401k Plan data: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN plan

COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 401k Plan overview

Plan Name	COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN
Plan identification number	002

COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

COLUMBIA VALLEY COMMUNITY HEALTH has sponsored the creation of one or more 401k plans.

Company Name: COLUMBIA VALLEY COMMUNITY HEALTH

Employer identification number (EIN): 237297657

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

Additional information about COLUMBIA VALLEY COMMUNITY HEALTH

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1973-02-22

Company Identification Number: 601108231

Legal Registered Office Address: 600 ORONDO AVE STE 1

WENATCHEE
United States of America (USA)
988010000

More information about COLUMBIA VALLEY COMMUNITY HEALTH

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 LEE LICHTENSTEIN
002 2016-01-01 LEE LICHTENSTEIN
002 2015-01-01 LEE LICHTENSTEIN
002 2015-01-01 LEE LICHTENSTEIN
002 2014-01-01 PATRICK BUCKNUM
002 2013-01-01 PATRICK BUCKNUM
002 2012-01-01 PATRICK BUCKNUM
002 2011-01-01 KRISTAL ALBRECHT
002 2009-01-01 KC MILLER KC MILLER 2010-10-14
002 2009-01-01 KRISTAL ALBRECHT

Plan Statistics for COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN

401k plan membership statisitcs for COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN

Measure Date Value
2022: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 545
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 401
Number of retired or separated participants receiving benefits 2022-01-01 3
Number of other retired or separated participants entitled to future benefits 2022-01-01 200
Total of all active and inactive participants 2022-01-01 604
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 604
Number of participants with account balances 2022-01-01 592
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 67
2021: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 492
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 369
Number of retired or separated participants receiving benefits 2021-01-01 7
Number of other retired or separated participants entitled to future benefits 2021-01-01 169
Total of all active and inactive participants 2021-01-01 545
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 545
Number of participants with account balances 2021-01-01 539
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 68
2020: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 459
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 352
Number of retired or separated participants receiving benefits 2020-01-01 7
Number of other retired or separated participants entitled to future benefits 2020-01-01 133
Total of all active and inactive participants 2020-01-01 492
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 492
Number of participants with account balances 2020-01-01 434
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 31
2019: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 440
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 329
Number of other retired or separated participants entitled to future benefits 2019-01-01 130
Total of all active and inactive participants 2019-01-01 459
Total participants 2019-01-01 459
Number of participants with account balances 2019-01-01 457
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 21
2018: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 432
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 307
Number of retired or separated participants receiving benefits 2018-01-01 4
Number of other retired or separated participants entitled to future benefits 2018-01-01 129
Total of all active and inactive participants 2018-01-01 440
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 440
Number of participants with account balances 2018-01-01 369
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 22
2017: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 353
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 305
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 124
Total of all active and inactive participants 2017-01-01 430
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 430
Number of participants with account balances 2017-01-01 343
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 20
2016: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 317
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 272
Number of retired or separated participants receiving benefits 2016-01-01 3
Number of other retired or separated participants entitled to future benefits 2016-01-01 77
Total of all active and inactive participants 2016-01-01 352
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 352
Number of participants with account balances 2016-01-01 288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 13
2015: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 291
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 261
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 58
Total of all active and inactive participants 2015-01-01 319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 319
Number of participants with account balances 2015-01-01 262
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 58
2014: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 287
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 243
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 56
Total of all active and inactive participants 2014-01-01 299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 299
Number of participants with account balances 2014-01-01 243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 19
2013: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 255
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 245
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 42
Total of all active and inactive participants 2013-01-01 287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 287
Number of participants with account balances 2013-01-01 243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 16
2012: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 234
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 224
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 31
Total of all active and inactive participants 2012-01-01 255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 255
Number of participants with account balances 2012-01-01 233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 14
2011: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 248
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 212
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 213
Number of participants with account balances 2011-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 15
2009: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 282
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 264
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 65
Total of all active and inactive participants 2009-01-01 329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 329
Number of participants with account balances 2009-01-01 282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 37

