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COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 401k Plan overview

Plan NameCOMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN
Plan identification number 001

COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN Benefits

401k Plan TypeDefined 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

COMMUNITY HEALTH ASSOCIATION OF SPOKANE has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Employer identification number (EIN):911641797
NAIC Classification:621112
NAIC Description:Offices of Physicians, Mental Health Specialists

Additional information about COMMUNITY HEALTH ASSOCIATION OF SPOKANE

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1994-09-08
Company Identification Number: 601574451
Legal Registered Office Address: 611 N IRON BRIDGE WAY

SPOKANE
United States of America (USA)
992024932

More information about COMMUNITY HEALTH ASSOCIATION OF SPOKANE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01JOHN BROWNE2023-07-20
0012021-01-01JOHN BROWNE2022-08-23
0012020-01-01JOHN BROWNE2021-06-17
0012019-01-01JOHN BROWNE2020-07-08
0012018-01-01AARON WILSON
0012017-01-01AARON WILSON
0012016-01-01AARON WILSON
0012015-01-01AARON WILSON
0012014-11-01AARON WILSON
0012013-11-01AARON WILSON
0012012-11-01MONICA LOPEZ
0012011-11-01AARON WILSON
0012009-11-01AARON WILSON
0012008-11-01

Plan Statistics for COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN

401k plan membership statisitcs for COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN

Measure Date Value
2022: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,480
Total number of active participants reported on line 7a of the Form 55002022-01-011,384
Number of retired or separated participants receiving benefits2022-01-0120
Number of other retired or separated participants entitled to future benefits2022-01-01198
Total of all active and inactive participants2022-01-011,602
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-011,602
Number of participants with account balances2022-01-011,264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-011
2021: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,148
Total number of active participants reported on line 7a of the Form 55002021-01-011,210
Number of retired or separated participants receiving benefits2021-01-017
Number of other retired or separated participants entitled to future benefits2021-01-01159
Total of all active and inactive participants2021-01-011,376
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-011,376
Number of participants with account balances2021-01-011,032
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-013
2020: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,102
Total number of active participants reported on line 7a of the Form 55002020-01-011,021
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-01126
Total of all active and inactive participants2020-01-011,148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-011,148
Number of participants with account balances2020-01-01900
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0113
2019: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01942
Total number of active participants reported on line 7a of the Form 55002019-01-01890
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-01152
Total of all active and inactive participants2019-01-011,043
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-011,043
Number of participants with account balances2019-01-01802
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0118
2018: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01731
Total number of active participants reported on line 7a of the Form 55002018-01-01763
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01129
Total of all active and inactive participants2018-01-01892
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01892
Number of participants with account balances2018-01-01698
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0118
2017: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01674
Total number of active participants reported on line 7a of the Form 55002017-01-01614
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01117
Total of all active and inactive participants2017-01-01731
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01731
Number of participants with account balances2017-01-01626
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0115
2016: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01578
Total number of active participants reported on line 7a of the Form 55002016-01-01545
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0194
Total of all active and inactive participants2016-01-01639
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01639
Number of participants with account balances2016-01-01515
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0118
2015: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01519
Total number of active participants reported on line 7a of the Form 55002015-01-01495
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0174
Total of all active and inactive participants2015-01-01569
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01569
Number of participants with account balances2015-01-01461
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0125
2014: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01512
Total number of active participants reported on line 7a of the Form 55002014-11-01438
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-0158
Total of all active and inactive participants2014-11-01496
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-11-010
Total participants2014-11-01496
Number of participants with account balances2014-11-01421
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-11-010
2013: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-01446
Total number of active participants reported on line 7a of the Form 55002013-11-01419
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-0154
Total of all active and inactive participants2013-11-01473
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-11-010
Total participants2013-11-01473
Number of participants with account balances2013-11-01337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-11-010
2012: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-01378
Total number of active participants reported on line 7a of the Form 55002012-11-01375
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-0144
Total of all active and inactive participants2012-11-01419
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-11-010
Total participants2012-11-01419
Number of participants with account balances2012-11-01271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-11-010
2011: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-01376
Total number of active participants reported on line 7a of the Form 55002011-11-01342
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-0136
Total of all active and inactive participants2011-11-01378
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-11-010
Total participants2011-11-01378
Number of participants with account balances2011-11-01243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-11-010
2009: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01313
Total number of active participants reported on line 7a of the Form 55002009-11-01293
Number of retired or separated participants receiving benefits2009-11-010
Number of other retired or separated participants entitled to future benefits2009-11-0141
Total of all active and inactive participants2009-11-01334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-11-010
Total participants2009-11-01334
Number of participants with account balances2009-11-01209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-11-010

