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COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 401k Plan overview

Plan NameCOMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN
Plan identification number 001

COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
  • 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • 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 MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY MEMORIAL HOSPITAL
Employer identification number (EIN):150548010
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01JENNIFER MONTANA
0012017-01-01CHRIS GRAHAM
0012016-01-01CHRIS GRAHAM
0012015-01-01CHRIS GRAHAM
0012014-01-01CHRIS GRAHAM
0012014-01-01CHRIS GRAHAM
0012013-01-01SEAN FADALE
0012012-01-01SEAN FADALE
0012011-01-01SEAN FADALE
0012010-01-01DAVID W. FELTON
0012009-01-01DAVID W. FELTON

Plan Statistics for COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN

401k plan membership statisitcs for COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN

Measure Date Value
2022: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2022 401k membership
Market value of plan assets2022-12-319,837,556
Acturial value of plan assets2022-12-319,451,626
Funding target for retired participants and beneficiaries receiving payment2022-12-312,737,693
Number of terminated vested participants2022-12-3179
Fundng target for terminated vested participants2022-12-312,641,337
Active participant vested funding target2022-12-315,665,468
Number of active participants2022-12-31110
Total funding liabilities for active participants2022-12-315,737,320
Total participant count2022-12-31232
Total funding target for all participants2022-12-3111,116,350
Balance at beginning of prior year after applicable adjustments2022-12-310
Prefunding balance at beginning of prior year after applicable adjustments2022-12-31494,706
Carryover balanced portion elected for use to offset prior years funding requirement2022-12-310
Prefunding balanced used to offset prior years funding requirement2022-12-31121,809
Amount remaining of carryover balance2022-12-310
Amount remaining of prefunding balance2022-12-31372,897
Present value of excess contributions2022-12-31199,894
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2022-12-31216,049
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2022-12-31216,049
Reductions in caryover balances due to elections or deemed elections2022-12-310
Reductions in prefunding balances due to elections or deemed elections2022-12-3166,161
Balance of carryovers at beginning of current year2022-12-310
Balance of prefunding at beginning of current year2022-12-31558,546
Total employer contributions2022-12-31720,495
Total employee contributions2022-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2022-12-310
Contributions made to avoid restrictions adjusted to valuation date2022-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2022-12-31681,488
Liquidity shortfalls end of Q12022-12-310
Liquidity shortfalls end of Q22022-12-310
Liquidity shortfalls end of Q32022-12-310
Liquidity shortfalls end of Q42022-12-310
Unpaid minimum required contributions for all prior years2022-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2022-12-310
Remaining amount of unpaid minimum required contributions2022-12-310
Minimum required contributions for current year target normal cost2022-12-310
Net shortfall amortization installment of oustanding balance2022-12-312,223,270
Total funding amount beforereflecting carryover/prefunding balances2022-12-31215,040
Carryover balance elected to use to offset funding requirement2022-12-310
Prefunding balance elected to use to offset funding requirement2022-12-310
Additional cash requirement2022-12-31215,040
Contributions allocatedtoward minimum required contributions for current year2022-12-31681,488
Unpaid minimum required contributions for current year2022-12-310
Unpaid minimum required contributions for all years2022-12-310
Total participants, beginning-of-year2022-01-01232
Total number of active participants reported on line 7a of the Form 55002022-01-0193
Number of retired or separated participants receiving benefits2022-01-0144
Number of other retired or separated participants entitled to future benefits2022-01-0178
Total of all active and inactive participants2022-01-01215
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-012
Total participants2022-01-01217
Number of participants with account balances2022-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2021 401k membership
Market value of plan assets2021-12-3110,090,119
Acturial value of plan assets2021-12-319,517,982
Funding target for retired participants and beneficiaries receiving payment2021-12-311,780,121
Number of terminated vested participants2021-12-3172
Fundng target for terminated vested participants2021-12-312,583,081
Active participant vested funding target2021-12-316,754,176
Number of active participants2021-12-31130
Total funding liabilities for active participants2021-12-316,915,893
Total participant count2021-12-31236
Total funding target for all participants2021-12-3111,279,095
Balance at beginning of prior year after applicable adjustments2021-12-310
Prefunding balance at beginning of prior year after applicable adjustments2021-12-31446,026
Carryover balanced portion elected for use to offset prior years funding requirement2021-12-310
Prefunding balanced used to offset prior years funding requirement2021-12-310
Amount remaining of carryover balance2021-12-310
Amount remaining of prefunding balance2021-12-31446,026
Present value of excess contributions2021-12-319,754
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2021-12-3110,298
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2021-12-3110,298
Reductions in caryover balances due to elections or deemed elections2021-12-310
Reductions in prefunding balances due to elections or deemed elections2021-12-316,756
Balance of carryovers at beginning of current year2021-12-310
Balance of prefunding at beginning of current year2021-12-31494,706
Total employer contributions2021-12-31300,020
Total employee contributions2021-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2021-12-310
Contributions made to avoid restrictions adjusted to valuation date2021-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2021-12-31288,422
Liquidity shortfalls end of Q12021-12-310
Liquidity shortfalls end of Q22021-12-310
