401k Plan data: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K plan

FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 401k Plan overview

Plan Name	FIRST NATIONS COMMUNITY HEALTHSOURCE 401K
Plan identification number	001

FIRST NATIONS COMMUNITY HEALTHSOURCE 401K Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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

FIRST NATIONS COMMUNITY HEALTHSOURCE has sponsored the creation of one or more 401k plans.

Company Name: FIRST NATIONS COMMUNITY HEALTHSOURCE

Employer identification number (EIN): 850336893

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST NATIONS COMMUNITY HEALTHSOURCE 401K

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2019-01-01
001 2018-01-01
001 2018-01-01
001 2018-01-01
001 2017-01-01 LINDA STONE 2018-06-30
001 2016-01-01 LINDA STONE 2017-07-21
001 2015-01-01

Plan Statistics for FIRST NATIONS COMMUNITY HEALTHSOURCE 401K

401k plan membership statisitcs for FIRST NATIONS COMMUNITY HEALTHSOURCE 401K

Measure Date Value
2022: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2022 401k membership
Total participants, beginning-of-year 2022-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 136
Number of retired or separated participants receiving benefits 2022-01-01 1
Number of other retired or separated participants entitled to future benefits 2022-01-01 50
Total of all active and inactive participants 2022-01-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 187
Number of participants with account balances 2022-01-01 98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2021 401k membership
Total participants, beginning-of-year 2021-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 133
Number of retired or separated participants receiving benefits 2021-01-01 8
Number of other retired or separated participants entitled to future benefits 2021-01-01 37
Total of all active and inactive participants 2021-01-01 178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 178
Number of participants with account balances 2021-01-01 96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2020 401k membership
Total participants, beginning-of-year 2020-01-01 162
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 138
Number of retired or separated participants receiving benefits 2020-01-01 5
Number of other retired or separated participants entitled to future benefits 2020-01-01 38
Total of all active and inactive participants 2020-01-01 181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 181
Number of participants with account balances 2020-01-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2019 401k membership
Total participants, beginning-of-year 2019-01-01 131
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 118
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 30
Total of all active and inactive participants 2019-01-01 148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 148
Number of participants with account balances 2019-01-01 84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2018 401k membership
Total participants, beginning-of-year 2018-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 101
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 27
Total of all active and inactive participants 2018-01-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 128
Number of participants with account balances 2018-01-01 81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0

Measure	Date	Value
2022: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2022 401k membership
Total participants, beginning-of-year	2022-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	136
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	50
Total of all active and inactive participants	2022-01-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	187
Number of participants with account balances	2022-01-01	98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2021 401k membership
Total participants, beginning-of-year	2021-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	133
Number of retired or separated participants receiving benefits	2021-01-01	8
Number of other retired or separated participants entitled to future benefits	2021-01-01	37
Total of all active and inactive participants	2021-01-01	178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	178
Number of participants with account balances	2021-01-01	96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2020 401k membership
Total participants, beginning-of-year	2020-01-01	162
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	138
Number of retired or separated participants receiving benefits	2020-01-01	5
Number of other retired or separated participants entitled to future benefits	2020-01-01	38
Total of all active and inactive participants	2020-01-01	181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	181
Number of participants with account balances	2020-01-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2019 401k membership
Total participants, beginning-of-year	2019-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	118
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	30
Total of all active and inactive participants	2019-01-01	148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	148
Number of participants with account balances	2019-01-01	84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2018 401k membership
Total participants, beginning-of-year	2018-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	101
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	27
Total of all active and inactive participants	2018-01-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	128
Number of participants with account balances	2018-01-01	81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0

