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BOULDER COMMUNITY HEALTH 403(B) PLAN 401k Plan overview

Plan NameBOULDER COMMUNITY HEALTH 403(B) PLAN
Plan identification number 002

BOULDER COMMUNITY HEALTH 403(B) PLAN Benefits

401k Plan TypeDefined 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 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

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

Company Name:BOULDER COMMUNITY HEALTH
Employer identification number (EIN):840175870
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about BOULDER COMMUNITY HEALTH

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 1922-04-19
Company Identification Number: 19871075528
Legal Registered Office Address: 4141 Arapahoe Avenue
Suite 206
Boulder
United States of America (USA)
80303

More information about BOULDER COMMUNITY HEALTH

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOULDER COMMUNITY HEALTH 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01WILLIAM MUNSON LAURIE GLASSCOCK2018-08-18
0022016-01-01WILLIAM MUNSON LAURIE GLASSCOCK2017-10-16
0022015-01-01WILLIAM MUNSON LAURIE GLASSCOCK2016-09-07
0022014-01-01LAURIE GLASSCOCK WILLIAM MUNSON2015-10-13
0022013-01-01LAURIE GLASSCOCK WILLIAM MUNSON2014-10-10
0022012-01-01LAURIE GLASSCOCK WILLIAM MUNSON2013-09-27
0022011-01-01LAURIE P GLASSCOCK WILLIAM MUNSON2012-10-12
0022010-01-01LAURIE P. GLASSCOCK
0022009-01-01LAURIE P. GLASSCOCK WILLIAM A. MUNSON, JR.2010-10-14

Plan Statistics for BOULDER COMMUNITY HEALTH 403(B) PLAN

401k plan membership statisitcs for BOULDER COMMUNITY HEALTH 403(B) PLAN

Measure Date Value
2022: BOULDER COMMUNITY HEALTH 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,769
Total number of active participants reported on line 7a of the Form 55002022-01-011,952
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01804
Total of all active and inactive participants2022-01-012,756
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-019
Total participants2022-01-012,765
Number of participants with account balances2022-01-012,672
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-01224
2021: BOULDER COMMUNITY HEALTH 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,746
Total number of active participants reported on line 7a of the Form 55002021-01-011,957
Number of retired or separated participants receiving benefits2021-01-013
Number of other retired or separated participants entitled to future benefits2021-01-01803
Total of all active and inactive participants2021-01-012,763
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-013
Total participants2021-01-012,766
Number of participants with account balances2021-01-012,719
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-01235
2020: BOULDER COMMUNITY HEALTH 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,920
Total number of active participants reported on line 7a of the Form 55002020-01-012,005
Number of retired or separated participants receiving benefits2020-01-013
Number of other retired or separated participants entitled to future benefits2020-01-01735
Total of all active and inactive participants2020-01-012,743
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-013
Total participants2020-01-012,746
Number of participants with account balances2020-01-012,669
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-01219
2019: BOULDER COMMUNITY HEALTH 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,873
Total number of active participants reported on line 7a of the Form 55002019-01-012,343
Number of retired or separated participants receiving benefits2019-01-013
Number of other retired or separated participants entitled to future benefits2019-01-01570
Total of all active and inactive participants2019-01-012,916
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-015
Total participants2019-01-012,921
Number of participants with account balances2019-01-012,870
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-01193
2018: BOULDER COMMUNITY HEALTH 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,832
Total number of active participants reported on line 7a of the Form 55002018-01-012,370
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-01510
Total of all active and inactive participants2018-01-012,882
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-013
Total participants2018-01-012,885
Number of participants with account balances2018-01-012,780
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0130
2017: BOULDER COMMUNITY HEALTH 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,740
Total number of active participants reported on line 7a of the Form 55002017-01-012,441
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-01420
Total of all active and inactive participants2017-01-012,862
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-012,863
Number of participants with account balances2017-01-012,643
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: BOULDER COMMUNITY HEALTH 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,697
Total number of active participants reported on line 7a of the Form 55002016-01-012,388
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-01362
Total of all active and inactive participants2016-01-012,751
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-012
Total participants2016-01-012,753
Number of participants with account balances2016-01-012,408
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: BOULDER COMMUNITY HEALTH 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,693
Total number of active participants reported on line 7a of the Form 55002015-01-012,259
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-01420
Total of all active and inactive participants2015-01-012,680
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-012,681
Number of participants with account balances2015-01-012,320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: BOULDER COMMUNITY HEALTH 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,730
Total number of active participants reported on line 7a of the Form 55002014-01-012,406
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-01277
Total of all active and inactive participants2014-01-012,684
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-012,685