Financial Data on COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN

Measure Date Value
2022 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$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$1,506,612
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,794,089
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,638,030
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$12,207,664
Value of total assets at end of year2022-12-31$54,481,433
Value of total assets at beginning of year2022-12-31$55,768,910
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$156,059
Total interest from all sources2022-12-31$-994
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$6,672,236
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$1,693,319
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$9,970
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,287,477
Value of net assets at end of year (total assets less liabilities)2022-12-31$54,481,433
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$55,768,910
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$50,703
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$53,447,889
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$0
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$55,711,381
Interest earned on other investments2022-12-31$-994
Value of interest in common/collective trusts at end of year2022-12-31$1,033,544
Value of interest in common/collective trusts at beginning of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$47,559
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$1,326,441
Net investment gain/loss from pooled separate accounts2022-12-31$-12,026,499
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$3,842,109
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$2,638,030
Contract administrator fees2022-12-31$105,356
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31EIDE BAILLY, LLP
Accountancy firm EIN2022-12-31450250958
2021 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$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$17,056,773
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,737,714
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,526,169
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$9,936,732
Value of total assets at end of year2021-12-31$55,768,910
Value of total assets at beginning of year2021-12-31$41,449,851
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$211,545
Total interest from all sources2021-12-31$540
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$5,400,251
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$1,305,120
Total non interest bearing cash at end of year2021-12-31$9,970
Total non interest bearing cash at beginning of year2021-12-31$1,751
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$14,319,059
Value of net assets at end of year (total assets less liabilities)2021-12-31$55,768,910
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$41,449,851
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$72,709
Value of interest in pooled separate accounts at end of year2021-12-31$55,711,381
Value of interest in pooled separate accounts at beginning of year2021-12-31$41,410,273
Interest earned on other investments2021-12-31$540
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$47,559
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$37,827
Net investment gain/loss from pooled separate accounts2021-12-31$7,119,501
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$3,231,361
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,526,169
Contract administrator fees2021-12-31$138,836
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31EIDE BAILLY, LLP
Accountancy firm EIN2021-12-31450250958
2020 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$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$12,603,087
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,734,133
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,560,972
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$7,583,581
Value of total assets at end of year2020-12-31$41,449,851
Value of total assets at beginning of year2020-12-31$30,580,897
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$173,161
Total interest from all sources2020-12-31$496
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$4,170,855
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$895,362
Total non interest bearing cash at end of year2020-12-31$1,751
Total non interest bearing cash at beginning of year2020-12-31$7,798
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$10,868,954
Value of net assets at end of year (total assets less liabilities)2020-12-31$41,449,851
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$30,580,897
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$72,973
Value of interest in pooled separate accounts at end of year2020-12-31$41,410,273
Value of interest in pooled separate accounts at beginning of year2020-12-31$30,512,097
Interest earned on other investments2020-12-31$496
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$37,827
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$61,002
Net investment gain/loss from pooled separate accounts2020-12-31$5,019,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$2,517,364
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,560,972
Contract administrator fees2020-12-31$100,188
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BKD LLP
Accountancy firm EIN2020-12-31440160260
2019 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$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 income from all sources (including contributions)2019-12-31$10,889,578
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,408,455
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,271,293
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$5,754,406
Value of total assets at end of year2019-12-31$30,580,897
Value of total assets at beginning of year2019-12-31$21,099,774
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$137,162
Total interest from all sources2019-12-31$5,288
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$3,267,169
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$760,985
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
Administrative expenses (other) incurred2019-12-31$0
Liabilities. Value of operating payables at end of year2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$7,798
Total non interest bearing cash at beginning of year2019-12-31$6,717
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Income. Non cash contributions2019-12-31$0
Value of net income/loss2019-12-31$9,481,123
Value of net assets at end of year (total assets less liabilities)2019-12-31$30,580,897
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$21,099,774
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$57,158
Value of interest in pooled separate accounts at end of year2019-12-31$30,512,097
Value of interest in pooled separate accounts at beginning of year2019-12-31$20,761,238
Interest earned on other investments2019-12-31$5,288
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$61,002
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$331,819
Net investment gain/loss from pooled separate accounts2019-12-31$5,129,884
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,726,252
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,271,293
Contract administrator fees2019-12-31$80,004
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BKD LLP
Accountancy firm EIN2019-12-31440160260
2018 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$3,040,505
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$2,176,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,105,789
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$4,497,966
Value of total assets at end of year2018-12-31$21,099,774
Value of total assets at beginning of year2018-12-31$20,235,649
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$70,591
Total interest from all sources2018-12-31$2,223
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Assets. Real estate other than employer real property at end of year2018-12-31$0
Assets. Real estate other than employer real property at beginning of year2018-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$2,607,889
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$0
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$0
Assets. Other investments not covered elsewhere at end of year2018-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$437,924
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Assets. Loans (other than to participants) at end of year2018-12-31$0
Assets. Loans (other than to participants) at beginning of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Liabilities. Value of operating payables at end of year2018-12-31$0
Liabilities. Value of operating payables at beginning of year2018-12-31$0
Total non interest bearing cash at end of year2018-12-31$6,717
Total non interest bearing cash at beginning of year2018-12-31$2,558