Measure	Date	Value
2022: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	545
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	401
Number of retired or separated participants receiving benefits	2022-01-01	3
Number of other retired or separated participants entitled to future benefits	2022-01-01	200
Total of all active and inactive participants	2022-01-01	604
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	604
Number of participants with account balances	2022-01-01	592
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	67
2021: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	492
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	369
Number of retired or separated participants receiving benefits	2021-01-01	7
Number of other retired or separated participants entitled to future benefits	2021-01-01	169
Total of all active and inactive participants	2021-01-01	545
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	545
Number of participants with account balances	2021-01-01	539
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	68
2020: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	459
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	352
Number of retired or separated participants receiving benefits	2020-01-01	7
Number of other retired or separated participants entitled to future benefits	2020-01-01	133
Total of all active and inactive participants	2020-01-01	492
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	492
Number of participants with account balances	2020-01-01	434
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	31
2019: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	440
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	329
Number of other retired or separated participants entitled to future benefits	2019-01-01	130
Total of all active and inactive participants	2019-01-01	459
Total participants	2019-01-01	459
Number of participants with account balances	2019-01-01	457
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	21
2018: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	432
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	307
Number of retired or separated participants receiving benefits	2018-01-01	4
Number of other retired or separated participants entitled to future benefits	2018-01-01	129
Total of all active and inactive participants	2018-01-01	440
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	440
Number of participants with account balances	2018-01-01	369
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	22
2017: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	353
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	305
Number of retired or separated participants receiving benefits	2017-01-01	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	124
Total of all active and inactive participants	2017-01-01	430
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	430
Number of participants with account balances	2017-01-01	343
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	20
2016: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	317
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	272
Number of retired or separated participants receiving benefits	2016-01-01	3
Number of other retired or separated participants entitled to future benefits	2016-01-01	77
Total of all active and inactive participants	2016-01-01	352
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	352
Number of participants with account balances	2016-01-01	288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	13
2015: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	291
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	261
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	58
Total of all active and inactive participants	2015-01-01	319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	319
Number of participants with account balances	2015-01-01	262
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	58
2014: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	287
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	243
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	56
Total of all active and inactive participants	2014-01-01	299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	299
Number of participants with account balances	2014-01-01	243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	19
2013: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	255
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	245
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	42
Total of all active and inactive participants	2013-01-01	287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	287
Number of participants with account balances	2013-01-01	243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	16
2012: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	234
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	224
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	31
Total of all active and inactive participants	2012-01-01	255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	255
Number of participants with account balances	2012-01-01	233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	14
2011: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	248
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	212
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	213
Number of participants with account balances	2011-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	15
2009: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	282
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	264
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	65
Total of all active and inactive participants	2009-01-01	329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	329
Number of participants with account balances	2009-01-01	282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	37

