401k Plan data: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN plan

COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 401k Plan overview

Plan Name	COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN
Plan identification number	501

COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

COLUMBIA MEDICAL ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: COLUMBIA MEDICAL ASSOCIATES

Employer identification number (EIN): 200986848

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2018-01-01
501 2017-01-01 KELLY STANFORD KELLY STANFORD 2018-09-18
501 2017-01-01 KELLY STANFORD
501 2016-01-01 KELLY STANFORD KELLY STANFORD 2017-09-28
501 2015-01-01 KELLY STANFORD KELLY STANFORD 2016-10-13
501 2014-01-01 KELLY STANFORD KELLY STANFORD 2015-10-13
501 2013-01-01 KELLY STANFORD
501 2012-11-01 KELLY STANFORD KELLY STANFORD 2013-07-30
501 2011-11-01 KELLY STANFORD KELLY STANFORD 2013-07-30
501 2011-01-01 KELLY STANFORD KELLY STANFORD 2013-04-24
501 2009-01-01 KELLY STANFORD KELLY STANFORD 2013-04-24

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2018-01-01
501	2017-01-01	KELLY STANFORD	KELLY STANFORD	2018-09-18
501	2017-01-01	KELLY STANFORD
501	2016-01-01	KELLY STANFORD	KELLY STANFORD	2017-09-28
501	2015-01-01	KELLY STANFORD	KELLY STANFORD	2016-10-13
501	2014-01-01	KELLY STANFORD	KELLY STANFORD	2015-10-13
501	2013-01-01	KELLY STANFORD
501	2012-11-01	KELLY STANFORD	KELLY STANFORD	2013-07-30
501	2011-11-01	KELLY STANFORD	KELLY STANFORD	2013-07-30
501	2011-01-01	KELLY STANFORD	KELLY STANFORD	2013-04-24
501	2009-01-01	KELLY STANFORD	KELLY STANFORD	2013-04-24

Plan Statistics for COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN

401k plan membership statisitcs for COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN

Measure Date Value
2018: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
2017: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 180
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 170
Total of all active and inactive participants 2017-01-01 170
Total participants 2017-01-01 170
Number of employers contributing to the scheme 2017-01-01 0
2016: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 164
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 175
Total of all active and inactive participants 2016-01-01 175
Total participants 2016-01-01 175
Number of employers contributing to the scheme 2016-01-01 0
2015: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 163
Total of all active and inactive participants 2015-01-01 163
Total participants 2015-01-01 163
Number of employers contributing to the scheme 2015-01-01 0
2014: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 182
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 175
Total of all active and inactive participants 2014-01-01 175
Total participants 2014-01-01 175
2013: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 182
Total of all active and inactive participants 2013-01-01 182
Total participants 2013-01-01 182
2012: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-11-01 172
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 174
Total of all active and inactive participants 2012-11-01 174
Total participants 2012-11-01 174
2011: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-11-01 138
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 175
Total of all active and inactive participants 2011-11-01 175
Total participants 2011-11-01 175
Total participants, beginning-of-year 2011-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 95
Total of all active and inactive participants 2011-01-01 95
Total participants 2011-01-01 95
2009: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 97
Total of all active and inactive participants 2009-01-01 97
Total participants 2009-01-01 97

Measure	Date	Value
2018: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
2017: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	180
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	170
Total of all active and inactive participants	2017-01-01	170
Total participants	2017-01-01	170
Number of employers contributing to the scheme	2017-01-01	0
2016: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	164
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	175
Total of all active and inactive participants	2016-01-01	175
Total participants	2016-01-01	175
Number of employers contributing to the scheme	2016-01-01	0
2015: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	163
Total of all active and inactive participants	2015-01-01	163
Total participants	2015-01-01	163
Number of employers contributing to the scheme	2015-01-01	0
2014: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	175
Total of all active and inactive participants	2014-01-01	175
Total participants	2014-01-01	175
2013: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	182
Total of all active and inactive participants	2013-01-01	182
Total participants	2013-01-01	182
2012: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-11-01	172
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	174
Total of all active and inactive participants	2012-11-01	174
Total participants	2012-11-01	174
2011: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-11-01	138
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	175
Total of all active and inactive participants	2011-11-01	175
Total participants	2011-11-01	175
Total participants, beginning-of-year	2011-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	95
Total of all active and inactive participants	2011-01-01	95
Total participants	2011-01-01	95
2009: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	97
Total of all active and inactive participants	2009-01-01	97
Total participants	2009-01-01	97