Liquidity shortfalls end of Q32021-12-310
Liquidity shortfalls end of Q42021-12-310
Unpaid minimum required contributions for all prior years2021-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2021-12-310
Remaining amount of unpaid minimum required contributions2021-12-310
Minimum required contributions for current year target normal cost2021-12-310
Net shortfall amortization installment of oustanding balance2021-12-312,255,819
Total funding amount beforereflecting carryover/prefunding balances2021-12-31210,337
Carryover balance elected to use to offset funding requirement2021-12-310
Prefunding balance elected to use to offset funding requirement2021-12-31121,809
Additional cash requirement2021-12-3188,528
Contributions allocatedtoward minimum required contributions for current year2021-12-31288,422
Unpaid minimum required contributions for current year2021-12-310
Unpaid minimum required contributions for all years2021-12-310
Total participants, beginning-of-year2021-01-01236
Total number of active participants reported on line 7a of the Form 55002021-01-01110
Number of retired or separated participants receiving benefits2021-01-0142
Number of other retired or separated participants entitled to future benefits2021-01-0178
Total of all active and inactive participants2021-01-01230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-012
Total participants2021-01-01232
Number of participants with account balances2021-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-013
2020: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2020 401k membership
Market value of plan assets2020-12-3110,120,303
Acturial value of plan assets2020-12-3110,242,295
Funding target for retired participants and beneficiaries receiving payment2020-12-311,197,395
Number of terminated vested participants2020-12-31106
Fundng target for terminated vested participants2020-12-313,720,718
Active participant vested funding target2020-12-316,862,605
Number of active participants2020-12-31148
Total funding liabilities for active participants2020-12-317,263,359
Total participant count2020-12-31274
Total funding target for all participants2020-12-3112,181,472
Balance at beginning of prior year after applicable adjustments2020-12-310
Prefunding balance at beginning of prior year after applicable adjustments2020-12-310
Carryover balanced portion elected for use to offset prior years funding requirement2020-12-310
Prefunding balanced used to offset prior years funding requirement2020-12-310
Amount remaining of carryover balance2020-12-310
Amount remaining of prefunding balance2020-12-310
Present value of excess contributions2020-12-31421,814
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2020-12-31446,026
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2020-12-31446,026
Reductions in caryover balances due to elections or deemed elections2020-12-310
Reductions in prefunding balances due to elections or deemed elections2020-12-310
Balance of carryovers at beginning of current year2020-12-310
Balance of prefunding at beginning of current year2020-12-31446,026
Total employer contributions2020-12-31517,700
Total employee contributions2020-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2020-12-310
Contributions made to avoid restrictions adjusted to valuation date2020-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2020-12-31504,975
Liquidity shortfalls end of Q12020-12-310
Liquidity shortfalls end of Q22020-12-310
Liquidity shortfalls end of Q32020-12-310
Liquidity shortfalls end of Q42020-12-310
Unpaid minimum required contributions for all prior years2020-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2020-12-310
Remaining amount of unpaid minimum required contributions2020-12-310
Minimum required contributions for current year target normal cost2020-12-310
Net shortfall amortization installment of oustanding balance2020-12-312,385,203
Total funding amount beforereflecting carryover/prefunding balances2020-12-31495,221
Additional cash requirement2020-12-31495,221
Contributions allocatedtoward minimum required contributions for current year2020-12-31504,975
Unpaid minimum required contributions for current year2020-12-310
Unpaid minimum required contributions for all years2020-12-310
Total participants, beginning-of-year2020-01-01274
Total number of active participants reported on line 7a of the Form 55002020-01-01130
Number of retired or separated participants receiving benefits2020-01-0133
Number of other retired or separated participants entitled to future benefits2020-01-0172
Total of all active and inactive participants2020-01-01235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-01236
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-012
2019: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2019 401k membership
Market value of plan assets2019-12-318,573,006
Acturial value of plan assets2019-12-319,430,306
Funding target for retired participants and beneficiaries receiving payment2019-12-31950,563
Number of terminated vested participants2019-12-31153
Fundng target for terminated vested participants2019-12-314,180,692
Active participant vested funding target2019-12-316,361,485
Number of active participants2019-12-31152
Total funding liabilities for active participants2019-12-316,757,212
Total participant count2019-12-31315
Total funding target for all participants2019-12-3111,888,467
Balance at beginning of prior year after applicable adjustments2019-12-31282,423
Prefunding balance at beginning of prior year after applicable adjustments2019-12-31159,664
Carryover balanced portion elected for use to offset prior years funding requirement2019-12-31164,036
Prefunding balanced used to offset prior years funding requirement2019-12-310
Amount remaining of carryover balance2019-12-31118,387
Amount remaining of prefunding balance2019-12-31159,664
Present value of excess contributions2019-12-31426,883
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2019-12-31418,856
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2019-12-31418,856
Reductions in caryover balances due to elections or deemed elections2019-12-31101,363
Reductions in prefunding balances due to elections or deemed elections2019-12-31555,560
Balance of carryovers at beginning of current year2019-12-310
Balance of prefunding at beginning of current year2019-12-310
Total employer contributions2019-12-31934,473
