401k Plan data: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN plan

BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 401k Plan overview

Plan Name	BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN
Plan identification number	001

BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

BLUE MOUNTAIN HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name: BLUE MOUNTAIN HEALTH SYSTEM

Employer identification number (EIN): 201311316

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-07-01 THOMAS P. LICHTENWALNER 2019-11-27
001 2017-07-01 THOMAS P. LICHTENWALNER 2019-04-08 THOMAS P. LICHTENWALNER 2019-04-08
001 2016-07-01
001 2015-07-01
001 2014-07-01
001 2013-07-01
001 2012-07-01 ANDREW E. HARRIS ANDREW E. HARRIS 2014-04-07
001 2012-01-01 ANDREW E. HARRIS ANDREW E. HARRIS 2013-04-15
001 2011-01-01 ANDREW E. HARRIS ANDREW E. HARRIS 2012-09-20
001 2009-01-01 ANDREW E. HARRIS ANDREW E. HARRIS 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2018-07-01	THOMAS P. LICHTENWALNER	2019-11-27
001	2017-07-01	THOMAS P. LICHTENWALNER	2019-04-08	THOMAS P. LICHTENWALNER	2019-04-08
001	2016-07-01
001	2015-07-01
001	2014-07-01
001	2013-07-01
001	2012-07-01	ANDREW E. HARRIS		ANDREW E. HARRIS	2014-04-07
001	2012-01-01	ANDREW E. HARRIS		ANDREW E. HARRIS	2013-04-15
001	2011-01-01	ANDREW E. HARRIS		ANDREW E. HARRIS	2012-09-20
001	2009-01-01	ANDREW E. HARRIS		ANDREW E. HARRIS	2010-10-14

Plan Statistics for BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN

401k plan membership statisitcs for BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN

Measure Date Value
2018: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 274
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 0
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 0
Total participants 2018-07-01 0
Number of participants with account balances 2018-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 0
2017: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 1,205
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 274
Number of retired or separated participants receiving benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 274
Number of participants with account balances 2017-07-01 274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 1,109
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 1,082
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 123
Total of all active and inactive participants 2016-07-01 1,205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 1,205
Number of participants with account balances 2016-07-01 550
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 1,116
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 1,016
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 87
Total of all active and inactive participants 2015-07-01 1,103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 1,103
Number of participants with account balances 2015-07-01 534
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 1,060
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 1,035
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 93
Total of all active and inactive participants 2014-07-01 1,128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 1,128
Number of participants with account balances 2014-07-01 545
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 1
2013: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 1,170
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 956
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 79
Total of all active and inactive participants 2013-07-01 1,035
Total participants 2013-07-01 1,035
Number of participants with account balances 2013-07-01 557
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 1
2012: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 1,595
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 1,008
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 113
Total of all active and inactive participants 2012-07-01 1,121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 1
Total participants 2012-07-01 1,122
Number of participants with account balances 2012-07-01 619
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 1
Total participants, beginning-of-year 2012-01-01 1,248
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,532
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 62
Total of all active and inactive participants 2012-01-01 1,594
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 1,595
Number of participants with account balances 2012-01-01 650
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,457
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,178
Number of retired or separated participants receiving benefits 2011-01-01 3
Number of other retired or separated participants entitled to future benefits 2011-01-01 67
Total of all active and inactive participants 2011-01-01 1,248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,248
Number of participants with account balances 2011-01-01 638
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2009: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,287
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,309
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 93
Total of all active and inactive participants 2009-01-01 1,402
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,402
Number of participants with account balances 2009-01-01 673
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2018: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	274
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	0
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	0
Total participants	2018-07-01	0
Number of participants with account balances	2018-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	0
2017: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	1,205
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	274
Number of retired or separated participants receiving benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	274
Number of participants with account balances	2017-07-01	274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	1,109
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	1,082
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	123
Total of all active and inactive participants	2016-07-01	1,205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	1,205
Number of participants with account balances	2016-07-01	550
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	1,116
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	1,016
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	87
Total of all active and inactive participants	2015-07-01	1,103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	1,103
Number of participants with account balances	2015-07-01	534
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	1,060
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	1,035
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	93
Total of all active and inactive participants	2014-07-01	1,128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	1,128
Number of participants with account balances	2014-07-01	545
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	1
2013: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	1,170
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	956
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	79
Total of all active and inactive participants	2013-07-01	1,035
Total participants	2013-07-01	1,035
Number of participants with account balances	2013-07-01	557
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	1
2012: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	1,595
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	1,008
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	113
Total of all active and inactive participants	2012-07-01	1,121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	1
Total participants	2012-07-01	1,122
Number of participants with account balances	2012-07-01	619
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	1
Total participants, beginning-of-year	2012-01-01	1,248
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,532
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	62
Total of all active and inactive participants	2012-01-01	1,594
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	1,595
Number of participants with account balances	2012-01-01	650
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,457
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,178
Number of retired or separated participants receiving benefits	2011-01-01	3
Number of other retired or separated participants entitled to future benefits	2011-01-01	67
Total of all active and inactive participants	2011-01-01	1,248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,248
Number of participants with account balances	2011-01-01	638
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2009: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,287
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,309
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	93
Total of all active and inactive participants	2009-01-01	1,402
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,402
Number of participants with account balances	2009-01-01	673
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN