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$864,125
Value of net assets at end of year (total assets less liabilities)2018-12-31$21,099,774
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$20,235,649
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Assets. partnership/joint venture interests at end of year2018-12-31$0
Assets. partnership/joint venture interests at beginning of year2018-12-31$0
Investment advisory and management fees2018-12-31$50,133
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$0
Value of interest in pooled separate accounts at end of year2018-12-31$20,761,238
Value of interest in pooled separate accounts at beginning of year2018-12-31$19,875,145
Interest earned on other investments2018-12-31$2,223
Value of interest in master investment trust accounts at end of year2018-12-31$0
Value of interest in master investment trust accounts at beginning of year2018-12-31$0
Value of interest in common/collective trusts at end of year2018-12-31$0
Value of interest in common/collective trusts at beginning of year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2018-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$331,819
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$357,946
Asset value of US Government securities at end of year2018-12-31$0
Asset value of US Government securities at beginning of year2018-12-31$0
Net investment gain/loss from pooled separate accounts2018-12-31$-1,459,684
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Assets. Invements in employer securities at end of year2018-12-31$0
Assets. Invements in employer securities at beginning of year2018-12-31$0
Assets. Value of employer real property at end of year2018-12-31$0
Assets. Value of employer real property at beginning of year2018-12-31$0
Contributions received in cash from employer2018-12-31$1,452,153
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,105,789
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$0
Contract administrator fees2018-12-31$20,458
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$0
Liabilities. Value of benefit claims payable at end of year2018-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$0
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Liabilities. Value of acquisition indebtedness at end of year2018-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2018-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BKD LLP
Accountancy firm EIN2018-12-31440160260
2017 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$4,586
Total income from all sources (including contributions)2017-12-31$6,580,068
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,270,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,222,483
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,047,345
Value of total assets at end of year2017-12-31$20,235,649
Value of total assets at beginning of year2017-12-31$14,930,781
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$48,131
Total interest from all sources2017-12-31$1,594
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Assets. Real estate other than employer real property at end of year2017-12-31$0
Assets. Real estate other than employer real property at beginning of year2017-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$2,069,424
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$0
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$956
Assets. Other investments not covered elsewhere at end of year2017-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$497,368
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Assets. Loans (other than to participants) at end of year2017-12-31$0
Assets. Loans (other than to participants) at beginning of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$4,586
Liabilities. Value of operating payables at end of year2017-12-31$0
Liabilities. Value of operating payables at beginning of year2017-12-31$0
Total non interest bearing cash at end of year2017-12-31$2,558
Total non interest bearing cash at beginning of year2017-12-31$4,586
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$5,309,454
Value of net assets at end of year (total assets less liabilities)2017-12-31$20,235,649
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$14,926,195
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. partnership/joint venture interests at end of year2017-12-31$0
Assets. partnership/joint venture interests at beginning of year2017-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$14,600,090
Value of interest in pooled separate accounts at end of year2017-12-31$19,875,145
Value of interest in pooled separate accounts at beginning of year2017-12-31$0
Value of interest in master investment trust accounts at end of year2017-12-31$0
Value of interest in master investment trust accounts at beginning of year2017-12-31$0
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of interest in common/collective trusts at beginning of year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,594
Assets. Value of investments in 103.12 investment entities at end of year2017-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$357,946
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$325,074
Asset value of US Government securities at end of year2017-12-31$0
Asset value of US Government securities at beginning of year2017-12-31$0
Net investment gain/loss from pooled separate accounts2017-12-31$2,531,129
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Assets. Invements in employer securities at end of year2017-12-31$0
Assets. Invements in employer securities at beginning of year2017-12-31$0
Assets. Value of employer real property at end of year2017-12-31$0
Assets. Value of employer real property at beginning of year2017-12-31$0
Contributions received in cash from employer2017-12-31$1,480,553
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$75
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,222,483
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$0
Contract administrator fees2017-12-31$48,131
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$0
Liabilities. Value of benefit claims payable at end of year2017-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$0
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Liabilities. Value of acquisition indebtedness at end of year2017-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BKD LLP
Accountancy firm EIN2017-12-31440160260
2016 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$4,586
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$21,883
Total income from all sources (including contributions)2016-12-31$4,192,583
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,259,893
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,217,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$3,101,513
Value of total assets at end of year2016-12-31$14,930,781
Value of total assets at beginning of year2016-12-31$12,015,388
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$41,933
Total interest from all sources2016-12-31$898
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Assets. Real estate other than employer real property at end of year2016-12-31$0
Assets. Real estate other than employer real property at beginning of year2016-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-12-31$0
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,742,054
Participant contributions at end of year2016-12-31$0
Participant contributions at beginning of year2016-12-31$0
Participant contributions at end of year2016-12-31$956
Participant contributions at beginning of year2016-12-31$0
Assets. Other investments not covered elsewhere at end of year2016-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$472,071
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$6,049
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Assets. Loans (other than to participants) at end of year2016-12-31$0
Assets. Loans (other than to participants) at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$4,586
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$21,883
Liabilities. Value of operating payables at end of year2016-12-31$0
Liabilities. Value of operating payables at beginning of year2016-12-31$0
Total non interest bearing cash at end of year2016-12-31$4,586
Total non interest bearing cash at beginning of year2016-12-31$21,883
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,932,690
Value of net assets at end of year (total assets less liabilities)2016-12-31$14,926,195
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$11,993,505
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Assets. partnership/joint venture interests at end of year2016-12-31$0
Assets. partnership/joint venture interests at beginning of year2016-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$14,600,090
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$11,725,455
Value of interest in pooled separate accounts at end of year2016-12-31$0
Value of interest in pooled separate accounts at beginning of year2016-12-31$0
Value of interest in master investment trust accounts at end of year2016-12-31$0