Total employee contributions2019-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2019-12-310
Contributions made to avoid restrictions adjusted to valuation date2019-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2019-12-31872,033
Liquidity shortfalls end of Q12019-12-310
Liquidity shortfalls end of Q22019-12-310
Liquidity shortfalls end of Q32019-12-310
Liquidity shortfalls end of Q42019-12-310
Unpaid minimum required contributions for all prior years2019-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2019-12-310
Remaining amount of unpaid minimum required contributions2019-12-310
Minimum required contributions for current year target normal cost2019-12-310
Net shortfall amortization installment of oustanding balance2019-12-312,458,161
Total funding amount beforereflecting carryover/prefunding balances2019-12-31450,219
Carryover balance elected to use to offset funding requirement2019-12-310
Prefunding balance elected to use to offset funding requirement2019-12-310
Additional cash requirement2019-12-31450,219
Contributions allocatedtoward minimum required contributions for current year2019-12-31872,033
Unpaid minimum required contributions for current year2019-12-310
Unpaid minimum required contributions for all years2019-12-310
Total participants, beginning-of-year2019-01-01315
Total number of active participants reported on line 7a of the Form 55002019-01-01148
Number of retired or separated participants receiving benefits2019-01-0120
Number of other retired or separated participants entitled to future benefits2019-01-01106
Total of all active and inactive participants2019-01-01274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01274
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-013
2018: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2018 401k membership
Market value of plan assets2018-12-319,924,518
Acturial value of plan assets2018-12-319,924,518
Funding target for retired participants and beneficiaries receiving payment2018-12-310
Number of terminated vested participants2018-12-31163
Fundng target for terminated vested participants2018-12-314,127,351
Active participant vested funding target2018-12-316,257,185
Number of active participants2018-12-31160
Total funding liabilities for active participants2018-12-316,699,300
Total participant count2018-12-31323
Total funding target for all participants2018-12-3110,826,651
Balance at beginning of prior year after applicable adjustments2018-12-31608,893
Prefunding balance at beginning of prior year after applicable adjustments2018-12-310
Carryover balanced portion elected for use to offset prior years funding requirement2018-12-31336,021
Prefunding balanced used to offset prior years funding requirement2018-12-310
Amount remaining of carryover balance2018-12-31272,872
Amount remaining of prefunding balance2018-12-310
Present value of excess contributions2018-12-31154,265
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2018-12-31159,664
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2018-12-31159,664
Balance of carryovers at beginning of current year2018-12-31282,423
Balance of prefunding at beginning of current year2018-12-31159,664
Total employer contributions2018-12-31562,849
Total employee contributions2018-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2018-12-310
Contributions made to avoid restrictions adjusted to valuation date2018-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2018-12-31517,276
Liquidity shortfalls end of Q12018-12-310
Liquidity shortfalls end of Q22018-12-310
Liquidity shortfalls end of Q32018-12-310
Liquidity shortfalls end of Q42018-12-310
Unpaid minimum required contributions for all prior years2018-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2018-12-310
Remaining amount of unpaid minimum required contributions2018-12-310
Minimum required contributions for current year target normal cost2018-12-3114,000
Net shortfall amortization installment of oustanding balance2018-12-311,344,220
Total funding amount beforereflecting carryover/prefunding balances2018-12-31254,429
Carryover balance elected to use to offset funding requirement2018-12-31164,036
Additional cash requirement2018-12-3190,393
Contributions allocatedtoward minimum required contributions for current year2018-12-31517,276
Unpaid minimum required contributions for current year2018-12-310
Unpaid minimum required contributions for all years2018-12-310
Total participants, beginning-of-year2018-01-01323
Total number of active participants reported on line 7a of the Form 55002018-01-01152
Number of retired or separated participants receiving benefits2018-01-0110
Number of other retired or separated participants entitled to future benefits2018-01-01153
Total of all active and inactive participants2018-01-01315
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01315
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-012
2017: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2017 401k membership
Market value of plan assets2017-12-3110,004,318
Acturial value of plan assets2017-12-3110,004,318
Funding target for retired participants and beneficiaries receiving payment2017-12-3127,693
Number of terminated vested participants2017-12-31147
Fundng target for terminated vested participants2017-12-313,637,413
Active participant vested funding target2017-12-316,366,184
Number of active participants2017-12-31177
Total funding liabilities for active participants2017-12-316,810,971
Total participant count2017-12-31325
Total funding target for all participants2017-12-3110,476,077
Balance at beginning of prior year after applicable adjustments2017-12-31971,318
Prefunding balance at beginning of prior year after applicable adjustments2017-12-310
Carryover balanced portion elected for use to offset prior years funding requirement2017-12-31382,959
Prefunding balanced used to offset prior years funding requirement2017-12-310
Amount remaining of carryover balance2017-12-31588,359
Amount remaining of prefunding balance2017-12-310
Present value of excess contributions2017-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-12-310
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2017-12-310
Reductions in caryover balances due to elections or deemed elections2017-12-310
Reductions in prefunding balances due to elections or deemed elections2017-12-310
Balance of carryovers at beginning of current year2017-12-31608,893