Number of participants with account balances2014-01-012,100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: BOULDER COMMUNITY HEALTH 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,654
Total number of active participants reported on line 7a of the Form 55002013-01-012,397
Number of retired or separated participants receiving benefits2013-01-011
Number of other retired or separated participants entitled to future benefits2013-01-01295
Total of all active and inactive participants2013-01-012,693
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-012,694
Number of participants with account balances2013-01-011,961
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: BOULDER COMMUNITY HEALTH 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,778
Total number of active participants reported on line 7a of the Form 55002012-01-012,601
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01191
Total of all active and inactive participants2012-01-012,792
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-011
Total participants2012-01-012,793
Number of participants with account balances2012-01-011,807
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: BOULDER COMMUNITY HEALTH 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,517
Total number of active participants reported on line 7a of the Form 55002011-01-011,237
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01312
Total of all active and inactive participants2011-01-011,549
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,549
Number of participants with account balances2011-01-011,515
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: BOULDER COMMUNITY HEALTH 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-012,465
Total number of active participants reported on line 7a of the Form 55002010-01-011,216
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-01301
Total of all active and inactive participants2010-01-011,517
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-011,517
Number of participants with account balances2010-01-011,461
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: BOULDER COMMUNITY HEALTH 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,380
Total number of active participants reported on line 7a of the Form 55002009-01-012,183
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01282
Total of all active and inactive participants2009-01-012,465
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-012,465
Number of participants with account balances2009-01-011,471
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on BOULDER COMMUNITY HEALTH 403(B) PLAN

Measure Date Value
2022 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-14,027,284
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$22,080,107
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$21,678,603
Expenses. Certain deemed distributions of participant loans2022-12-31$7,849
Value of total corrective distributions2022-12-31$29,538
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$20,754,953
Value of total assets at end of year2022-12-31$183,314,677
Value of total assets at beginning of year2022-12-31$219,422,068
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$364,117
Total interest from all sources2022-12-31$414,091
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$2,490,449
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$2,490,449
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$12,088,540
Participant contributions at end of year2022-12-31$1,110,024
Participant contributions at beginning of year2022-12-31$1,436,761
Participant contributions at end of year2022-12-31$2,732
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$1,384,119
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$6,923
Other income not declared elsewhere2022-12-31$180,373
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-36,107,391
Value of net assets at end of year (total assets less liabilities)2022-12-31$183,314,677
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$219,422,068
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$157,555,484
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$191,604,806
Interest on participant loans2022-12-31$57,944
Interest earned on other investments2022-12-31$356,147
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$21,397,909
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$23,343,206
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-37,867,150
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$7,282,294
Employer contributions (assets) at end of year2022-12-31$3,248,528
Employer contributions (assets) at beginning of year2022-12-31$3,037,295
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$21,671,680
Contract administrator fees2022-12-31$364,117
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FORVIS
Accountancy firm EIN2022-12-31440160260
2021 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$47,801,200
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$22,533,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$22,032,008
Value of total corrective distributions2021-12-31$3,061
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$21,122,628
Value of total assets at end of year2021-12-31$219,422,068
Value of total assets at beginning of year2021-12-31$194,154,190
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$498,253
Total interest from all sources2021-12-31$445,449
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$2,199,280
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$2,199,280
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$11,646,760
Participant contributions at end of year2021-12-31$1,436,761
Participant contributions at beginning of year2021-12-31$1,293,246
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$2,442,155
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$12,038
Other income not declared elsewhere2021-12-31$210,807
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$25,267,878
Value of net assets at end of year (total assets less liabilities)2021-12-31$219,422,068
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$194,154,190
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$191,604,806
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$168,807,374