Measure	Date	Value
2019 : BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2019 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
2018 : BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$2,629,603
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$23,377,866
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$23,252,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$600,810
Value of total assets at end of year	2018-06-30	$42,887
Value of total assets at beginning of year	2018-06-30	$20,791,150
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$125,843
Total interest from all sources	2018-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$257,525
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-06-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$257,525
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$500,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$600,810
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$0
Total non interest bearing cash at end of year	2018-06-30	$42,887
Total non interest bearing cash at beginning of year	2018-06-30	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Income. Non cash contributions	2018-06-30	$0
Value of net income/loss	2018-06-30	$-20,748,263
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$42,887
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$20,791,150
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Investment advisory and management fees	2018-06-30	$95,833
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$19,434,892
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$1,356,256
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$1,771,268
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$23,252,023
Contract administrator fees	2018-06-30	$30,010
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-06-30	No
Did the plan have assets held for investment	2018-06-30	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	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	TORRILLO & ASSOCIATES LLC
Accountancy firm EIN	2018-06-30	830414789
2017 : BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$3,887,493
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$1,677,064
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$1,523,310
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$1,379,625
Value of total assets at end of year	2017-06-30	$20,791,150
Value of total assets at beginning of year	2017-06-30	$18,580,721
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$153,754
Total interest from all sources	2017-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$352,295
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-06-30	$352,295
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$500,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$1,357,932
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$21,693
Administrative expenses (other) incurred	2017-06-30	$0
Total non interest bearing cash at end of year	2017-06-30	$2
Total non interest bearing cash at beginning of year	2017-06-30	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Income. Non cash contributions	2017-06-30	$0
Value of net income/loss	2017-06-30	$2,210,429
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$20,791,150
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$18,580,721
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Investment advisory and management fees	2017-06-30	$96,739
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$19,434,892
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$17,260,006
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$1,356,256
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$1,320,713
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$2,155,573
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$1,523,310
Contract administrator fees	2017-06-30	$57,015
Did the plan have assets held for investment	2017-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2017-06-30	390859910
2016 : BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-06-30	$1,353,931
Total of all expenses incurred	2016-06-30	$1,697,044
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$1,547,469
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$1,467,781
Value of total assets at end of year	2016-06-30	$18,580,721
Value of total assets at beginning of year	2016-06-30	$18,923,834
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$149,575
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$389,575
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-06-30	$389,575
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$500,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$1,410,939
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$56,842
Total non interest bearing cash at end of year	2016-06-30	$2
Total non interest bearing cash at beginning of year	2016-06-30	$53,587
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-343,113
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$18,580,721
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$18,923,834
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Investment advisory and management fees	2016-06-30	$110,019
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$17,260,006
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$17,508,820
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$1,320,713
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$1,361,427
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-503,425
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$1,547,469
Contract administrator fees	2016-06-30	$39,556
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2016-06-30	390859910
2015 : BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-06-30	$1,999,633
Total of all expenses incurred	2015-06-30	$1,611,180
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$1,460,306
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$1,525,367
Value of total assets at end of year	2015-06-30	$18,923,834
Value of total assets at beginning of year	2015-06-30	$18,535,381
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$150,874
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$338,867
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-30	$338,867
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$500,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$1,306,403
Participant contributions at beginning of year	2015-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$218,964
Administrative expenses (other) incurred	2015-06-30	$0
Total non interest bearing cash at end of year	2015-06-30	$53,587
Total non interest bearing cash at beginning of year	2015-06-30	$69,691
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$388,453
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$18,923,834
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$18,535,381
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Investment advisory and management fees	2015-06-30	$114,541
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$17,508,820
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$17,216,655
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$1,361,427