Value of interest in master investment trust accounts at beginning of year2016-12-31$0
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest in common/collective trusts at beginning of year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$898
Assets. Value of investments in 103.12 investment entities at end of year2016-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$325,074
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$268,050
Asset value of US Government securities at end of year2016-12-31$0
Asset value of US Government securities at beginning of year2016-12-31$0
Net investment gain/loss from pooled separate accounts2016-12-31$1,090,172
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Assets. Invements in employer securities at end of year2016-12-31$0
Assets. Invements in employer securities at beginning of year2016-12-31$0
Assets. Value of employer real property at end of year2016-12-31$0
Assets. Value of employer real property at beginning of year2016-12-31$0
Contributions received in cash from employer2016-12-31$887,388
Employer contributions (assets) at end of year2016-12-31$75
Employer contributions (assets) at beginning of year2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,211,911
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$0
Contract administrator fees2016-12-31$41,933
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$0
Liabilities. Value of benefit claims payable at end of year2016-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$0
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Liabilities. Value of acquisition indebtedness at end of year2016-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2016-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CLIFTON LARSON ALLEN
Accountancy firm EIN2016-12-31410746749
2015 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$21,883
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$17,348
Total income from all sources (including contributions)2015-12-31$2,439,215
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,103,587
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,065,603
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,617,898
Value of total assets at end of year2015-12-31$12,015,388
Value of total assets at beginning of year2015-12-31$10,675,225
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$37,984
Total interest from all sources2015-12-31$567
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Assets. Real estate other than employer real property at end of year2015-12-31$0
Assets. Real estate other than employer real property at beginning of year2015-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-12-31$0
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,486,169
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$0
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$0
Assets. Other investments not covered elsewhere at end of year2015-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$401,120
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$3,993
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Assets. Loans (other than to participants) at end of year2015-12-31$0
Assets. Loans (other than to participants) at beginning of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$21,883
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$17,348
Liabilities. Value of operating payables at end of year2015-12-31$0
Liabilities. Value of operating payables at beginning of year2015-12-31$0
Total non interest bearing cash at end of year2015-12-31$21,883
Total non interest bearing cash at beginning of year2015-12-31$1,286
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,335,628
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,993,505
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$10,657,877
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Assets. partnership/joint venture interests at end of year2015-12-31$0
Assets. partnership/joint venture interests at beginning of year2015-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$11,725,455
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$10,416,486
Value of interest in pooled separate accounts at end of year2015-12-31$0
Value of interest in pooled separate accounts at beginning of year2015-12-31$0
Value of interest in master investment trust accounts at end of year2015-12-31$0
Value of interest in master investment trust accounts at beginning of year2015-12-31$0
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest in common/collective trusts at beginning of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$567
Assets. Value of investments in 103.12 investment entities at end of year2015-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$268,050
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$257,453
Asset value of US Government securities at end of year2015-12-31$0
Asset value of US Government securities at beginning of year2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-179,250
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Assets. Invements in employer securities at end of year2015-12-31$0
Assets. Invements in employer securities at beginning of year2015-12-31$0
Assets. Value of employer real property at end of year2015-12-31$0
Assets. Value of employer real property at beginning of year2015-12-31$0
Contributions received in cash from employer2015-12-31$730,609
Employer contributions (assets) at end of year2015-12-31$0
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,061,610
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$0
Contract administrator fees2015-12-31$37,984
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$0
Liabilities. Value of benefit claims payable at end of year2015-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$0
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Liabilities. Value of acquisition indebtedness at end of year2015-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2015-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CLIFTON LARSON ALLEN
Accountancy firm EIN2015-12-31410746749
2014 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$17,348
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,286
Total income from all sources (including contributions)2014-12-31$702,966
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$109,536
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$103,636
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$675,290
Value of total assets at end of year2014-12-31$10,675,225
Value of total assets at beginning of year2014-12-31$10,065,733
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$5,900
Total interest from all sources2014-12-31$104
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Assets. Real estate other than employer real property at end of year2014-12-31$0
Assets. Real estate other than employer real property at beginning of year2014-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$214,343
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$0
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$0
Assets. Other investments not covered elsewhere at end of year2014-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$37,955
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Assets. Loans (other than to participants) at end of year2014-12-31$0
Assets. Loans (other than to participants) at beginning of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$17,348
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$1,286
Liabilities. Value of operating payables at end of year2014-12-31$0
Liabilities. Value of operating payables at beginning of year2014-12-31$0
Total non interest bearing cash at end of year2014-12-31$1,286
Total non interest bearing cash at beginning of year2014-12-31$1,286
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$593,430
Value of net assets at end of year (total assets less liabilities)2014-12-31$10,657,877
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$10,064,447
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Assets. partnership/joint venture interests at end of year2014-12-31$0
Assets. partnership/joint venture interests at beginning of year2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$10,416,486
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$9,814,211
Value of interest in pooled separate accounts at end of year2014-12-31$0
Value of interest in pooled separate accounts at beginning of year2014-12-31$0
Value of interest in master investment trust accounts at end of year2014-12-31$0
Value of interest in master investment trust accounts at beginning of year2014-12-31$0
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest in common/collective trusts at beginning of year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$104
Assets. Value of investments in 103.12 investment entities at end of year2014-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$257,453
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$250,236
Asset value of US Government securities at end of year2014-12-31$0
