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AVISTA HEALTHCARE PLAN 401k Plan overview

Plan NameAVISTA HEALTHCARE PLAN
Plan identification number 501

AVISTA HEALTHCARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

AVISTA HEALTHCARE, LLC has sponsored the creation of one or more 401k plans.

Company Name:AVISTA HEALTHCARE, LLC
Employer identification number (EIN):205274922
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about AVISTA HEALTHCARE, LLC

Jurisdiction of Incorporation: New Jersey Division of Revenue and Enterprise Services
Incorporation Date:
Company Identification Number: 0600272618

More information about AVISTA HEALTHCARE, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AVISTA HEALTHCARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01
5012022-07-01MICHAEL TREFF
5012021-07-01
5012021-07-01MICHAEL TREFF
5012020-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01
5012016-07-01MICHAEL TREFF
5012015-07-01MICHAEL TREFF
5012014-07-01MICHAEL TREFF

Financial Data on AVISTA HEALTHCARE PLAN

Measure Date Value
2023 : AVISTA HEALTHCARE PLAN 2023 401k financial data
Total plan liabilities at beginning of year2023-01-10$19,974
Expenses. Total of all expenses incurred2023-01-10$8,130
Total plan assets at end of year2023-01-10$0
Total plan assets at beginning of year2023-01-10$28,104
Expenses. Other expenses not covered elsewhere2023-01-10$8,130
Net income (gross income less expenses)2023-01-10$-8,130
Net plan assets at end of year (total assets less liabilities)2023-01-10$0
Net plan assets at beginning of year (total assets less liabilities)2023-01-10$8,130
2022 : AVISTA HEALTHCARE PLAN 2022 401k financial data
Total plan liabilities at end of year2022-06-30$19,974
Total plan liabilities at beginning of year2022-06-30$85,353
Total income from all sources2022-06-30$92,451
Expenses. Total of all expenses incurred2022-06-30$13,500
Total plan assets at end of year2022-06-30$28,104
Total plan assets at beginning of year2022-06-30$14,532
Expenses. Other expenses not covered elsewhere2022-06-30$13,500
Net income (gross income less expenses)2022-06-30$78,951
Net plan assets at end of year (total assets less liabilities)2022-06-30$8,130
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$-70,821
Total contributions received or receivable from employer(s)2022-06-30$92,451
2021 : AVISTA HEALTHCARE PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$477,540
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$482,817
Total income from all sources (including contributions)2021-06-30$1,500,892
Total of all expenses incurred2021-06-30$1,565,626
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$1,439,798
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$1,500,892
Value of total assets at end of year2021-06-30$14,532
Value of total assets at beginning of year2021-06-30$84,543
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$125,828
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$7,500
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$10,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$154,664
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$12,000
Administrative expenses (other) incurred2021-06-30$65
Total non interest bearing cash at end of year2021-06-30$14,532
Total non interest bearing cash at beginning of year2021-06-30$84,543
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$-64,734
Value of net assets at end of year (total assets less liabilities)2021-06-30$-463,008
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$-398,274
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in pooled separate accounts at end of year2021-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$389,331
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$1,346,228
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$1,050,467
Contract administrator fees2021-06-30$118,263
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-06-30No
Liabilities. Value of benefit claims payable at end of year2021-06-30$477,540
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$470,817
Did the plan have assets held for investment2021-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30FASTEN HALBERSTAM LLP
Accountancy firm EIN2021-06-30472319109
2020 : AVISTA HEALTHCARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$482,817
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$349,183
Total income from all sources (including contributions)2020-06-30$1,962,407
Total of all expenses incurred2020-06-30$2,138,577
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$2,001,941
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$1,962,407
Value of total assets at end of year2020-06-30$84,543
Value of total assets at beginning of year2020-06-30$127,079
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$136,636
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$6,000
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$10,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$171,203
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$12,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$12,000
Administrative expenses (other) incurred2020-06-30$50
Total non interest bearing cash at end of year2020-06-30$84,543
Total non interest bearing cash at beginning of year2020-06-30$127,079
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$-176,170
Value of net assets at end of year (total assets less liabilities)2020-06-30$-398,274
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$-222,104
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in pooled separate accounts at end of year2020-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$453,082
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$1,791,204
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$1,548,859
