
001 2015-07-01 BARBARA MCCULLOUGH

Plan Statistics for WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN

401k plan membership statisitcs for WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN

Measure Date Value
2021: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 181
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 150
Number of retired or separated participants receiving benefits 2021-07-01 2
Number of other retired or separated participants entitled to future benefits 2021-07-01 35
Total of all active and inactive participants 2021-07-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 1
Total participants 2021-07-01 188
Number of participants with account balances 2021-07-01 188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 14
2020: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 186
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 149
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 31
Total of all active and inactive participants 2020-07-01 180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 1
Total participants 2020-07-01 181
Number of participants with account balances 2020-07-01 181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0
2019: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 186
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 156
Number of retired or separated participants receiving benefits 2019-07-01 2
Number of other retired or separated participants entitled to future benefits 2019-07-01 26
Total of all active and inactive participants 2019-07-01 184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 2
Total participants 2019-07-01 186
Number of participants with account balances 2019-07-01 186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 251
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 147
Number of retired or separated participants receiving benefits 2018-07-01 1
Number of other retired or separated participants entitled to future benefits 2018-07-01 36
Total of all active and inactive participants 2018-07-01 184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 2
Total participants 2018-07-01 186
Number of participants with account balances 2018-07-01 186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 0
2017: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 245
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 211
Number of retired or separated participants receiving benefits 2017-07-01 1
Number of other retired or separated participants entitled to future benefits 2017-07-01 37
Total of all active and inactive participants 2017-07-01 249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 2
Total participants 2017-07-01 251
Number of participants with account balances 2017-07-01 251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 319
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 219
Number of retired or separated participants receiving benefits 2016-07-01 1
Number of other retired or separated participants entitled to future benefits 2016-07-01 24
Total of all active and inactive participants 2016-07-01 244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 1
Total participants 2016-07-01 245
Number of participants with account balances 2016-07-01 245
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 286
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 295
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 24
Total of all active and inactive participants 2015-07-01 319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 319
Number of participants with account balances 2015-07-01 279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0

Measure	Date	Value
2021: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	181
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	150
Number of retired or separated participants receiving benefits	2021-07-01	2
Number of other retired or separated participants entitled to future benefits	2021-07-01	35
Total of all active and inactive participants	2021-07-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	1
Total participants	2021-07-01	188
Number of participants with account balances	2021-07-01	188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	14
2020: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	186
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	149
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	31
Total of all active and inactive participants	2020-07-01	180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	1
Total participants	2020-07-01	181
Number of participants with account balances	2020-07-01	181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0
2019: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	186
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	156
Number of retired or separated participants receiving benefits	2019-07-01	2
Number of other retired or separated participants entitled to future benefits	2019-07-01	26
Total of all active and inactive participants	2019-07-01	184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	2
Total participants	2019-07-01	186
Number of participants with account balances	2019-07-01	186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	251
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	147
Number of retired or separated participants receiving benefits	2018-07-01	1
Number of other retired or separated participants entitled to future benefits	2018-07-01	36
Total of all active and inactive participants	2018-07-01	184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	2
Total participants	2018-07-01	186
Number of participants with account balances	2018-07-01	186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	0
2017: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	245
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	211
Number of retired or separated participants receiving benefits	2017-07-01	1
Number of other retired or separated participants entitled to future benefits	2017-07-01	37
Total of all active and inactive participants	2017-07-01	249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	2
Total participants	2017-07-01	251
Number of participants with account balances	2017-07-01	251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	319
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	219
Number of retired or separated participants receiving benefits	2016-07-01	1
Number of other retired or separated participants entitled to future benefits	2016-07-01	24
Total of all active and inactive participants	2016-07-01	244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	1
Total participants	2016-07-01	245
Number of participants with account balances	2016-07-01	245
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	286
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	295
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	24
Total of all active and inactive participants	2015-07-01	319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	319
Number of participants with account balances	2015-07-01	279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0