Asset value of US Government securities at beginning of year2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$27,572
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Assets. Invements in employer securities at end of year2014-12-31$0
Assets. Invements in employer securities at beginning of year2014-12-31$0
Assets. Value of employer real property at end of year2014-12-31$0
Assets. Value of employer real property at beginning of year2014-12-31$0
Contributions received in cash from employer2014-12-31$422,992
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$103,636
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$0
Contract administrator fees2014-12-31$5,900
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$0
Liabilities. Value of benefit claims payable at end of year2014-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$0
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Liabilities. Value of acquisition indebtedness at end of year2014-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-12-31$0
Total unrealized appreciation/depreciation of assets2014-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$1,286
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$0
Total income from all sources (including contributions)2014-10-31$2,594,907
Total loss/gain on sale of assets2014-10-31$0
Total of all expenses incurred2014-10-31$919,514
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-10-31$888,265
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-10-31$1,879,086
Value of total assets at end of year2014-10-31$10,065,733
Value of total assets at beginning of year2014-10-31$8,389,054
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-10-31$31,249
Total interest from all sources2014-10-31$692
Total dividends received (eg from common stock, registered investment company shares)2014-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-10-31No
Assets. Real estate other than employer real property at end of year2014-10-31$0
Assets. Real estate other than employer real property at beginning of year2014-10-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-10-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-10-31$0
Was this plan covered by a fidelity bond2014-10-31Yes
Value of fidelity bond cover2014-10-31$1,000,000
If this is an individual account plan, was there a blackout period2014-10-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-10-31$0
Were there any nonexempt tranactions with any party-in-interest2014-10-31No
Contributions received from participants2014-10-31$1,128,934
Participant contributions at end of year2014-10-31$0
Participant contributions at beginning of year2014-10-31$0
Participant contributions at end of year2014-10-31$0
Participant contributions at beginning of year2014-10-31$0
Assets. Other investments not covered elsewhere at end of year2014-10-31$0
Assets. Other investments not covered elsewhere at beginning of year2014-10-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-10-31$187,868
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-10-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-10-31$0
Assets. Loans (other than to participants) at end of year2014-10-31$0
Assets. Loans (other than to participants) at beginning of year2014-10-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-10-31$1,286
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-10-31$0
Liabilities. Value of operating payables at end of year2014-10-31$0
Liabilities. Value of operating payables at beginning of year2014-10-31$0
Total non interest bearing cash at end of year2014-10-31$1,286
Total non interest bearing cash at beginning of year2014-10-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Value of net income/loss2014-10-31$1,675,393
Value of net assets at end of year (total assets less liabilities)2014-10-31$10,064,447
Value of net assets at beginning of year (total assets less liabilities)2014-10-31$8,389,054
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-10-31No
Were any leases to which the plan was party in default or uncollectible2014-10-31No
Assets. partnership/joint venture interests at end of year2014-10-31$0
Assets. partnership/joint venture interests at beginning of year2014-10-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-10-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-10-31$8,292,318
Value of interest in pooled separate accounts at end of year2014-10-31$9,814,211
Value of interest in pooled separate accounts at beginning of year2014-10-31$0
Value of interest in master investment trust accounts at end of year2014-10-31$0
Value of interest in master investment trust accounts at beginning of year2014-10-31$0
Value of interest in common/collective trusts at end of year2014-10-31$0
Value of interest in common/collective trusts at beginning of year2014-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-10-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-10-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-10-31$692
Assets. Value of investments in 103.12 investment entities at end of year2014-10-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2014-10-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-10-31$250,236
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-10-31$96,736
Asset value of US Government securities at end of year2014-10-31$0
Asset value of US Government securities at beginning of year2014-10-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-10-31$715,129
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-10-31No
Was there a failure to transmit to the plan any participant contributions2014-10-31No
Has the plan failed to provide any benefit when due under the plan2014-10-31No
Assets. Invements in employer securities at end of year2014-10-31$0
Assets. Invements in employer securities at beginning of year2014-10-31$0
Assets. Value of employer real property at end of year2014-10-31$0
Assets. Value of employer real property at beginning of year2014-10-31$0
Contributions received in cash from employer2014-10-31$562,284
Employer contributions (assets) at end of year2014-10-31$0
Employer contributions (assets) at beginning of year2014-10-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-10-31$888,265
Asset. Corporate debt instrument preferred debt at end of year2014-10-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2014-10-31$0
Asset. Corporate debt instrument debt (other) at end of year2014-10-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2014-10-31$0
Contract administrator fees2014-10-31$31,249
Assets. Corporate common stocks other than exployer securities at end of year2014-10-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2014-10-31$0
Liabilities. Value of benefit claims payable at end of year2014-10-31$0
Liabilities. Value of benefit claims payable at beginning of year2014-10-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2014-10-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-10-31$0
Did the plan have assets held for investment2014-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-10-31No
Liabilities. Value of acquisition indebtedness at end of year2014-10-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-10-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-10-31Yes
Opinion of an independent qualified public accountant for this plan2014-10-31Disclaimer
Accountancy firm name2014-10-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2014-10-31410746749
2013 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$0
Total income from all sources (including contributions)2013-10-31$2,965,767
Total loss/gain on sale of assets2013-10-31$0
Total of all expenses incurred2013-10-31$650,451
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$621,794
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$1,699,576
Value of total assets at end of year2013-10-31$8,389,054
Value of total assets at beginning of year2013-10-31$6,073,738
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$28,657
Total interest from all sources2013-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31No
Assets. Real estate other than employer real property at end of year2013-10-31$0
Assets. Real estate other than employer real property at beginning of year2013-10-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-10-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-10-31$0
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$1,000,000
If this is an individual account plan, was there a blackout period2013-10-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-10-31$0
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Contributions received from participants2013-10-31$882,020
Participant contributions at end of year2013-10-31$0
Participant contributions at beginning of year2013-10-31$0
Participant contributions at end of year2013-10-31$0
Participant contributions at beginning of year2013-10-31$0
Assets. Other investments not covered elsewhere at end of year2013-10-31$0
Assets. Other investments not covered elsewhere at beginning of year2013-10-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-10-31$351,236