Balance of prefunding at beginning of current year2017-12-310
Total employer contributions2017-12-31168,010
Total employee contributions2017-12-31116,921
Contributions allocated toward unpaid minimum require contributions from prior years2017-12-310
Contributions made to avoid restrictions adjusted to valuation date2017-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-12-31154,265
Liquidity shortfalls end of Q12017-12-310
Liquidity shortfalls end of Q22017-12-310
Liquidity shortfalls end of Q32017-12-310
Liquidity shortfalls end of Q42017-12-310
Unpaid minimum required contributions for all prior years2017-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2017-12-310
Remaining amount of unpaid minimum required contributions2017-12-310
Minimum required contributions for current year target normal cost2017-12-31158,565
Net shortfall amortization installment of oustanding balance2017-12-311,080,652
Total funding amount beforereflecting carryover/prefunding balances2017-12-31336,021
Carryover balance elected to use to offset funding requirement2017-12-31336,021
Prefunding balance elected to use to offset funding requirement2017-12-310
Additional cash requirement2017-12-310
Contributions allocatedtoward minimum required contributions for current year2017-12-31154,265
Unpaid minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for all years2017-12-310
Total participants, beginning-of-year2017-01-01307
Total number of active participants reported on line 7a of the Form 55002017-01-01334
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-01336
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01336
Number of participants with account balances2017-01-01130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2016 401k membership
Market value of plan assets2016-12-3110,060,619
Acturial value of plan assets2016-12-3110,060,619
Funding target for retired participants and beneficiaries receiving payment2016-12-3159,954
Number of terminated vested participants2016-12-31131
Fundng target for terminated vested participants2016-12-313,345,092
Active participant vested funding target2016-12-315,672,687
Number of active participants2016-12-31184
Total funding liabilities for active participants2016-12-316,147,535
Total participant count2016-12-31317
Total funding target for all participants2016-12-319,552,581
Balance at beginning of prior year after applicable adjustments2016-12-31938,744
Prefunding balance at beginning of prior year after applicable adjustments2016-12-310
Carryover balanced portion elected for use to offset prior years funding requirement2016-12-310
Prefunding balanced used to offset prior years funding requirement2016-12-310
Amount remaining of carryover balance2016-12-31938,744
Amount remaining of prefunding balance2016-12-310
Present value of excess contributions2016-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2016-12-310
Balance of carryovers at beginning of current year2016-12-31971,318
Balance of prefunding at beginning of current year2016-12-310
Total employer contributions2016-12-310
Total employee contributions2016-12-31211,752
Contributions allocated toward unpaid minimum require contributions from prior years2016-12-310
Contributions made to avoid restrictions adjusted to valuation date2016-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2016-12-310
Unpaid minimum required contributions for all prior years2016-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2016-12-310
Remaining amount of unpaid minimum required contributions2016-12-310
Minimum required contributions for current year target normal cost2016-12-31382,959
Net shortfall amortization installment of oustanding balance2016-12-310
Waiver amortization installment2016-12-310
Waived amount of outstanding balance2016-12-310
Total funding amount beforereflecting carryover/prefunding balances2016-12-31382,959
Carryover balance elected to use to offset funding requirement2016-12-31382,959
Additional cash requirement2016-12-310
Contributions allocatedtoward minimum required contributions for current year2016-12-310
Unpaid minimum required contributions for current year2016-12-310
Unpaid minimum required contributions for all years2016-12-310
Total participants, beginning-of-year2016-01-01317
Total number of active participants reported on line 7a of the Form 55002016-01-01177
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-01147
Total of all active and inactive participants2016-01-01325
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01325
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0113
2015: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01316
Total number of active participants reported on line 7a of the Form 55002015-01-01184
Number of retired or separated participants receiving benefits2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-01131
Total of all active and inactive participants2015-01-01317
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01317
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-018
2014: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01314
Total number of active participants reported on line 7a of the Form 55002014-01-01181
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01135
Total of all active and inactive participants2014-01-01316
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01330
Total number of active participants reported on line 7a of the Form 55002013-01-01204
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01110
Total of all active and inactive participants2013-01-01314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01314
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-013
2012: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01311
Total number of active participants reported on line 7a of the Form 55002012-01-01211
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01119
Total of all active and inactive participants2012-01-01330
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01330
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-017
2011: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01337
Total number of active participants reported on line 7a of the Form 55002011-01-01212
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0199
Total of all active and inactive participants2011-01-01311
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2010: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01342