Contract administrator fees2020-06-30$130,586
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Liabilities. Value of benefit claims payable at end of year2020-06-30$470,817
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$337,183
Did the plan have assets held for investment2020-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30FASTEN HALBERSTAM LLP
Accountancy firm EIN2020-06-30472319109
2019 : AVISTA HEALTHCARE PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$349,183
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$106,098
Total income from all sources (including contributions)2019-06-30$1,490,760
Total of all expenses incurred2019-06-30$1,611,923
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$1,483,871
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$1,490,760
Value of total assets at end of year2019-06-30$127,079
Value of total assets at beginning of year2019-06-30$5,157
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$128,052
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$1,500
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$10,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$128,724
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-06-30$12,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$5,000
Total non interest bearing cash at end of year2019-06-30$127,079
Total non interest bearing cash at beginning of year2019-06-30$5,157
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-121,163
Value of net assets at end of year (total assets less liabilities)2019-06-30$-222,104
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$-100,941
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest in pooled separate accounts at end of year2019-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$528,029
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$1,362,036
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$955,842
Contract administrator fees2019-06-30$126,552
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Liabilities. Value of benefit claims payable at end of year2019-06-30$337,183
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$101,098
Did the plan have assets held for investment2019-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30FASTEN HALBERSTAM LLP
Accountancy firm EIN2019-06-30472319109
2017 : AVISTA HEALTHCARE PLAN 2017 401k financial data
Total plan liabilities at end of year2017-06-30$184,023
Total income from all sources2017-06-30$675,825
Expenses. Total of all expenses incurred2017-06-30$893,312
Benefits paid (including direct rollovers)2017-06-30$808,898
Total plan assets at end of year2017-06-30$27,293
Total plan assets at beginning of year2017-06-30$60,757
Value of fidelity bond covering the plan2017-06-30$10,000
Total contributions received or receivable from participants2017-06-30$73,161
Expenses. Other expenses not covered elsewhere2017-06-30$84,414
Net income (gross income less expenses)2017-06-30$-217,487
Net plan assets at end of year (total assets less liabilities)2017-06-30$-156,730
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$60,757
Total contributions received or receivable from employer(s)2017-06-30$602,664
2016 : AVISTA HEALTHCARE PLAN 2016 401k financial data
Total plan liabilities at beginning of year2016-06-30$5,000
Total income from all sources2016-06-30$453,910
Expenses. Total of all expenses incurred2016-06-30$537,820
Benefits paid (including direct rollovers)2016-06-30$490,697
Total plan assets at end of year2016-06-30$60,757
Total plan assets at beginning of year2016-06-30$149,667
Total contributions received or receivable from participants2016-06-30$61,310
Net income (gross income less expenses)2016-06-30$-83,910
Net plan assets at end of year (total assets less liabilities)2016-06-30$60,757
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$144,667
Total contributions received or receivable from employer(s)2016-06-30$392,600
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$47,123
2015 : AVISTA HEALTHCARE PLAN 2015 401k financial data
Total plan liabilities at end of year2015-06-30$5,000
Total income from all sources2015-06-30$541,746
Expenses. Total of all expenses incurred2015-06-30$397,079
Benefits paid (including direct rollovers)2015-06-30$346,789
Total plan assets at end of year2015-06-30$149,667
Total contributions received or receivable from participants2015-06-30$77,542
Net income (gross income less expenses)2015-06-30$144,667
Net plan assets at end of year (total assets less liabilities)2015-06-30$144,667
Total contributions received or receivable from employer(s)2015-06-30$464,204
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$50,290

Form 5500 Responses for AVISTA HEALTHCARE PLAN

2022: AVISTA HEALTHCARE PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01This submission is the final filingYes
2022-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement - TrustYes
2021: AVISTA HEALTHCARE PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement - TrustYes
2020: AVISTA HEALTHCARE PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: AVISTA HEALTHCARE PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: AVISTA HEALTHCARE PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: AVISTA HEALTHCARE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: AVISTA HEALTHCARE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: AVISTA HEALTHCARE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: AVISTA HEALTHCARE PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number231112
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number231112
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number231112
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number231112
Policy instance 1

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