Financial Data on WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN

Measure	Date	Value
2022 : WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-06-30	$150,890
Total of all expenses incurred	2022-06-30	$235,424
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$229,914
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$592,850
Value of total assets at end of year	2022-06-30	$2,701,013
Value of total assets at beginning of year	2022-06-30	$2,785,547
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$5,510
Total interest from all sources	2022-06-30	$2,599
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$74,246
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$74,246
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$500,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$334,744
Participant contributions at end of year	2022-06-30	$89,037
Participant contributions at beginning of year	2022-06-30	$59,087
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$103,995
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-06-30	$0
Administrative expenses (other) incurred	2022-06-30	$5,510
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-84,534
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$2,701,013
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$2,785,547
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$2,309,251
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$2,652,904
Value of interest in pooled separate accounts at beginning of year	2022-06-30	$0
Interest on participant loans	2022-06-30	$2,588
Interest earned on other investments	2022-06-30	$11
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$148,614
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$22,571
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-518,805
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$154,111
Employer contributions (assets) at end of year	2022-06-30	$154,111
Employer contributions (assets) at beginning of year	2022-06-30	$50,985
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$229,914
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-06-30	No
Did the plan have assets held for investment	2022-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	FORVIS, LLP
Accountancy firm EIN	2022-06-30	440160260
2021 : WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-06-30	$972,371
Total of all expenses incurred	2021-06-30	$284,376
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$276,866
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$289,145
Value of total assets at end of year	2021-06-30	$2,734,561
Value of total assets at beginning of year	2021-06-30	$2,046,566
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$7,510
Total interest from all sources	2021-06-30	$3,425
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$40,497
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$40,497
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$500,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$279,840
Participant contributions at end of year	2021-06-30	$58,870
Participant contributions at beginning of year	2021-06-30	$55,527
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$9,305
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-06-30	$216
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-06-30	$372
Administrative expenses (other) incurred	2021-06-30	$7,510
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$687,995
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$2,734,561
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$2,046,566
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$2,652,904
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$1,970,174
Value of interest in pooled separate accounts at end of year	2021-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2021-06-30	$19,652
Interest on participant loans	2021-06-30	$3,190
Interest earned on other investments	2021-06-30	$235
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$22,571
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$841
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$639,231
Net investment gain/loss from pooled separate accounts	2021-06-30	$73
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$276,866
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-06-30	No
Did the plan have assets held for investment	2021-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	BKD, LLP
Accountancy firm EIN	2021-06-30	440160260
2020 : WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-06-30	$370,543
Total of all expenses incurred	2020-06-30	$157,349
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$136,511
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$271,686
Value of total assets at end of year	2020-06-30	$2,046,566
Value of total assets at beginning of year	2020-06-30	$1,833,372
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$20,838
Total interest from all sources	2020-06-30	$3,678
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$33,384
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$33,384
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$500,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$258,021
Participant contributions at end of year	2020-06-30	$55,527
Participant contributions at beginning of year	2020-06-30	$52,872
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$13,665
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-06-30	$372
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-06-30	$33
Administrative expenses (other) incurred	2020-06-30	$20,838
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$213,194
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$2,046,566
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$1,833,372
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$1,970,174
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$1,745,508
Value of interest in pooled separate accounts at end of year	2020-06-30	$19,652
Value of interest in pooled separate accounts at beginning of year	2020-06-30	$20,913
Interest on participant loans	2020-06-30	$3,675
Interest earned on other investments	2020-06-30	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$841
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$14,046
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$64,426
Net investment gain/loss from pooled separate accounts	2020-06-30	$-2,631
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$136,511
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-06-30	No
Did the plan have assets held for investment	2020-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	BKD, LLP
Accountancy firm EIN	2020-06-30	440160260
2019 : WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2019 401k financial data
Total transfer of assets from this plan	2019-06-30	$78,413
Total income from all sources (including contributions)	2019-06-30	$489,509
Total of all expenses incurred	2019-06-30	$812,672
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$797,381
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$381,727
Value of total assets at end of year	2019-06-30	$1,833,372
Value of total assets at beginning of year	2019-06-30	$2,234,948
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$15,291
Total interest from all sources	2019-06-30	$2,308
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$39,168
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$39,168
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$500,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$289,706
Participant contributions at end of year	2019-06-30	$52,872
Participant contributions at beginning of year	2019-06-30	$41,150
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$92,021
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-06-30	$33
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-06-30	$18
Other income not declared elsewhere	2019-06-30	$6,052
Administrative expenses (other) incurred	2019-06-30	$15,291
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$-323,163
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$1,833,372
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$2,234,948
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$1,745,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$2,172,698
Value of interest in pooled separate accounts at end of year	2019-06-30	$20,913
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$8,120
Interest on participant loans	2019-06-30	$2,305
Interest earned on other investments	2019-06-30	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$14,046
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$12,962
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$60,254
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$797,381