Interest on participant loans2021-12-31$69,229
Interest earned on other investments2021-12-31$376,220
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$23,343,206
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$24,048,603
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$23,823,036
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$7,033,713
Employer contributions (assets) at end of year2021-12-31$3,037,295
Employer contributions (assets) at beginning of year2021-12-31$4,967
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$22,019,970
Contract administrator fees2021-12-31$498,253
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Qualified
Accountancy firm name2021-12-31FORVIS
Accountancy firm EIN2021-12-31840175870
2020 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$0
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$43,160,175
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$26,019,474
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$25,574,476
Expenses. Certain deemed distributions of participant loans2020-12-31$20,092
Value of total corrective distributions2020-12-31$1,998
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$17,017,312
Value of total assets at end of year2020-12-31$194,154,190
Value of total assets at beginning of year2020-12-31$177,013,489
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$422,908
Total income from rents2020-12-31$0
Total interest from all sources2020-12-31$521,865
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$2,415,045
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$2,415,045
Administrative expenses professional fees incurred2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Amount of non-exempt transactions with any party-in-interest2020-12-31$0
Contributions received from participants2020-12-31$11,877,488
Participant contributions at end of year2020-12-31$1,293,246
Participant contributions at beginning of year2020-12-31$1,597,884
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$104
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$814,038
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$395
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$244,737
Administrative expenses (other) incurred2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$17,140,701
Value of net assets at end of year (total assets less liabilities)2020-12-31$194,154,190
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$177,013,489
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
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 year2020-12-31$0
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2020-12-31$0
Investment advisory and management fees2020-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$168,807,374
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$148,812,925
Interest on participant loans2020-12-31$81,387
Income. Interest from loans (other than to participants)2020-12-31$0
Interest earned on other investments2020-12-31$440,478
Income. Interest from US Government securities2020-12-31$0
Income. Interest from corporate debt instruments2020-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$24,048,603
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$23,021,247
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$22,961,216
Net investment gain/loss from pooled separate accounts2020-12-31$0
Net investment gain or loss from common/collective trusts2020-12-31$0
Net gain/loss from 103.12 investment entities2020-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$4,325,786
Employer contributions (assets) at end of year2020-12-31$4,967
Employer contributions (assets) at beginning of year2020-12-31$3,581,329
Income. Dividends from preferred stock2020-12-31$0
Income. Dividends from common stock2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$25,574,081
Contract administrator fees2020-12-31$422,908
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$0
Aggregate carrying amount (costs) on sale of assets2020-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$0
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31BKD, LLP
Accountancy firm EIN2020-12-31440160260
2019 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$52,089,172
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$15,778,108
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$15,270,218
Expenses. Certain deemed distributions of participant loans2019-12-31$13,805
Value of total corrective distributions2019-12-31$34,878
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$22,686,990
Value of total assets at end of year2019-12-31$177,013,489
Value of total assets at beginning of year2019-12-31$140,702,425
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$459,207
Total income from rents2019-12-31$0
Total interest from all sources2019-12-31$512,761
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$2,595,972
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$2,595,972
Administrative expenses professional fees incurred2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Amount of non-exempt transactions with any party-in-interest2019-12-31$0
Contributions received from participants2019-12-31$12,273,688
Participant contributions at end of year2019-12-31$1,597,884
Participant contributions at beginning of year2019-12-31$1,478,921
Participant contributions at end of year2019-12-31$104
Participant contributions at beginning of year2019-12-31$377,147
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$1,895,842
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$564
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
Other income not declared elsewhere2019-12-31$195,073
Administrative expenses (other) incurred2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$36,311,064
Value of net assets at end of year (total assets less liabilities)2019-12-31$177,013,489
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$140,702,425
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
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 year2019-12-31$0
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2019-12-31$0
Investment advisory and management fees2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$148,812,925
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$111,119,203