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$1,249,035
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$135,399
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$1,460,306
Contract administrator fees	2015-06-30	$36,333
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2015-06-30	390859910
2014 : BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-06-30	$4,161,269
Total of all expenses incurred	2014-06-30	$2,575,295
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$2,424,278
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$1,497,233
Value of total assets at end of year	2014-06-30	$18,535,381
Value of total assets at beginning of year	2014-06-30	$16,949,407
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$151,017
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$325,435
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-06-30	$325,435
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$500,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$1,337,293
Participant contributions at end of year	2014-06-30	$0
Participant contributions at beginning of year	2014-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$159,940
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-06-30	$0
Administrative expenses (other) incurred	2014-06-30	$10,262
Total non interest bearing cash at end of year	2014-06-30	$69,691
Total non interest bearing cash at beginning of year	2014-06-30	$74,937
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$1,585,974
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$18,535,381
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$16,949,407
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Investment advisory and management fees	2014-06-30	$86,971
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$17,216,655
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$14,930,238
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-06-30	$2,779
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-06-30	$2,779
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$1,249,035
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$1,515,581
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$2,338,601
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Employer contributions (assets) at beginning of year	2014-06-30	$425,872
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$2,424,278
Contract administrator fees	2014-06-30	$53,784
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2014-06-30	390859910
2013 : BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2013 401k financial data
Total transfer of assets to this plan	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$4,284,177
Total of all expenses incurred	2013-06-30	$1,113,188
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$982,288
Value of total corrective distributions	2013-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$2,185,008
Value of total assets at end of year	2013-06-30	$16,949,407
Value of total assets at beginning of year	2013-06-30	$13,778,418
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$130,900
Total interest from all sources	2013-06-30	$926
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$299,599
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-06-30	$299,599
Administrative expenses professional fees incurred	2013-06-30	$0
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$500,000
If this is an individual account plan, was there a blackout period	2013-06-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$1,506,036
Participant contributions at end of year	2013-06-30	$0
Participant contributions at beginning of year	2013-06-30	$52,012
Income. Received or receivable in cash from other sources (including rollovers)	2013-06-30	$253,100
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-06-30	$0
Administrative expenses (other) incurred	2013-06-30	$2,729
Total non interest bearing cash at end of year	2013-06-30	$74,937
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Income. Non cash contributions	2013-06-30	$0
Value of net income/loss	2013-06-30	$3,170,989
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$16,949,407
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$13,778,418
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Investment advisory and management fees	2013-06-30	$67,562
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$14,930,238
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$12,257,417
Interest earned on other investments	2013-06-30	$926
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-06-30	$2,779
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-06-30	$17,898
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-06-30	$17,898
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$1,515,581
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$1,240,163
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$1,798,644
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$425,872
Employer contributions (assets) at end of year	2013-06-30	$425,872
Employer contributions (assets) at beginning of year	2013-06-30	$210,928
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$982,288
Contract administrator fees	2013-06-30	$60,609
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	2013-06-30	Yes
Did the plan have assets held for investment	2013-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	PARENTE BEARD LLC
Accountancy firm EIN	2013-06-30	232932984
2012 : BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$1,511,412
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$395,212
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$351,456
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$907,797
Value of total assets at end of year	2012-06-30	$13,778,418
Value of total assets at beginning of year	2012-06-30	$12,662,218
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$43,756
Total interest from all sources	2012-06-30	$6,910
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$103,182
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-06-30	$103,182
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$500,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$675,564
Participant contributions at end of year	2012-06-30	$52,012
Participant contributions at beginning of year	2012-06-30	$47,005
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$21,305
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-06-30	$2,916
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$1,116,200
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$13,778,418
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$12,662,218
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$12,257,417
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$11,213,016
Interest earned on other investments	2012-06-30	$6,907
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-06-30	$17,898
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-06-30	$17,540
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-06-30	$17,540
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-06-30	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$1,240,163
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$1,176,674