Total number of active participants reported on line 7a of the Form 55002010-01-01220
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-01117
Total of all active and inactive participants2010-01-01337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-014
2009: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01340
Total number of active participants reported on line 7a of the Form 55002009-01-01219
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01123
Total of all active and inactive participants2009-01-01342
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01342
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-015

Financial Data on COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN

Measure Date Value
2022 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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$0
Total income from all sources (including contributions)2022-12-31$-481,434
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,501,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,467,220
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$720,495
Value of total assets at end of year2022-12-31$7,854,826
Value of total assets at beginning of year2022-12-31$9,837,556
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$34,076
Total interest from all sources2022-12-31$1,717
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$263,527
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$263,527
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,982,730
Value of net assets at end of year (total assets less liabilities)2022-12-31$7,854,826
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$9,837,556
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$7,177,353
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$9,418,444
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$256,978
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$419,112
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$419,112
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$1,717
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,467,173
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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$720,495
Employer contributions (assets) at end of year2022-12-31$420,495
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,467,220
Contract administrator fees2022-12-31$34,076
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 name2022-12-31FUSTCHARLES LLP
Accountancy firm EIN2022-12-31161226221
2021 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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$1,270,989
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,523,552
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,482,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$300,020
Value of total assets at end of year2021-12-31$9,837,556
Value of total assets at beginning of year2021-12-31$10,090,119
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$40,999
Total interest from all sources2021-12-31$49
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$376,568
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$376,568
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-252,563
Value of net assets at end of year (total assets less liabilities)2021-12-31$9,837,556
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$10,090,119
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$9,418,444
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$9,890,779
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$419,112
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$199,340
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$199,340
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$49
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$594,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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$300,020
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,482,553
Contract administrator fees2021-12-31$40,999
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 name2021-12-31FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN2021-12-31161226221
2020 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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$1,562,159
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,609,668
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,571,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$517,700
Value of total assets at end of year2020-12-31$10,090,119
Value of total assets at beginning of year2020-12-31$10,137,628
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$38,085
Total interest from all sources2020-12-31$1,409
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$184,420
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$184,420
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-47,509
Value of net assets at end of year (total assets less liabilities)2020-12-31$10,090,119
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$10,137,628
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$9,890,779
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$8,997,571
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$199,340
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$396,405
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$396,405
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$1,409
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$858,630
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$517,700
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$743,652
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,571,583
Contract administrator fees2020-12-31$38,085
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 plan2020-12-31Disclaimer
Accountancy firm name2020-12-31FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN2020-12-31161226221
2019 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
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 end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$2,273,567
Total income from all sources (including contributions)2019-12-31$2,273,567
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$724,909
Total of all expenses incurred2019-12-31$724,909
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$690,332
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$690,332