Interest on participant loans2019-12-31$96,259
Income. Interest from loans (other than to participants)2019-12-31$0
Interest earned on other investments2019-12-31$416,502
Income. Interest from US Government securities2019-12-31$0
Income. Interest from corporate debt instruments2019-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$23,021,247
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$24,050,777
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$26,098,376
Net investment gain/loss from pooled separate accounts2019-12-31$0
Net investment gain or loss from common/collective trusts2019-12-31$0
Net gain/loss from 103.12 investment entities2019-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$8,517,460
Employer contributions (assets) at end of year2019-12-31$3,581,329
Employer contributions (assets) at beginning of year2019-12-31$3,676,377
Income. Dividends from preferred stock2019-12-31$0
Income. Dividends from common stock2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$15,269,654
Contract administrator fees2019-12-31$459,207
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$0
Aggregate carrying amount (costs) on sale of assets2019-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm EIN2019-12-31440160260
2018 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$0
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total transfer of assets to this plan2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$15,226,839
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$13,581,209
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$13,147,159
Expenses. Certain deemed distributions of participant loans2018-12-31$17,236
Value of total corrective distributions2018-12-31$17,127
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$21,835,326
Value of total assets at end of year2018-12-31$140,702,425
Value of total assets at beginning of year2018-12-31$139,056,795
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$399,687
Total income from rents2018-12-31$0
Total interest from all sources2018-12-31$459,868
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$2,153,616
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$2,153,616
Administrative expenses professional fees incurred2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Amount of non-exempt transactions with any party-in-interest2018-12-31$0
Contributions received from participants2018-12-31$11,603,655
Participant contributions at end of year2018-12-31$1,478,921
Participant contributions at beginning of year2018-12-31$1,415,538
Participant contributions at end of year2018-12-31$377,147
Participant contributions at beginning of year2018-12-31$4,667
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$1,786,342
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$18,983
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Other income not declared elsewhere2018-12-31$141,458
Administrative expenses (other) incurred2018-12-31$0
Liabilities. Value of operating payables at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,645,630
Value of net assets at end of year (total assets less liabilities)2018-12-31$140,702,425
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$139,056,795
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
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 year2018-12-31$0
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2018-12-31$0
Investment advisory and management fees2018-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$111,119,203
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$114,415,099
Interest on participant loans2018-12-31$68,302
Income. Interest from loans (other than to participants)2018-12-31$0
Interest earned on other investments2018-12-31$391,566
Income. Interest from US Government securities2018-12-31$0
Income. Interest from corporate debt instruments2018-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$24,050,777
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$22,366,726
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-9,363,429
Net investment gain/loss from pooled separate accounts2018-12-31$0
Net investment gain or loss from common/collective trusts2018-12-31$0
Net gain/loss from 103.12 investment entities2018-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$8,445,329
Employer contributions (assets) at end of year2018-12-31$3,676,377
Employer contributions (assets) at beginning of year2018-12-31$854,765
Income. Dividends from preferred stock2018-12-31$0
Income. Dividends from common stock2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$13,128,176
Contract administrator fees2018-12-31$399,687
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$0
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$0
Aggregate carrying amount (costs) on sale of assets2018-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2018-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BKD, LLP
Accountancy firm EIN2018-12-31440160260
2017 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$0
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$33,508,389
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$11,358,975
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$11,227,203
Expenses. Certain deemed distributions of participant loans2017-12-31$513
Value of total corrective distributions2017-12-31$12,688
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$14,872,165
Value of total assets at end of year2017-12-31$139,056,795
Value of total assets at beginning of year2017-12-31$116,907,381
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$118,571
Total income from rents2017-12-31$0
Total interest from all sources2017-12-31$426,319
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,655,675
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,655,675
Administrative expenses professional fees incurred2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$2,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Amount of non-exempt transactions with any party-in-interest2017-12-31$0
Contributions received from participants2017-12-31$10,376,840
Participant contributions at end of year2017-12-31$1,415,538
Participant contributions at beginning of year2017-12-31$1,508,523