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-10-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-10-31$0
Assets. Loans (other than to participants) at end of year2013-10-31$0
Assets. Loans (other than to participants) at beginning of year2013-10-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-10-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-10-31$0
Liabilities. Value of operating payables at end of year2013-10-31$0
Liabilities. Value of operating payables at beginning of year2013-10-31$0
Total non interest bearing cash at end of year2013-10-31$0
Total non interest bearing cash at beginning of year2013-10-31$28
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Value of net income/loss2013-10-31$2,315,316
Value of net assets at end of year (total assets less liabilities)2013-10-31$8,389,054
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$6,073,738
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-10-31No
Were any leases to which the plan was party in default or uncollectible2013-10-31No
Assets. partnership/joint venture interests at end of year2013-10-31$0
Assets. partnership/joint venture interests at beginning of year2013-10-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-10-31$8,292,318
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-10-31$5,982,776
Value of interest in pooled separate accounts at end of year2013-10-31$0
Value of interest in pooled separate accounts at beginning of year2013-10-31$0
Value of interest in master investment trust accounts at end of year2013-10-31$0
Value of interest in master investment trust accounts at beginning of year2013-10-31$0
Value of interest in common/collective trusts at end of year2013-10-31$0
Value of interest in common/collective trusts at beginning of year2013-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-10-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-10-31$0
Assets. Value of investments in 103.12 investment entities at end of year2013-10-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2013-10-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-10-31$96,736
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-10-31$90,934
Asset value of US Government securities at end of year2013-10-31$0
Asset value of US Government securities at beginning of year2013-10-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-10-31$1,266,191
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-10-31No
Was there a failure to transmit to the plan any participant contributions2013-10-31No
Has the plan failed to provide any benefit when due under the plan2013-10-31No
Assets. Invements in employer securities at end of year2013-10-31$0
Assets. Invements in employer securities at beginning of year2013-10-31$0
Assets. Value of employer real property at end of year2013-10-31$0
Assets. Value of employer real property at beginning of year2013-10-31$0
Contributions received in cash from employer2013-10-31$466,320
Employer contributions (assets) at end of year2013-10-31$0
Employer contributions (assets) at beginning of year2013-10-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-10-31$621,794
Asset. Corporate debt instrument preferred debt at end of year2013-10-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2013-10-31$0
Asset. Corporate debt instrument debt (other) at end of year2013-10-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2013-10-31$0
Contract administrator fees2013-10-31$28,657
Assets. Corporate common stocks other than exployer securities at end of year2013-10-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2013-10-31$0
Liabilities. Value of benefit claims payable at end of year2013-10-31$0
Liabilities. Value of benefit claims payable at beginning of year2013-10-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2013-10-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-10-31$0
Did the plan have assets held for investment2013-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-10-31No
Liabilities. Value of acquisition indebtedness at end of year2013-10-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-10-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-10-31Yes
Opinion of an independent qualified public accountant for this plan2013-10-31Disclaimer
Accountancy firm name2013-10-31EIDE BAILLY LLP
Accountancy firm EIN2013-10-31450250958
2012 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$0
Total income from all sources (including contributions)2012-10-31$1,721,280
Total loss/gain on sale of assets2012-10-31$0
Total of all expenses incurred2012-10-31$1,093,622
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$1,072,345
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$1,183,156
Value of total assets at end of year2012-10-31$6,073,738
Value of total assets at beginning of year2012-10-31$5,446,080
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$21,277
Total interest from all sources2012-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Assets. Real estate other than employer real property at end of year2012-10-31$0
Assets. Real estate other than employer real property at beginning of year2012-10-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-10-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-10-31$0
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$5,000,000
If this is an individual account plan, was there a blackout period2012-10-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-10-31$0
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Contributions received from participants2012-10-31$734,264
Participant contributions at end of year2012-10-31$0
Participant contributions at beginning of year2012-10-31$0
Participant contributions at end of year2012-10-31$0
Participant contributions at beginning of year2012-10-31$0
Assets. Other investments not covered elsewhere at end of year2012-10-31$0
Assets. Other investments not covered elsewhere at beginning of year2012-10-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-10-31$13,356
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-10-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-10-31$0
Assets. Loans (other than to participants) at end of year2012-10-31$0
Assets. Loans (other than to participants) at beginning of year2012-10-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-10-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-10-31$0
Other income not declared elsewhere2012-10-31$28
Liabilities. Value of operating payables at end of year2012-10-31$0
Liabilities. Value of operating payables at beginning of year2012-10-31$0
Total non interest bearing cash at end of year2012-10-31$28
Total non interest bearing cash at beginning of year2012-10-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Value of net income/loss2012-10-31$627,658
Value of net assets at end of year (total assets less liabilities)2012-10-31$6,073,738
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$5,446,080
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-10-31No
Were any leases to which the plan was party in default or uncollectible2012-10-31No
Assets. partnership/joint venture interests at end of year2012-10-31$0
Assets. partnership/joint venture interests at beginning of year2012-10-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-10-31$5,982,776
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-10-31$5,362,467
Value of interest in pooled separate accounts at end of year2012-10-31$0
Value of interest in pooled separate accounts at beginning of year2012-10-31$0
Value of interest in master investment trust accounts at end of year2012-10-31$0
Value of interest in master investment trust accounts at beginning of year2012-10-31$0
Value of interest in common/collective trusts at end of year2012-10-31$0
Value of interest in common/collective trusts at beginning of year2012-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-10-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-10-31$0
Assets. Value of investments in 103.12 investment entities at end of year2012-10-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2012-10-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-10-31$90,934
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-10-31$83,613
Asset value of US Government securities at end of year2012-10-31$0
Asset value of US Government securities at beginning of year2012-10-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-10-31$538,096
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-10-31No
Was there a failure to transmit to the plan any participant contributions2012-10-31No
Has the plan failed to provide any benefit when due under the plan2012-10-31No
Assets. Invements in employer securities at end of year2012-10-31$0
Assets. Invements in employer securities at beginning of year2012-10-31$0
Assets. Value of employer real property at end of year2012-10-31$0
Assets. Value of employer real property at beginning of year2012-10-31$0
Contributions received in cash from employer2012-10-31$435,536
Employer contributions (assets) at end of year2012-10-31$0