Financial Data on FIRST NATIONS COMMUNITY HEALTHSOURCE 401K

Measure	Date	Value
2022 : FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-74,269
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$117,232
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$116,177
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$354,011
Value of total assets at end of year	2022-12-31	$2,153,848
Value of total assets at beginning of year	2022-12-31	$2,345,349
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$1,055
Total interest from all sources	2022-12-31	$1,192
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$102,837
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$102,837
Administrative expenses professional fees incurred	2022-12-31	$1,055
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$235,569
Participant contributions at end of year	2022-12-31	$30,930
Participant contributions at beginning of year	2022-12-31	$34,990
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$0
Other income not declared elsewhere	2022-12-31	$-5,158
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-191,501
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,153,848
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$2,345,349
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,122,918
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,307,144
Interest on participant loans	2022-12-31	$1,192
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-527,151
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$118,442
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$3,215
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$116,177
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN	2022-12-31	721396621
2021 : FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$673,284
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$296,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$294,460
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$416,458
Value of total assets at end of year	2021-12-31	$2,342,134
Value of total assets at beginning of year	2021-12-31	$1,964,880
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$1,570
Total interest from all sources	2021-12-31	$956
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$102,623
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$102,623
Administrative expenses professional fees incurred	2021-12-31	$1,570
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$252,666
Participant contributions at end of year	2021-12-31	$34,990
Participant contributions at beginning of year	2021-12-31	$19,068
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$4,206
Other income not declared elsewhere	2021-12-31	$-20,636
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$377,254
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$2,342,134
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$1,964,880
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,307,144
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$1,925,177
Interest on participant loans	2021-12-31	$956
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$173,883
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$163,792
Employer contributions (assets) at end of year	2021-12-31	$0
Employer contributions (assets) at beginning of year	2021-12-31	$16,429
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$294,460
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN	2021-12-31	721396621
2020 : FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$616,896
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$165,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$164,718
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$364,050
Value of total assets at end of year	2020-12-31	$1,964,880
Value of total assets at beginning of year	2020-12-31	$1,513,912
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$1,210
Total interest from all sources	2020-12-31	$1,139
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$45,987
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$45,987
Administrative expenses professional fees incurred	2020-12-31	$1,210
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$204,484
Participant contributions at end of year	2020-12-31	$19,068
Participant contributions at beginning of year	2020-12-31	$27,441
Participant contributions at end of year	2020-12-31	$4,206
Participant contributions at beginning of year	2020-12-31	$6,033
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$35,202
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$450,968
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,964,880
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,513,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$1,925,177
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,473,011
Interest on participant loans	2020-12-31	$1,139
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$205,720
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$124,364
Employer contributions (assets) at end of year	2020-12-31	$16,429
Employer contributions (assets) at beginning of year	2020-12-31	$7,427
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$164,718
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN	2020-12-31	721396621
2019 : FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$533,969
Total income from all sources (including contributions)	2019-12-31	$533,969
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$89,870
Total of all expenses incurred	2019-12-31	$89,870
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$88,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$88,305
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$300,817
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$300,817
Value of total assets at end of year	2019-12-31	$1,513,912
Value of total assets at end of year	2019-12-31	$1,513,912
Value of total assets at beginning of year	2019-12-31	$1,069,813
Value of total assets at beginning of year	2019-12-31	$1,069,813
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,565
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,565
Total interest from all sources	2019-12-31	$1,747
Total interest from all sources	2019-12-31	$1,747
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$50,699
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$50,699
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$50,699
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$50,699
Administrative expenses professional fees incurred	2019-12-31	$1,565
Administrative expenses professional fees incurred	2019-12-31	$1,565
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$190,854
Contributions received from participants	2019-12-31	$190,854
Participant contributions at end of year	2019-12-31	$27,441
Participant contributions at end of year	2019-12-31	$27,441
Participant contributions at beginning of year	2019-12-31	$9,373
Participant contributions at beginning of year	2019-12-31	$9,373
Participant contributions at end of year	2019-12-31	$6,033
Participant contributions at end of year	2019-12-31	$6,033
Participant contributions at beginning of year	2019-12-31	$5,832
Participant contributions at beginning of year	2019-12-31	$5,832
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$444,099
Value of net income/loss	2019-12-31	$444,099
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,513,912
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,513,912
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,069,813
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,069,813
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,473,011
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,473,011
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,051,306
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,051,306
Interest on participant loans	2019-12-31	$1,747
Interest on participant loans	2019-12-31	$1,747
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$180,706
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$180,706
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$109,963
Contributions received in cash from employer	2019-12-31	$109,963
Employer contributions (assets) at end of year	2019-12-31	$7,427
Employer contributions (assets) at end of year	2019-12-31	$7,427
Employer contributions (assets) at beginning of year	2019-12-31	$3,302
Employer contributions (assets) at beginning of year	2019-12-31	$3,302
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$88,305
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$88,305
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	CARR, RIGGS & INGRAM, LLC
Accountancy firm name	2019-12-31	CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN	2019-12-31	721396621
Accountancy firm EIN	2019-12-31	721396621
2018 : FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$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	$249,845
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$24,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$23,519
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$319,271
Value of total assets at end of year	2018-12-31	$1,060,679
Value of total assets at beginning of year	2018-12-31	$835,448
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$1,095
Total interest from all sources	2018-12-31	$297
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$39,028
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$39,028
Administrative expenses professional fees incurred	2018-12-31	$1,095
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$100,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$165,357
Participant contributions at end of year	2018-12-31	$9,373
Participant contributions at beginning of year	2018-12-31	$7,148
Participant contributions at end of year	2018-12-31	$5,832
Participant contributions at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$41,582
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$225,231
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,060,679
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$835,448
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,051,306
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$828,300
Interest on participant loans	2018-12-31	$297
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-108,751
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$112,332
Employer contributions (assets) at end of year	2018-12-31	$3,302
Employer contributions (assets) at beginning of year	2018-12-31	$9,047
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$23,519
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	CARR, RIGGS & INGRAM
Accountancy firm EIN	2018-12-31	721396621

Form 5500 Responses for FIRST NATIONS COMMUNITY HEALTHSOURCE 401K

2022: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: FIRST NATIONS COMMUNITY HEALTHSOURCE 401K 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FIRST NATIONS COMMUNITY HEALTHSOURCE
Employer identification number (EIN):	850336893
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners