| Plan Name | TRI-AREA COMMUNITY HEALTH 401(K) SAFE HARBOR PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | TRI-AREA COMMUNITY HEALTH |
| Employer identification number (EIN): | 541112330 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
Additional information about TRI-AREA COMMUNITY HEALTH
| Jurisdiction of Incorporation: | Virginia Secretary of State |
| Incorporation Date: | 1980-03-31 |
| Company Identification Number: | 0204679 |
| Legal Registered Office Address: |
TRI AREA COMMUNITY HEALTH PO BOX 250 LAUREL FORK United States of America (USA) 24352 |
More information about TRI-AREA COMMUNITY HEALTH
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2022-06-01 | JAMES WERTH | 2024-03-15 |
| Measure | Date | Value |
|---|---|---|
| 2023 : TRI-AREA COMMUNITY HEALTH 401(K) SAFE HARBOR PLAN 2023 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2023-06-01 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-06-01 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-06-01 | $0 |
| Total income from all sources (including contributions) | 2023-06-01 | $1,739,468 |
| Total loss/gain on sale of assets | 2023-06-01 | $0 |
| Total of all expenses incurred | 2023-06-01 | $744,424 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-06-01 | $720,228 |
| Expenses. Certain deemed distributions of participant loans | 2023-06-01 | $12,607 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-06-01 | $818,927 |
| Value of total assets at end of year | 2023-06-01 | $6,255,039 |
| Value of total assets at beginning of year | 2023-06-01 | $5,259,995 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-06-01 | $11,589 |
| Total interest from all sources | 2023-06-01 | $8,323 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-06-01 | $5,963 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-06-01 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2023-06-01 | $5,963 |
| Was this plan covered by a fidelity bond | 2023-06-01 | Yes |
| Value of fidelity bond cover | 2023-06-01 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2023-06-01 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2023-06-01 | No |
| Contributions received from participants | 2023-06-01 | $478,762 |
| Participant contributions at end of year | 2023-06-01 | $106,123 |
| Participant contributions at beginning of year | 2023-06-01 | $137,103 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2023-06-01 | $12,235 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-06-01 | No |
| Value of net income/loss | 2023-06-01 | $995,044 |
| Value of net assets at end of year (total assets less liabilities) | 2023-06-01 | $6,255,039 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-06-01 | $5,259,995 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-06-01 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-06-01 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-06-01 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-06-01 | $684,161 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-06-01 | $486,469 |
| Value of interest in pooled separate accounts at end of year | 2023-06-01 | $5,464,755 |
| Value of interest in pooled separate accounts at beginning of year | 2023-06-01 | $4,300,427 |
| Interest on participant loans | 2023-06-01 | $8,323 |
| Value of interest in common/collective trusts at end of year | 2023-06-01 | $0 |
| Value of interest in common/collective trusts at beginning of year | 2023-06-01 | $335,996 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2023-06-01 | $109,734 |
| Net investment gain/loss from pooled separate accounts | 2023-06-01 | $792,479 |
| Net investment gain or loss from common/collective trusts | 2023-06-01 | $4,042 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-06-01 | No |
| Was there a failure to transmit to the plan any participant contributions | 2023-06-01 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2023-06-01 | No |
| Contributions received in cash from employer | 2023-06-01 | $327,930 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-06-01 | $720,228 |
| Contract administrator fees | 2023-06-01 | $11,589 |
| Did the plan have assets held for investment | 2023-06-01 | 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 | 2023-06-01 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-06-01 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-06-01 | 1 |
| Accountancy firm name | 2023-06-01 | BROWN, EDWARDS & COMPANY LLP |
| Accountancy firm EIN | 2023-06-01 | 540504608 |
| Total unrealized appreciation/depreciation of assets | 2023-05-31 | $0 |
| Total transfer of assets to this plan | 2023-05-31 | $100,961 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-05-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-05-31 | $0 |
| Total income from all sources (including contributions) | 2023-05-31 | $5,259,039 |
| Total loss/gain on sale of assets | 2023-05-31 | $0 |
| Total of all expenses incurred | 2023-05-31 | $100,005 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-05-31 | $89,132 |
| Expenses. Certain deemed distributions of participant loans | 2023-05-31 | $703 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-05-31 | $5,207,328 |
| Value of total assets at end of year | 2023-05-31 | $5,259,995 |
| Value of total assets at beginning of year | 2023-05-31 | $0 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-05-31 | $10,170 |
| Total interest from all sources | 2023-05-31 | $6,284 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-05-31 | $8,025 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2023-05-31 | $8,025 |
| Was this plan covered by a fidelity bond | 2023-05-31 | Yes |
| Value of fidelity bond cover | 2023-05-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2023-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2023-05-31 | No |
| Contributions received from participants | 2023-05-31 | $427,714 |
| Participant contributions at end of year | 2023-05-31 | $137,103 |
| Participant contributions at beginning of year | 2023-05-31 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2023-05-31 | $4,488,090 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-05-31 | No |
| Value of net income/loss | 2023-05-31 | $5,159,034 |
| Value of net assets at end of year (total assets less liabilities) | 2023-05-31 | $5,259,995 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-05-31 | $0 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-05-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-05-31 | $486,469 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-05-31 | $0 |
| Value of interest in pooled separate accounts at end of year | 2023-05-31 | $4,300,427 |
| Value of interest in pooled separate accounts at beginning of year | 2023-05-31 | $0 |
| Interest on participant loans | 2023-05-31 | $6,284 |
| Value of interest in common/collective trusts at end of year | 2023-05-31 | $335,996 |
| Value of interest in common/collective trusts at beginning of year | 2023-05-31 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2023-05-31 | $-13,593 |
| Net investment gain/loss from pooled separate accounts | 2023-05-31 | $46,296 |
| Net investment gain or loss from common/collective trusts | 2023-05-31 | $4,699 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-05-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2023-05-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2023-05-31 | No |
| Contributions received in cash from employer | 2023-05-31 | $291,524 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-05-31 | $89,132 |
| Contract administrator fees | 2023-05-31 | $10,170 |
| Did the plan have assets held for investment | 2023-05-31 | 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 | 2023-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-05-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-05-31 | Unqualified |
| Accountancy firm name | 2023-05-31 | BROWN, EDWARDS & COMPANY LLP |
| Accountancy firm EIN | 2023-05-31 | 540504608 |
| 2022 : TRI-AREA COMMUNITY HEALTH 401(K) SAFE HARBOR PLAN 2022 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2022-06-01 | $0 |
| Total transfer of assets to this plan | 2022-06-01 | $100,961 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-06-01 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-06-01 | $0 |
| Total income from all sources (including contributions) | 2022-06-01 | $5,259,039 |
| Total loss/gain on sale of assets | 2022-06-01 | $0 |
| Total of all expenses incurred | 2022-06-01 | $100,005 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-06-01 | $89,132 |
| Expenses. Certain deemed distributions of participant loans | 2022-06-01 | $703 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-06-01 | $5,207,328 |
| Value of total assets at end of year | 2022-06-01 | $5,259,995 |
| Value of total assets at beginning of year | 2022-06-01 | $0 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-06-01 | $10,170 |
| Total interest from all sources | 2022-06-01 | $6,284 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-06-01 | $8,025 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-06-01 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-06-01 | $8,025 |
| Was this plan covered by a fidelity bond | 2022-06-01 | Yes |
| Value of fidelity bond cover | 2022-06-01 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2022-06-01 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-06-01 | No |
| Contributions received from participants | 2022-06-01 | $427,714 |
| Participant contributions at end of year | 2022-06-01 | $137,103 |
| Participant contributions at beginning of year | 2022-06-01 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2022-06-01 | $4,488,090 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-06-01 | No |
| Value of net income/loss | 2022-06-01 | $5,159,034 |
| Value of net assets at end of year (total assets less liabilities) | 2022-06-01 | $5,259,995 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-06-01 | $0 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-06-01 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-06-01 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-06-01 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-06-01 | $486,469 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-06-01 | $0 |
| Value of interest in pooled separate accounts at end of year | 2022-06-01 | $4,300,427 |
| Value of interest in pooled separate accounts at beginning of year | 2022-06-01 | $0 |
| Interest on participant loans | 2022-06-01 | $6,284 |
| Value of interest in common/collective trusts at end of year | 2022-06-01 | $335,996 |
| Value of interest in common/collective trusts at beginning of year | 2022-06-01 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-06-01 | $-13,593 |
| Net investment gain/loss from pooled separate accounts | 2022-06-01 | $46,296 |
| Net investment gain or loss from common/collective trusts | 2022-06-01 | $4,699 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-06-01 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-06-01 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2022-06-01 | No |
| Contributions received in cash from employer | 2022-06-01 | $291,524 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-06-01 | $89,132 |
| Contract administrator fees | 2022-06-01 | $10,170 |
| Did the plan have assets held for investment | 2022-06-01 | 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 | 2022-06-01 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-06-01 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-06-01 | 1 |
| Accountancy firm name | 2022-06-01 | BROWN, EDWARDS & COMPANY LLP |
| Accountancy firm EIN | 2022-06-01 | 540504608 |
| 2022: TRI-AREA COMMUNITY HEALTH 401(K) SAFE HARBOR PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-06-01 | Type of plan entity | Single employer plan |
| 2022-06-01 | First time form 5500 has been submitted | Yes |
| 2022-06-01 | Submission has been amended | No |
| 2022-06-01 | This submission is the final filing | No |
| 2022-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-06-01 | Plan is a collectively bargained plan | No |
| 2022-06-01 | Plan funding arrangement – Insurance | Yes |
| 2022-06-01 | Plan funding arrangement – Trust | Yes |
| 2022-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-06-01 | Plan benefit arrangement - Trust | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |
| Policy contract number | 823240 |
| Policy instance | 1 |