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-06-30	No
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	BKD, LLP
Accountancy firm EIN	2019-06-30	440160260
2018 : WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-06-30	$768,109
Total of all expenses incurred	2018-06-30	$376,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$361,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$579,013
Value of total assets at end of year	2018-06-30	$2,234,948
Value of total assets at beginning of year	2018-06-30	$1,843,496
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$15,113
Total interest from all sources	2018-06-30	$1,912
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$36,874
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$36,874
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$500,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$378,430
Participant contributions at end of year	2018-06-30	$41,150
Participant contributions at beginning of year	2018-06-30	$33,647
Participant contributions at beginning of year	2018-06-30	$15,327
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$200,583
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-06-30	$18
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-06-30	$112
Other income not declared elsewhere	2018-06-30	$9,079
Administrative expenses (other) incurred	2018-06-30	$15,113
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$391,452
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$2,234,948
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$1,843,496
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$2,172,698
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$1,783,733
Value of interest in pooled separate accounts at end of year	2018-06-30	$8,120
Value of interest in pooled separate accounts at beginning of year	2018-06-30	$926
Interest on participant loans	2018-06-30	$1,910
Interest earned on other investments	2018-06-30	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$12,962
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$9,751
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$141,231
Net investment gain/loss from pooled separate accounts	2018-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$361,544
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-06-30	No
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	BKD, LLP
Accountancy firm EIN	2018-06-30	440160260
2017 : WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-06-30	$692,197
Total of all expenses incurred	2017-06-30	$144,246
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$134,564
Expenses. Certain deemed distributions of participant loans	2017-06-30	$647
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$452,519
Value of total assets at end of year	2017-06-30	$1,843,496
Value of total assets at beginning of year	2017-06-30	$1,295,545
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$9,035
Total interest from all sources	2017-06-30	$1,687
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$17,969
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-06-30	$17,969
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$500,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$438,114
Participant contributions at end of year	2017-06-30	$33,647
Participant contributions at beginning of year	2017-06-30	$47,166
Participant contributions at end of year	2017-06-30	$15,327
Participant contributions at beginning of year	2017-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$14,405
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-06-30	$112
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-06-30	$0
Administrative expenses (other) incurred	2017-06-30	$9,035
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$547,951
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$1,843,496
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$1,295,545
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$1,783,733
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$1,245,146
Value of interest in pooled separate accounts at end of year	2017-06-30	$926
Value of interest in pooled separate accounts at beginning of year	2017-06-30	$581
Interest on participant loans	2017-06-30	$1,686
Interest earned on other investments	2017-06-30	$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$9,751
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$2,652
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$220,010
Net investment gain/loss from pooled separate accounts	2017-06-30	$12
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$134,564
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-06-30	No
Did the plan have assets held for investment	2017-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	BKD, LLP
Accountancy firm EIN	2017-06-30	440160260
2016 : WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2016 401k financial data
Total transfer of assets to this plan	2016-06-30	$56,602
Total income from all sources (including contributions)	2016-06-30	$1,315,149
Total of all expenses incurred	2016-06-30	$76,206
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$72,309
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$1,281,497
Value of total assets at end of year	2016-06-30	$1,295,545
Value of total assets at beginning of year	2016-06-30	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$3,897
Total interest from all sources	2016-06-30	$1,688
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$10,828
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-06-30	$10,828
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$700,000
If this is an individual account plan, was there a blackout period	2016-06-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$481,600
Participant contributions at end of year	2016-06-30	$47,166
Participant contributions at beginning of year	2016-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$799,897
Administrative expenses (other) incurred	2016-06-30	$3,897
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$1,238,943
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$1,295,545
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$1,245,146
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$0
Value of interest in pooled separate accounts at end of year	2016-06-30	$581
Value of interest in pooled separate accounts at beginning of year	2016-06-30	$0
Interest on participant loans	2016-06-30	$1,687
Interest earned on other investments	2016-06-30	$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$2,652
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$21,134
Net investment gain/loss from pooled separate accounts	2016-06-30	$2
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$72,309
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-06-30	Yes
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	BKD, LLP
Accountancy firm EIN	2016-06-30	440160260

Form 5500 Responses for WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN

2021: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: WASHINGTON HEALTH SYSTEM GREENE RETIREMENT & SAVINGS PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	First time form 5500 has been submitted	Yes
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069800

Policy instance

Insurance contract or identification number	TA069800
Number of Individuals Covered	188
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

TA069800

Policy instance

Insurance contract or identification number	TA069800
Number of Individuals Covered	188
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069800

Policy instance

Insurance contract or identification number	TA069800
Number of Individuals Covered	181
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

TA069800

Policy instance

Insurance contract or identification number	TA069800
Number of Individuals Covered	181
Insurance policy start date	2020-09-24
Insurance policy end date	2021-06-30
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069800

Policy instance

Insurance contract or identification number	TA069800
Number of Individuals Covered	186
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069800

Policy instance

Insurance contract or identification number	TA069800
Number of Individuals Covered	186
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069800

Policy instance

Insurance contract or identification number	TA069800
Number of Individuals Covered	251
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069800

Policy instance

Insurance contract or identification number	TA069800
Number of Individuals Covered	279
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	WASHINGTON HEALTH SYSTEM GREENE
Employer identification number (EIN):	473884840
NAIC Classification:	622000
NAIC Description:	Hospitals