Employer contributions (assets) at beginning of year2012-10-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-10-31$1,072,345
Asset. Corporate debt instrument preferred debt at end of year2012-10-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2012-10-31$0
Asset. Corporate debt instrument debt (other) at end of year2012-10-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2012-10-31$0
Contract administrator fees2012-10-31$21,277
Assets. Corporate common stocks other than exployer securities at end of year2012-10-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2012-10-31$0
Liabilities. Value of benefit claims payable at end of year2012-10-31$0
Liabilities. Value of benefit claims payable at beginning of year2012-10-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2012-10-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-10-31$0
Did the plan have assets held for investment2012-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-10-31No
Liabilities. Value of acquisition indebtedness at end of year2012-10-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2012-10-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31Yes
Opinion of an independent qualified public accountant for this plan2012-10-31Disclaimer
Accountancy firm name2012-10-31MCDIRMID, MIKKELSEN & SECREST, P.S.
Accountancy firm EIN2012-10-31911078087
2011 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-10-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-10-31$0
Total unrealized appreciation/depreciation of assets2011-10-31$0
Total transfer of assets to this plan2011-10-31$0
Total transfer of assets from this plan2011-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$410
Expenses. Interest paid2011-10-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022011-10-31$0
Total income from all sources (including contributions)2011-10-31$1,361,560
Total loss/gain on sale of assets2011-10-31$0
Total of all expenses incurred2011-10-31$480,544
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$458,989
Expenses. Certain deemed distributions of participant loans2011-10-31$0
Value of total corrective distributions2011-10-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$1,234,812
Value of total assets at end of year2011-10-31$5,446,080
Value of total assets at beginning of year2011-10-31$4,565,474
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$21,555
Total income from rents2011-10-31$0
Total interest from all sources2011-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-10-31$0
Assets. Real estate other than employer real property at end of year2011-10-31$0
Assets. Real estate other than employer real property at beginning of year2011-10-31$0
Administrative expenses professional fees incurred2011-10-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-10-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-10-31$0
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$1,000,000
If this is an individual account plan, was there a blackout period2011-10-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-10-31$0
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Contributions received from participants2011-10-31$687,770
Participant contributions at end of year2011-10-31$0
Participant contributions at beginning of year2011-10-31$0
Participant contributions at end of year2011-10-31$0
Participant contributions at beginning of year2011-10-31$0
Assets. Other investments not covered elsewhere at end of year2011-10-31$0
Assets. Other investments not covered elsewhere at beginning of year2011-10-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-10-31$168,137
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-10-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-10-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-10-31$211
Assets. Loans (other than to participants) at end of year2011-10-31$0
Assets. Loans (other than to participants) at beginning of year2011-10-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-10-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-10-31$410
Other income not declared elsewhere2011-10-31$0
Administrative expenses (other) incurred2011-10-31$0
Liabilities. Value of operating payables at end of year2011-10-31$0
Liabilities. Value of operating payables at beginning of year2011-10-31$0
Total non interest bearing cash at end of year2011-10-31$0
Total non interest bearing cash at beginning of year2011-10-31$107
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Income. Non cash contributions2011-10-31$0
Value of net income/loss2011-10-31$881,016
Value of net assets at end of year (total assets less liabilities)2011-10-31$5,446,080
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$4,565,064
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-31No
Were any leases to which the plan was party in default or uncollectible2011-10-31No
Assets. partnership/joint venture interests at end of year2011-10-31$0
Assets. partnership/joint venture interests at beginning of year2011-10-31$0
Investment advisory and management fees2011-10-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-10-31$5,362,467
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-10-31$4,478,843
Value of interest in pooled separate accounts at end of year2011-10-31$0
Value of interest in pooled separate accounts at beginning of year2011-10-31$0
Interest on participant loans2011-10-31$0
Income. Interest from loans (other than to participants)2011-10-31$0
Interest earned on other investments2011-10-31$0
Income. Interest from US Government securities2011-10-31$0
Income. Interest from corporate debt instruments2011-10-31$0
Value of interest in master investment trust accounts at end of year2011-10-31$0
Value of interest in master investment trust accounts at beginning of year2011-10-31$0
Value of interest in common/collective trusts at end of year2011-10-31$0
Value of interest in common/collective trusts at beginning of year2011-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-10-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-10-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-10-31$0
Assets. Value of investments in 103.12 investment entities at end of year2011-10-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2011-10-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-10-31$83,613
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-10-31$86,313
Expenses. Payments to insurance carriers foe the provision of benefits2011-10-31$0
Asset value of US Government securities at end of year2011-10-31$0
Asset value of US Government securities at beginning of year2011-10-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-10-31$126,748
Net investment gain/loss from pooled separate accounts2011-10-31$0
Net investment gain or loss from common/collective trusts2011-10-31$0
Net gain/loss from 103.12 investment entities2011-10-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-31No
Was there a failure to transmit to the plan any participant contributions2011-10-31No
Has the plan failed to provide any benefit when due under the plan2011-10-31No
Assets. Invements in employer securities at end of year2011-10-31$0
Assets. Invements in employer securities at beginning of year2011-10-31$0
Assets. Value of employer real property at end of year2011-10-31$0
Assets. Value of employer real property at beginning of year2011-10-31$0
Contributions received in cash from employer2011-10-31$378,905
Employer contributions (assets) at end of year2011-10-31$0
Employer contributions (assets) at beginning of year2011-10-31$0
Income. Dividends from preferred stock2011-10-31$0
Income. Dividends from common stock2011-10-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-10-31$458,989
Asset. Corporate debt instrument preferred debt at end of year2011-10-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2011-10-31$0
Asset. Corporate debt instrument debt (other) at end of year2011-10-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2011-10-31$0
Contract administrator fees2011-10-31$21,555
Assets. Corporate common stocks other than exployer securities at end of year2011-10-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2011-10-31$0
Liabilities. Value of benefit claims payable at end of year2011-10-31$0
Liabilities. Value of benefit claims payable at beginning of year2011-10-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2011-10-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-10-31$0
Did the plan have assets held for investment2011-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-31No
Aggregate proceeds on sale of assets2011-10-31$0
Aggregate carrying amount (costs) on sale of assets2011-10-31$0
Liabilities. Value of acquisition indebtedness at end of year2011-10-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-10-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-31Yes
Opinion of an independent qualified public accountant for this plan2011-10-31Disclaimer
Accountancy firm name2011-10-31MCDIRMID, MIKKELSEN & SECREST, P.S.
Accountancy firm EIN2011-10-31911078087
2010 : COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-10-31$0