Participant contributions at end of year2017-12-31$4,667
Participant contributions at beginning of year2017-12-31$339,664
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$1,319,751
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$5,024
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Other income not declared elsewhere2017-12-31$34,596
Administrative expenses (other) incurred2017-12-31$0
Liabilities. Value of operating payables at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$22,149,414
Value of net assets at end of year (total assets less liabilities)2017-12-31$139,056,795
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$116,907,381
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
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 year2017-12-31$0
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2017-12-31$0
Investment advisory and management fees2017-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$114,415,099
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$89,720,678
Interest on participant loans2017-12-31$61,049
Income. Interest from loans (other than to participants)2017-12-31$0
Interest earned on other investments2017-12-31$365,270
Income. Interest from US Government securities2017-12-31$0
Income. Interest from corporate debt instruments2017-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$22,366,726
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$25,286,544
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$16,519,634
Net investment gain/loss from pooled separate accounts2017-12-31$0
Net investment gain or loss from common/collective trusts2017-12-31$0
Net gain/loss from 103.12 investment entities2017-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$3,175,574
Employer contributions (assets) at end of year2017-12-31$854,765
Employer contributions (assets) at beginning of year2017-12-31$51,972
Income. Dividends from preferred stock2017-12-31$0
Income. Dividends from common stock2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$11,222,179
Contract administrator fees2017-12-31$118,571
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$0
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$0
Aggregate carrying amount (costs) on sale of assets2017-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BKD, LLP
Accountancy firm EIN2017-12-31440160260
2016 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$0
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets to this plan2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
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$19,058,217
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$8,326,781
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$8,277,228
Expenses. Certain deemed distributions of participant loans2016-12-31$0
Value of total corrective distributions2016-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$12,069,004
Value of total assets at end of year2016-12-31$116,907,381
Value of total assets at beginning of year2016-12-31$106,175,945
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$49,553
Total income from rents2016-12-31$0
Total interest from all sources2016-12-31$427,020
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,311,198
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,311,198
Administrative expenses professional fees incurred2016-12-31$0
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$2,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Amount of non-exempt transactions with any party-in-interest2016-12-31$0
Contributions received from participants2016-12-31$9,354,848
Participant contributions at end of year2016-12-31$1,508,523
Participant contributions at beginning of year2016-12-31$1,296,622
Participant contributions at end of year2016-12-31$339,664
Participant contributions at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,256,593
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$866
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$0
Other income not declared elsewhere2016-12-31$0
Administrative expenses (other) incurred2016-12-31$0
Liabilities. Value of operating payables at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$10,731,436
Value of net assets at end of year (total assets less liabilities)2016-12-31$116,907,381
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$106,175,945
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
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 year2016-12-31$0
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2016-12-31$0
Investment advisory and management fees2016-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$89,720,678
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$82,093,082
Interest on participant loans2016-12-31$56,000
Income. Interest from loans (other than to participants)2016-12-31$0
Interest earned on other investments2016-12-31$371,020
Income. Interest from US Government securities2016-12-31$0
Income. Interest from corporate debt instruments2016-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$25,286,544
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$22,786,241
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$5,250,995
Net investment gain/loss from pooled separate accounts2016-12-31$0
Net investment gain or loss from common/collective trusts2016-12-31$0
Net gain/loss from 103.12 investment entities2016-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,457,563
Employer contributions (assets) at end of year2016-12-31$51,972
Employer contributions (assets) at beginning of year2016-12-31$0
Income. Dividends from preferred stock2016-12-31$0
Income. Dividends from common stock2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$8,276,362
Contract administrator fees2016-12-31$49,553
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$0
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$0
Aggregate carrying amount (costs) on sale of assets2016-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2016-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BKD, LLP
Accountancy firm EIN2016-12-31440160260
2015 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$0
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$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$12,378,227
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$9,034,053
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$9,003,331
Expenses. Certain deemed distributions of participant loans2015-12-31$0
Value of total corrective distributions2015-12-31$3,185
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$11,451,875
Value of total assets at end of year2015-12-31$106,175,945
Value of total assets at beginning of year2015-12-31$102,831,771
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$27,537
Total income from rents2015-12-31$0
Total interest from all sources2015-12-31$409,615
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,227,812
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,227,812
Administrative expenses professional fees incurred2015-12-31$0
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$2,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Amount of non-exempt transactions with any party-in-interest2015-12-31$0
Contributions received from participants2015-12-31$9,068,667
Participant contributions at end of year2015-12-31$1,296,622
Participant contributions at beginning of year2015-12-31$1,309,180
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$1,495
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$974,733
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$1,059
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
Other income not declared elsewhere2015-12-31$57,151
Administrative expenses (other) incurred2015-12-31$0
Liabilities. Value of operating payables at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$3,344,174
Value of net assets at end of year (total assets less liabilities)2015-12-31$106,175,945
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$102,831,771
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
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 year2015-12-31$0
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2015-12-31$0
Investment advisory and management fees2015-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$82,093,082
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$79,637,615
Interest on participant loans2015-12-31$53,675
Income. Interest from loans (other than to participants)2015-12-31$0
Interest earned on other investments2015-12-31$355,940
Income. Interest from US Government securities2015-12-31$0
Income. Interest from corporate debt instruments2015-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$22,786,241
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$21,883,436
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-768,226
Net investment gain/loss from pooled separate accounts2015-12-31$0
Net investment gain or loss from common/collective trusts2015-12-31$0
Net gain/loss from 103.12 investment entities2015-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,408,475
Employer contributions (assets) at end of year2015-12-31$0
Employer contributions (assets) at beginning of year2015-12-31$45
Income. Dividends from preferred stock2015-12-31$0
Income. Dividends from common stock2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$9,002,272
Contract administrator fees2015-12-31$27,537
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$0
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$0
Aggregate carrying amount (costs) on sale of assets2015-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2015-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BKD, LLP
Accountancy firm EIN2015-12-31440160260
2014 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$0
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$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$15,110,442
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$8,233,820
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$8,225,255
Expenses. Certain deemed distributions of participant loans2014-12-31$0
Value of total corrective distributions2014-12-31$1,222
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$9,667,736
Value of total assets at end of year2014-12-31$102,831,771
Value of total assets at beginning of year2014-12-31$95,955,149
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$7,343
Total income from rents2014-12-31$0
Total interest from all sources2014-12-31$413,338
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$1,048,797
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$1,048,797
Administrative expenses professional fees incurred2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$2,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Amount of non-exempt transactions with any party-in-interest2014-12-31$0
Contributions received from participants2014-12-31$7,657,263
Participant contributions at end of year2014-12-31$1,309,180
Participant contributions at beginning of year2014-12-31$1,255,354
Participant contributions at end of year2014-12-31$1,495
Participant contributions at beginning of year2014-12-31$2
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$728,786
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$1,805
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$0
Other income not declared elsewhere2014-12-31$16,754
Administrative expenses (other) incurred2014-12-31$0
Liabilities. Value of operating payables at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$6,876,622
Value of net assets at end of year (total assets less liabilities)2014-12-31$102,831,771
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$95,955,149
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
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 year2014-12-31$0
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2014-12-31$0
Investment advisory and management fees2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$79,637,615
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$73,032,804
Interest on participant loans2014-12-31$54,972
Income. Interest from loans (other than to participants)2014-12-31$0
Interest earned on other investments2014-12-31$358,366
Income. Interest from US Government securities2014-12-31$0
Income. Interest from corporate debt instruments2014-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$21,883,436
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$21,666,501