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$493,523
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$210,928
Employer contributions (assets) at end of year	2012-06-30	$210,928
Employer contributions (assets) at beginning of year	2012-06-30	$205,067
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$351,456
Contract administrator fees	2012-06-30	$43,756
Did the plan have assets held for investment	2012-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	PARENTE BEARD LLC
Accountancy firm EIN	2012-06-30	232932984
2011 : BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$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	$1,530,574
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,332,294
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,224,623
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,454,863
Value of total assets at end of year	2011-12-31	$12,662,218
Value of total assets at beginning of year	2011-12-31	$12,463,938
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$107,671
Total interest from all sources	2011-12-31	$21,098
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$402,928
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$402,928
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,148,516
Participant contributions at end of year	2011-12-31	$47,005
Participant contributions at beginning of year	2011-12-31	$40,243
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$101,280
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$2,916
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$3,383
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$198,280
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$12,662,218
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$12,463,938
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$11,213,016
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$11,205,439
Interest earned on other investments	2011-12-31	$21,096
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$17,540
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$16,576
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$16,576
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,176,674
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,198,297
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-348,315
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$205,067
Employer contributions (assets) at end of year	2011-12-31	$205,067
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,224,623
Contract administrator fees	2011-12-31	$107,671
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	PARENTE BEARD LLC
Accountancy firm EIN	2011-12-31	232932984
2010 : BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$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	$7,507
Total income from all sources (including contributions)	2010-12-31	$2,704,709
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$663,014
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$620,204
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,539,140
Value of total assets at end of year	2010-12-31	$12,463,938
Value of total assets at beginning of year	2010-12-31	$10,429,750
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$42,810
Total interest from all sources	2010-12-31	$60,126
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$236,830
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$236,830
Was this plan covered by a fidelity bond	2010-12-31	No
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,083,298
Participant contributions at end of year	2010-12-31	$40,243
Participant contributions at beginning of year	2010-12-31	$40,316
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$455,842
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$3,383
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$7,508
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$7,507
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$2,041,695
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$12,463,938
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$10,422,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$11,205,439
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$7,464,841
Interest earned on other investments	2010-12-31	$60,126
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$16,576
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$2,760
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$2,760
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,198,297
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$2,914,325
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$868,613
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$620,204
Contract administrator fees	2010-12-31	$42,810
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	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	PARENTE BEARD LLC
Accountancy firm EIN	2010-12-31	232932984
2009 : BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN

2018: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	Yes
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2011 form 5500 responses
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)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: BLUE MOUNTAIN HEALTH SYSTEM PENSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

8181

Policy instance

Insurance contract or identification number	8181
Number of Individuals Covered	1
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

8181

Policy instance

Insurance contract or identification number	8181
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

8181

Policy instance

Insurance contract or identification number	8181
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

8181

Policy instance

Insurance contract or identification number	8181
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Contracts With Unallocated Funds Deposit Administration	1

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

892455007

Policy instance

Insurance contract or identification number	892455007
Number of Individuals Covered	0
Insurance policy start date	2012-07-01
Insurance policy end date	2012-07-20
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

892455007

Policy instance

Insurance contract or identification number	892455007
Number of Individuals Covered	144
Insurance policy start date	2012-01-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $248
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $248
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

892455-007

Policy instance

Insurance contract or identification number	892455-007
Number of Individuals Covered	138
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $656
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

892455-007

Policy instance

Insurance contract or identification number	892455-007
Number of Individuals Covered	143
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,572
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,572
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

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Company Name:	BLUE MOUNTAIN HEALTH SYSTEM
Employer identification number (EIN):	201311316
NAIC Classification:	622000
NAIC Description:	Hospitals