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$934,473
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$934,473
Value of total assets at end of year2019-12-31$10,137,628
Value of total assets at end of year2019-12-31$10,137,628
Value of total assets at beginning of year2019-12-31$8,588,970
Value of total assets at beginning of year2019-12-31$8,588,970
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$34,577
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$34,577
Total interest from all sources2019-12-31$3,855
Total interest from all sources2019-12-31$3,855
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$224,991
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$224,991
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$224,991
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$224,991
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
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
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$197,942
Total non interest bearing cash at beginning of year2019-12-31$197,942
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,548,658
Value of net income/loss2019-12-31$1,548,658
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,137,628
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,137,628
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$8,588,970
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$8,588,970
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$8,997,571
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$8,997,571
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$7,912,184
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$7,912,184
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$396,405
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$396,405
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$3,855
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$3,855
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,110,248
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,110,248
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$934,473
Contributions received in cash from employer2019-12-31$934,473
Employer contributions (assets) at end of year2019-12-31$743,652
Employer contributions (assets) at end of year2019-12-31$743,652
Employer contributions (assets) at beginning of year2019-12-31$478,844
Employer contributions (assets) at beginning of year2019-12-31$478,844
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$690,332
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$690,332
Contract administrator fees2019-12-31$34,577
Contract administrator fees2019-12-31$34,577
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
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
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN2019-12-31161226221
2018 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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$0
Total income from all sources (including contributions)2018-12-31$-796,097
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$543,755
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$517,379
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$562,849
Value of total assets at end of year2018-12-31$8,588,970
Value of total assets at beginning of year2018-12-31$9,928,822
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$26,376
Total interest from all sources2018-12-31$3,222
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$212,790
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$212,790
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
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
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$4,503
Administrative expenses (other) incurred2018-12-31$26,376
Total non interest bearing cash at end of year2018-12-31$197,942
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,339,852
Value of net assets at end of year (total assets less liabilities)2018-12-31$8,588,970
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$9,928,822
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$7,912,184
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,544
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$3,222
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$9,751,765
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,574,958
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
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
Contributions received in cash from employer2018-12-31$562,849
Employer contributions (assets) at end of year2018-12-31$478,844
Employer contributions (assets) at beginning of year2018-12-31$168,010
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$517,379
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN2018-12-31161226221
2017 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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$0
Total income from all sources (including contributions)2017-12-31$618,482
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$703,169
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$689,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$275,740
Value of total assets at end of year2017-12-31$9,928,822
Value of total assets at beginning of year2017-12-31$10,013,509
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$13,831
Total interest from all sources2017-12-31$342,742
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
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$28,312
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$107,730
Participant contributions at end of year2017-12-31$4,503
Participant contributions at beginning of year2017-12-31$9,191
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$443,902
Administrative expenses (other) incurred2017-12-31$13,831
Total non interest bearing cash at end of year2017-12-31$70
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-84,687
Value of net assets at end of year (total assets less liabilities)2017-12-31$9,928,822
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$10,013,509
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$4,544
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$0
Interest earned on other investments2017-12-31$342,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$5,121
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$26