Financial Data on COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN

Measure	Date	Value
2022 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$840
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$364
Total income from all sources (including contributions)	2022-12-31	$-1,745,098
Total of all expenses incurred	2022-12-31	$1,676,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,549,739
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$3,223,598
Value of total assets at end of year	2022-12-31	$25,116,708
Value of total assets at beginning of year	2022-12-31	$28,537,916
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$126,847
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$769,162
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$769,162
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$1,879,043
Participant contributions at end of year	2022-12-31	$214
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$925,648
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$832,361
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$363,673
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$840
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$364
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-3,421,684
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$25,115,868
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$28,537,552
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$22,984,698
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$26,559,133
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$1,205,855
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$1,146,422
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-5,737,858
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$980,882
Employer contributions (assets) at end of year	2022-12-31	$293
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,549,739
Contract administrator fees	2022-12-31	$126,847
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	2022-12-31	No
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	LBMC PC
Accountancy firm EIN	2022-12-31	621199757
2021 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$364
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$6,690
Total income from all sources (including contributions)	2021-12-31	$7,098,902
Total of all expenses incurred	2021-12-31	$2,382,288
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$2,246,533
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$3,068,743
Value of total assets at end of year	2021-12-31	$28,537,916
Value of total assets at beginning of year	2021-12-31	$23,827,628
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$135,755
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$849,478
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$849,478
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$1,790,718
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$832,361
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$55,651
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$207,884
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$364
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$6,690
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$4,716,614
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$28,537,552
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$23,820,938
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$26,559,133
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$22,824,033
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$1,146,422
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$947,944
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$3,180,681
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$1,070,141
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$2,246,533
Contract administrator fees	2021-12-31	$135,755
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	2021-12-31	No
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	LBMC PC
Accountancy firm EIN	2021-12-31	621199757
2020 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$6,690
Total income from all sources (including contributions)	2020-12-31	$5,537,401
Total of all expenses incurred	2020-12-31	$1,316,601
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,215,137
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,264,425
Value of total assets at end of year	2020-12-31	$23,827,628
Value of total assets at beginning of year	2020-12-31	$19,600,138
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$101,464
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$1,393,825
Participant contributions at beginning of year	2020-12-31	$57,566
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$55,651
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$15,898
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$93,233
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$6,690
Administrative expenses (other) incurred	2020-12-31	$101,464
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$4,220,800
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$23,820,938
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$19,600,138
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$22,824,033
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$18,376,759
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$947,944
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$1,119,255
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$3,272,976
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$777,367
Employer contributions (assets) at beginning of year	2020-12-31	$30,660
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,215,137
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	2020-12-31	No
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	LBMC PC
Accountancy firm EIN	2020-12-31	621199757
2019 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2019 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$52
Total income from all sources (including contributions)	2019-12-31	$5,778,386
Total of all expenses incurred	2019-12-31	$1,967,466
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,873,132
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,083,070
Value of total assets at end of year	2019-12-31	$19,600,138
Value of total assets at beginning of year	2019-12-31	$15,789,270
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$94,334
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,284,468
Participant contributions at end of year	2019-12-31	$57,566
Participant contributions at beginning of year	2019-12-31	$38,743
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$15,898
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$37,881
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$6,739
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$52
Administrative expenses (other) incurred	2019-12-31	$94,334
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$3,810,920
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$19,600,138
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$15,789,218
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$18,376,759
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$14,707,847
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$1,119,255
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$1,010,441
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$3,695,316
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$760,721
Employer contributions (assets) at end of year	2019-12-31	$30,660
Employer contributions (assets) at beginning of year	2019-12-31	$25,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,873,132
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	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	LBMC, PC
Accountancy firm EIN	2019-12-31	621199757
2018 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$52
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$408
Total income from all sources (including contributions)	2018-12-31	$1,140,321
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$961,099
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$876,104
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,936,376
Value of total assets at end of year	2018-12-31	$15,789,270
Value of total assets at beginning of year	2018-12-31	$15,610,404
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$84,995
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,144,862
Participant contributions at end of year	2018-12-31	$38,743
Participant contributions at beginning of year	2018-12-31	$30,771
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$42,627
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$26,779
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$6,739
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$14,778
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$52
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$408
Other income not declared elsewhere	2018-12-31	$4,613
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$179,222
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$15,789,218
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$15,609,996
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$14,707,847
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$14,687,694
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$1,010,441
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$835,304
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-800,668
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$748,887
Employer contributions (assets) at end of year	2018-12-31	$25,500
Employer contributions (assets) at beginning of year	2018-12-31	$41,857
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$849,325
Contract administrator fees	2018-12-31	$84,995
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	LBMC, PC
Accountancy firm EIN	2018-12-31	621199757
2017 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$408
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$18,544
Total income from all sources (including contributions)	2017-12-31	$3,982,881
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,067,907
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$990,214
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,795,192
Value of total assets at end of year	2017-12-31	$15,610,404
Value of total assets at beginning of year	2017-12-31	$12,713,566
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$77,693
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$973,288
Participant contributions at end of year	2017-12-31	$30,771
Participant contributions at beginning of year	2017-12-31	$34,247
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$154,194
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-12-31	$25,407
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$14,778
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$408
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$18,544
Other income not declared elsewhere	2017-12-31	$15,519
Total non interest bearing cash at beginning of year	2017-12-31	$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	2017-12-31	No
Income. Non cash contributions	2017-12-31	$25,407
Value of net income/loss	2017-12-31	$2,914,974
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$15,609,996
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$12,695,022
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$77,693
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$14,687,694
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$11,728,255
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$835,304
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$912,710
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$2,172,170
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$642,303
Employer contributions (assets) at end of year	2017-12-31	$41,857
Employer contributions (assets) at beginning of year	2017-12-31	$38,354
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$964,807
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	LBMC, PC
Accountancy firm EIN	2017-12-31	621199757
2016 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$18,544
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$2,562,208
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$750,841
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$685,965
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,651,496
Value of total assets at end of year	2016-12-31	$12,713,566
Value of total assets at beginning of year	2016-12-31	$10,883,655
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$64,876
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$269,288
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$269,288
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$932,168
Participant contributions at end of year	2016-12-31	$34,247
Participant contributions at beginning of year	2016-12-31	$58,420
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$120,628