Financial Data on COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN

Measure	Date	Value
2018 : COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$500,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$803,010
Total income from all sources (including contributions)	2018-12-31	$2,682,710
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$2,379,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$2,244,445
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,682,710
Value of total assets at end of year	2018-12-31	$500,000
Value of total assets at beginning of year	2018-12-31	$500,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$135,255
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$42,500
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$237,481
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$2,244,445
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$500,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$500,000
Total non interest bearing cash at end of year	2018-12-31	$500,000
Total non interest bearing cash at beginning of year	2018-12-31	$500,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$303,010
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$-303,010
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$2,445,229
Contract administrator fees	2018-12-31	$135,255
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Liabilities. Value of benefit claims payable at end of year	2018-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$303,010
Did the plan have assets held for investment	2018-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	No
Opinion of an independent qualified public accountant for this plan	2018-12-31	Unqualified
Accountancy firm name	2018-12-31	ANASTASI, MOORE AND MARTIN, PLLC
Accountancy firm EIN	2018-12-31	208149084
2017 : COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$803,010
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$650,882
Total income from all sources (including contributions)	2017-12-31	$2,635,630
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$2,787,758
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$2,647,799
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$2,635,630
Value of total assets at end of year	2017-12-31	$500,000
Value of total assets at beginning of year	2017-12-31	$500,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$139,959
Total interest from all sources	2017-12-31	$0
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 year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$42,500
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$257,685
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-12-31	$2,647,799
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$500,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$500,000
Total non interest bearing cash at end of year	2017-12-31	$500,000
Total non interest bearing cash at beginning of year	2017-12-31	$500,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$-152,128
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$-303,010
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$-150,882
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$2,377,945
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$0
Contract administrator fees	2017-12-31	$139,959
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$303,010
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$150,882
Did the plan have assets held for investment	2017-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	ANASTASI, MOORE AND MARTIN, PLLC
Accountancy firm EIN	2017-12-31	208149084
2016 : COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$650,882
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$659,408
Total income from all sources (including contributions)	2016-12-31	$2,111,229
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,102,703
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,973,433
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,111,229
Value of total assets at end of year	2016-12-31	$500,000
Value of total assets at beginning of year	2016-12-31	$500,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$129,270
Total interest from all sources	2016-12-31	$0
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 year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$42,500
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$412,061
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$1,973,433
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$500,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$500,000
Total non interest bearing cash at end of year	2016-12-31	$500,000
Total non interest bearing cash at beginning of year	2016-12-31	$500,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$8,526
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$-150,882
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$-159,408
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$1,699,168
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$0
Contract administrator fees	2016-12-31	$129,270
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$150,882
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$159,408
Did the plan have assets held for investment	2016-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	ANASTASI, MOORE AND MARTIN, PLLC
Accountancy firm EIN	2016-12-31	208149084
2015 : COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$659,408
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$722,211
Total income from all sources (including contributions)	2015-12-31	$2,492,201
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,429,398
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,301,651
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,492,201
Value of total assets at end of year	2015-12-31	$500,000
Value of total assets at beginning of year	2015-12-31	$500,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$127,747
Total interest from all sources	2015-12-31	$0
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 year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$42,500
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$396,048
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$2,301,651
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$500,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$500,000
Total non interest bearing cash at end of year	2015-12-31	$500,000
Total non interest bearing cash at beginning of year	2015-12-31	$500,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$62,803
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$-159,408
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$-222,211
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$2,096,153
Employer contributions (assets) at end of year	2015-12-31	$0
Employer contributions (assets) at beginning of year	2015-12-31	$0
Contract administrator fees	2015-12-31	$127,747
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$159,408
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$222,211
Did the plan have assets held for investment	2015-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	ANASTASI, MOORE, ANDMARTIN, PLLC
Accountancy firm EIN	2015-12-31	208149084
2014 : COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$722,211
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$223,820
Total income from all sources (including contributions)	2014-12-31	$1,893,272
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,478,222
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,342,399
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,893,272
Value of total assets at end of year	2014-12-31	$500,000
Value of total assets at beginning of year	2014-12-31	$586,559
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$135,823
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$50,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$347,831
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$2,342,399
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$500,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$223,820
Total non interest bearing cash at end of year	2014-12-31	$500,000
Total non interest bearing cash at beginning of year	2014-12-31	$500,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-584,950
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$-222,211
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$362,739
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,545,441
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$86,559
Contract administrator fees	2014-12-31	$135,823
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	No
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$222,211
Did the plan have assets held for investment	2014-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	ANASTASI, MOORE, MARTIN, PLLC
Accountancy firm EIN	2014-12-31	208149084
2013 : COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$223,820
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$2,540,555
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$2,177,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,050,496
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,540,555
Value of total assets at end of year	2013-12-31	$586,559
Value of total assets at beginning of year	2013-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$127,320
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$37,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$302,849
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$2,050,496
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$223,820
Total non interest bearing cash at end of year	2013-12-31	$500,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$362,739
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$362,739
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$2,237,706
Employer contributions (assets) at end of year	2013-12-31	$86,559
Contract administrator fees	2013-12-31	$127,320
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	ANASTASI, MOORE, MARTIN, PLLC
Accountancy firm EIN	2013-12-31	208149084

Form 5500 Responses for COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN

2018: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Submission has been amended	No
2012-11-01	This submission is the final filing	No
2012-11-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-11-01	Plan is a collectively bargained plan	No
2012-11-01	Plan funding arrangement – Insurance	Yes
2012-11-01	Plan benefit arrangement – Insurance	Yes
2011: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Submission has been amended	No
2011-11-01	This submission is the final filing	No
2011-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-11-01	Plan is a collectively bargained plan	No
2011-11-01	Plan funding arrangement – Insurance	Yes
2011-11-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: COLUMBIA MEDICAL ASSOCIATES MEDICAL PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )

Policy contract number

95672/47055

Policy instance

Insurance contract or identification number	95672/47055
Number of Individuals Covered	174
Insurance policy start date	2012-11-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,199
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $150,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,199
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	ROBERT L JOHNSTON

GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )

Policy contract number

47055/95672

Policy instance

Insurance contract or identification number	47055/95672
Number of Individuals Covered	175
Insurance policy start date	2011-11-01
Insurance policy end date	2012-10-31
Total amount of commissions paid to insurance broker	USD $13,602
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,583,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )

Policy contract number

8060400/8060300

Policy instance

Insurance contract or identification number	8060400/8060300
Number of Individuals Covered	95
Insurance policy start date	2011-01-01
Insurance policy end date	2011-10-31
Total amount of commissions paid to insurance broker	USD $1,931
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $372,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )

Policy contract number

60011238

Policy instance

Insurance contract or identification number	60011238
Number of Individuals Covered	104
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $32,242
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $558,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	COLUMBIA MEDICAL ASSOCIATES
Employer identification number (EIN):	200986848
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)