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$9,751,765
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$10,004,318
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$402,342
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$61,438
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
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
Contributions received in cash from employer2017-12-31$168,010
Employer contributions (assets) at end of year2017-12-31$168,010
Employer contributions (assets) at beginning of year2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$286,996
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN2017-12-31161226221
2016 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$560,879
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$616,924
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$534,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$220,104
Value of total assets at end of year2016-12-31$10,013,509
Value of total assets at beginning of year2016-12-31$10,069,554
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$82,075
Total interest from all sources2016-12-31$340,775
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
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$220,104
Participant contributions at end of year2016-12-31$9,191
Participant contributions at beginning of year2016-12-31$8,935
Administrative expenses (other) incurred2016-12-31$82,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-56,045
Value of net assets at end of year (total assets less liabilities)2016-12-31$10,013,509
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$10,069,554
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
Interest earned on other investments2016-12-31$340,775
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$10,004,318
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$10,060,619
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$469,028
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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
Contributions received in cash from employer2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$65,821
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN2016-12-31161226221
2015 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$567,636
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$530,640
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$456,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$226,036
Value of total assets at end of year2015-12-31$10,069,554
Value of total assets at beginning of year2015-12-31$10,032,558
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$73,835
Total interest from all sources2015-12-31$341,600
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
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
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$226,036
Participant contributions at end of year2015-12-31$8,935
Administrative expenses (other) incurred2015-12-31$73,835
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$36,996
Value of net assets at end of year (total assets less liabilities)2015-12-31$10,069,554
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$10,032,558
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
Interest earned on other investments2015-12-31$341,600
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$10,060,619
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$10,032,558
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$151,835
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$304,970
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN2015-12-31161226221
2014 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$561,200
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,026,163
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$989,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$223,895
Value of total assets at end of year2014-12-31$10,032,558
Value of total assets at beginning of year2014-12-31$10,497,521
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$36,166
Total interest from all sources2014-12-31$337,305
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
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
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$223,895
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$419,036
Administrative expenses (other) incurred2014-12-31$36,166
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-464,963
Value of net assets at end of year (total assets less liabilities)2014-12-31$10,032,558
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$10,497,521
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
Interest earned on other investments2014-12-31$337,305
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$10,032,558
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$10,497,521
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$223,895
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$570,961
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN2014-12-31161226221
2013 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$627,185
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$847,995
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$809,872
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$270,180
Value of total assets at end of year2013-12-31$10,497,521
Value of total assets at beginning of year2013-12-31$10,718,331
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$38,123
Total interest from all sources2013-12-31$357,005
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$220,180
Administrative expenses (other) incurred2013-12-31$38,123
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-220,810
Value of net assets at end of year (total assets less liabilities)2013-12-31$10,497,521
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$10,718,331
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Interest earned on other investments2013-12-31$357,005
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$10,497,521
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$10,709,178
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$236,441
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$50,000
Employer contributions (assets) at beginning of year2013-12-31$9,153
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$573,431
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN2013-12-31161226221