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$9,189
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$18,544
Other income not declared elsewhere	2016-12-31	$0
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$83,337
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,811,367
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$12,695,022
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$10,883,655
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$11,728,255
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$9,756,891
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$912,710
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$957,042
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$641,424
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$598,700
Employer contributions (assets) at end of year	2016-12-31	$38,354
Employer contributions (assets) at beginning of year	2016-12-31	$27,965
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$676,776
Contract administrator fees	2016-12-31	$64,876
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	LBMC, PC
Accountancy firm EIN	2016-12-31	621199757
2015 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$1,485,925
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,373,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,282,118
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,457,330
Value of total assets at end of year	2015-12-31	$10,883,655
Value of total assets at beginning of year	2015-12-31	$10,771,686
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$91,838
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$857,866
Participant contributions at end of year	2015-12-31	$58,420
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$83,185
Other income not declared elsewhere	2015-12-31	$93,572
Total non interest bearing cash at end of year	2015-12-31	$83,337
Total non interest bearing cash at beginning of year	2015-12-31	$2,179
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$111,969
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$10,883,655
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$10,771,686
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$9,756,891
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$10,044,299
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$957,042
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$725,208
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-64,977
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$516,279
Employer contributions (assets) at end of year	2015-12-31	$27,965
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,282,118
Contract administrator fees	2015-12-31	$91,838
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2015-12-31	910189318
2014 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$2,108,657
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$683,770
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$600,815
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,337,551
Value of total assets at end of year	2014-12-31	$10,771,686
Value of total assets at beginning of year	2014-12-31	$9,346,799
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$82,955
Total interest from all sources	2014-12-31	$1,849
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$762,671
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$80,103
Total non interest bearing cash at end of year	2014-12-31	$2,179
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,424,887
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$10,771,686
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$9,346,799
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$10,044,299
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$8,492,510
Interest earned on other investments	2014-12-31	$1,849
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$725,208
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$854,289
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$769,257
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$494,777
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$600,815
Contract administrator fees	2014-12-31	$82,955
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2014-12-31	910189318
2013 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$2,628,726
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$332,971
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$258,929
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,198,358
Value of total assets at end of year	2013-12-31	$9,346,799
Value of total assets at beginning of year	2013-12-31	$7,051,044
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$74,042
Total interest from all sources	2013-12-31	$18,126
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$712,921
Participant contributions at beginning of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$74
Total non interest bearing cash at beginning of year	2013-12-31	$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	2013-12-31	No
Value of net income/loss	2013-12-31	$2,295,755
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$9,346,799
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$7,051,044
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$8,492,510
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$6,421,381
Interest earned on other investments	2013-12-31	$18,126
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$854,289
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$629,663
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,412,168
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$485,437
Employer contributions (assets) at beginning of year	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$258,929
Contract administrator fees	2013-12-31	$74,042
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2013-12-31	910189318
2012 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,849,178
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$358,861
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$310,828
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,105,226
Value of total assets at end of year	2012-12-31	$7,051,044
Value of total assets at beginning of year	2012-12-31	$5,560,727
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$48,033
Total interest from all sources	2012-12-31	$13,675
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$662,624
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$3,384
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$0
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$5,534,142
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,490,317
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$7,051,044
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$5,560,727
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$6,421,381
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$24,731
Interest earned on other investments	2012-12-31	$13,675
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$629,663
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,854
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$730,277
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$439,218
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$310,828
Contract administrator fees	2012-12-31	$48,033
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MOSS ADAMS
Accountancy firm EIN	2012-12-31	910189318
2011 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT 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	$699,504
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$940,228
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$921,120
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$751,381
Value of total assets at end of year	2011-12-31	$5,560,727
Value of total assets at beginning of year	2011-12-31	$5,801,451
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$19,108
Total interest from all sources	2011-12-31	$29,083
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
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	Yes
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	$532,271
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$15,567
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$0
Total non interest bearing cash at end of year	2011-12-31	$5,534,142
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
Income. Non cash contributions	2011-12-31	$0
Value of net income/loss	2011-12-31	$-240,724
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$5,560,727
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$5,801,451
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	$24,731
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$4,829,768
Interest earned on other investments	2011-12-31	$29,083
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,854
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$971,683
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-80,960
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	$203,543
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$921,120
Contract administrator fees	2011-12-31	$19,108
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	2011-12-31	Yes
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	MOSS ADAMS LLP
Accountancy firm EIN	2011-12-31	910189318
2010 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets	2010-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$0
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$0
Total transfer of assets from this plan	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	$0
Total income from all sources (including contributions)	2010-12-31	$1,339,574
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$638,697
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$614,422
Value of total corrective distributions	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$704,944
Value of total assets at end of year	2010-12-31	$5,801,451
Value of total assets at beginning of year	2010-12-31	$5,100,574
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$24,275
Total income from rents	2010-12-31	$0
Total interest from all sources	2010-12-31	$28,193
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$100,830
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	$100,830
Administrative expenses professional fees incurred	2010-12-31	$0
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
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
Amount of non-exempt transactions with any party-in-interest	2010-12-31	$0
Contributions received from participants	2010-12-31	$493,379
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$8,630
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$0
Other income not declared elsewhere	2010-12-31	$1,111
Administrative expenses (other) incurred	2010-12-31	$0
Liabilities. Value of operating payables at beginning of year	2010-12-31	$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	2010-12-31	No
Value of net income/loss	2010-12-31	$700,877
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$5,801,451
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$5,100,574
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2010-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2010-12-31	$0
Investment advisory and management fees	2010-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$4,829,768
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$4,153,697
Income. Interest from loans (other than to participants)	2010-12-31	$0
Interest earned on other investments	2010-12-31	$28,193
Income. Interest from US Government securities	2010-12-31	$0
Income. Interest from corporate debt instruments	2010-12-31	$0
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	$971,683
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$946,877
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$504,496
Net investment gain/loss from pooled separate accounts	2010-12-31	$0
Net investment gain or loss from common/collective trusts	2010-12-31	$0
Net gain/loss from 103.12 investment entities	2010-12-31	$0
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	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$202,935
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$0
Income. Dividends from preferred stock	2010-12-31	$0
Income. Dividends from common stock	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$614,422
Contract administrator fees	2010-12-31	$24,275
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
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$0
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
Aggregate proceeds on sale of assets	2010-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2010-12-31	$0
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	LARSONALLEN LLP
Accountancy firm EIN	2010-12-31	410746749
2009 : COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT 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 COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN

2022: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2012 form 5500 responses
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)	No
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: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT 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: COLUMBIA VALLEY COMMUNITY HEALTH RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
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

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

Policy contract number

CVCH-001

Policy instance

Insurance contract or identification number	CVCH-001
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $156
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $156
Insurance broker organization code?	3

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

Policy contract number

CVCH-001

Policy instance

Insurance contract or identification number	CVCH-001
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $1,740
Total amount of fees paid to insurance company	USD $0
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
Commission paid to Insurance Broker	USD $1,740
Insurance broker organization code?	3

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

Policy contract number

CVCH-001

Policy instance

Insurance contract or identification number	CVCH-001
Number of Individuals Covered	305
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $1,644
Total amount of fees paid to insurance company	USD $0
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
Commission paid to Insurance Broker	USD $1,644
Insurance broker organization code?	3
Insurance broker name	WADDELL & REED

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

Policy contract number

CVCH-001

Policy instance

Insurance contract or identification number	CVCH-001
Number of Individuals Covered	319
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
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

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

Policy contract number

808112

Policy instance

Insurance contract or identification number	808112
Number of Individuals Covered	243
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
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	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare 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

808112

Policy instance

Insurance contract or identification number	808112
Number of Individuals Covered	255
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
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	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare 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

808112

Policy instance

Insurance contract or identification number	808112
Number of Individuals Covered	255
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
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	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare 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

808112

Policy instance

Insurance contract or identification number	808112
Number of Individuals Covered	149
Insurance policy start date	2011-12-29
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
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?	No
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

441463

Policy instance

Insurance contract or identification number	441463
Number of Individuals Covered	0
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-29
Total amount of commissions paid to insurance broker	USD $6,006
Total amount of fees paid to insurance company	USD $8,554
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

441463

Policy instance

Insurance contract or identification number	441463
Number of Individuals Covered	248
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $5,866
Total amount of fees paid to insurance company	USD $9,429
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 contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

COLUMBIA VALLEY FRUIT LLC 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 203298089]

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The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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See full terms and conditions

Company Name:	COLUMBIA VALLEY COMMUNITY HEALTH
Employer identification number (EIN):	237297657
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1973-02-22
Company Identification Number:	601108231
Legal Registered Office Address:	600 ORONDO AVE STE 1 WENATCHEE United States of America (USA) 988010000