Form 5500 Responses for COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN

2022: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2012: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2011: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes
2009: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement - TrustYes
2008: COMMUNITY HEALTH ASSOCIATION OF SPOKANE 401K PLAN 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-10-17
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $24,284
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees24284
Additional information about fees paid to insurance brokerTPA FEES PAID AND TPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered1144
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $29,641
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees29641
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered976
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $16,205
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees16205
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered886
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $29,735
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees19689
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered750
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $16,770
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees16770
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered654
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $14,058
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14058
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Insurance broker nameAMERIBEN/IEC GROUP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered490
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $34,384
Total amount of fees paid to insurance companyUSD $3,676
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,384
Insurance broker organization code?3
Amount paid for insurance broker fees3676
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameAMERIBEN/IEC GROUP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered440
Insurance policy start date2014-11-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $5,225
Total amount of fees paid to insurance companyUSD $752
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,225
Insurance broker organization code?3
Amount paid for insurance broker fees752
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameAMERIBEN/IEC GROUP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered360
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $30,784
Total amount of fees paid to insurance companyUSD $4,158
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,784
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameAMERIBEN/IEC GROUP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered293
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $25,193
Total amount of fees paid to insurance companyUSD $6,223
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,193
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameAMERIBEN/IEC GROUP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered244
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $19,854
Total amount of fees paid to insurance companyUSD $3,984
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19226
Policy instance 1
Insurance contract or identification number19226
Number of Individuals Covered225
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $17,950
Total amount of fees paid to insurance companyUSD $2,582
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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