2012 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$991,649
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$84,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$68,990
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$626,142
Value of total assets at end of year2012-12-31$10,718,331
Value of total assets at beginning of year2012-12-31$9,811,023
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$15,351
Total interest from all sources2012-12-31$365,507
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$226,142
Administrative expenses (other) incurred2012-12-31$15,351
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$907,308
Value of net assets at end of year (total assets less liabilities)2012-12-31$10,718,331
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$9,811,023
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Interest earned on other investments2012-12-31$365,507
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$10,709,178
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$9,811,023
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$3,792
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$400,000
Employer contributions (assets) at end of year2012-12-31$9,153
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$65,198
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN2012-12-31161226221
2011 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$1,127,929
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$3,326,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$3,306,720
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$738,229
Value of total assets at end of year2011-12-31$9,811,023
Value of total assets at beginning of year2011-12-31$12,009,378
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$19,564
Total interest from all sources2011-12-31$389,700
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$238,229
Administrative expenses (other) incurred2011-12-31$19,564
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-2,198,355
Value of net assets at end of year (total assets less liabilities)2011-12-31$9,811,023
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$12,009,378
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Interest earned on other investments2011-12-31$389,700
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$9,811,023
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$12,009,378
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$437,187
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,869,533
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31FUST CHARLES CHAMBERS, LLP,
Accountancy firm EIN2011-12-31161226221
2010 : COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$2,023,332
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$557,902
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$554,652
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,642,272
Value of total assets at end of year2010-12-31$12,009,378
Value of total assets at beginning of year2010-12-31$10,543,948
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$3,250
Total interest from all sources2010-12-31$381,060
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Administrative expenses (other) incurred2010-12-31$3,250
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,465,430
Value of net assets at end of year (total assets less liabilities)2010-12-31$12,009,378
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$10,543,948
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Interest earned on other investments2010-12-31$381,060
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$12,009,378
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$10,543,948
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$260,005
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,642,272
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$294,647
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31FUST CHARLES CHAMBERS LLP
Accountancy firm EIN2010-12-31161226221

Form 5500 Responses for COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN

2022: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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 – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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 – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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 – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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 – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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 - TrustYes
2017: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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 benefit arrangement – InsuranceYes
2015: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME 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 benefit arrangement – InsuranceYes
2014: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: COMMUNITY MEMORIAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGR-2652
Policy instance 1
Insurance contract or identification numberGR-2652
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGR-2652
Policy instance 1
Insurance contract or identification numberGR-2652
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGR-2652
Policy instance 1
Insurance contract or identification numberGR-2652
Number of Individuals Covered317
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGR-2652
Policy instance 1
Insurance contract or identification numberGR-2652
Number of Individuals Covered316
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGR-2652
Policy instance 1
Insurance contract or identification numberGR-2652
Number of Individuals Covered314
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGR-2652
Policy instance 1
Insurance contract or identification numberGR-2652
Number of Individuals Covered330
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGR-2652
Policy instance 1
Insurance contract or identification numberGR-2652
Number of Individuals Covered311
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGR-2652
Policy instance 1
Insurance contract or identification numberGR-2652
Number of Individuals Covered337
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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