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$3,963,817
Net investment gain/loss from pooled separate accounts2014-12-31$0
Net investment gain or loss from common/collective trusts2014-12-31$0
Net gain/loss from 103.12 investment entities2014-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,281,687
Employer contributions (assets) at end of year2014-12-31$45
Employer contributions (assets) at beginning of year2014-12-31$488
Income. Dividends from preferred stock2014-12-31$0
Income. Dividends from common stock2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$8,223,450
Contract administrator fees2014-12-31$7,343
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$0
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$0
Aggregate carrying amount (costs) on sale of assets2014-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BKD, LLP
Accountancy firm EIN2014-12-31440160260
2013 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$0
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets to this plan2013-12-31$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
Expenses. Interest paid2013-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-12-31$0
Total income from all sources (including contributions)2013-12-31$21,662,829
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$6,470,768
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$6,463,774
Expenses. Certain deemed distributions of participant loans2013-12-31$0
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$8,685,169
Value of total assets at end of year2013-12-31$95,955,149
Value of total assets at beginning of year2013-12-31$80,763,088
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$6,994
Total income from rents2013-12-31$0
Total interest from all sources2013-12-31$403,264
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$919,746
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$919,746
Administrative expenses professional fees incurred2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$2,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Amount of non-exempt transactions with any party-in-interest2013-12-31$0
Contributions received from participants2013-12-31$6,811,419
Participant contributions at end of year2013-12-31$1,255,354
Participant contributions at beginning of year2013-12-31$1,178,838
Participant contributions at end of year2013-12-31$2
Participant contributions at beginning of year2013-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$710,456
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$875
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$475
Administrative expenses (other) incurred2013-12-31$0
Liabilities. Value of operating payables at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Income. Non cash contributions2013-12-31$0
Value of net income/loss2013-12-31$15,192,061
Value of net assets at end of year (total assets less liabilities)2013-12-31$95,955,149
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$80,763,088
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
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 year2013-12-31$0
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2013-12-31$0
Investment advisory and management fees2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$73,032,804
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$59,349,962
Interest on participant loans2013-12-31$51,662
Income. Interest from loans (other than to participants)2013-12-31$0
Interest earned on other investments2013-12-31$351,602
Income. Interest from US Government securities2013-12-31$0
Income. Interest from corporate debt instruments2013-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$21,666,501
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$20,234,288
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$11,654,175
Net investment gain/loss from pooled separate accounts2013-12-31$0
Net investment gain or loss from common/collective trusts2013-12-31$0
Net gain/loss from 103.12 investment entities2013-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,163,294
Employer contributions (assets) at end of year2013-12-31$488
Employer contributions (assets) at beginning of year2013-12-31$0
Income. Dividends from preferred stock2013-12-31$0
Income. Dividends from common stock2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$6,462,899
Contract administrator fees2013-12-31$6,994
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$0
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$0
Aggregate carrying amount (costs) on sale of assets2013-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BKD, LLP
Accountancy firm EIN2013-12-31440160260
2012 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$0
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total transfer of assets to this plan2012-12-31$0
Total transfer of assets from this plan2012-12-31$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$49,639
Expenses. Interest paid2012-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022012-12-31$0
Total income from all sources (including contributions)2012-12-31$17,061,788
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$5,193,486
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$5,188,686
Expenses. Certain deemed distributions of participant loans2012-12-31$0
Value of total corrective distributions2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$8,494,350
Value of total assets at end of year2012-12-31$80,763,088
Value of total assets at beginning of year2012-12-31$68,944,425
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$4,800
Total income from rents2012-12-31$0
Total interest from all sources2012-12-31$481,625
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$1,047,372
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$1,047,372
Administrative expenses professional fees incurred2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$2,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Amount of non-exempt transactions with any party-in-interest2012-12-31$0
Contributions received from participants2012-12-31$6,238,011
Participant contributions at end of year2012-12-31$1,178,838
Participant contributions at beginning of year2012-12-31$997,578
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$0
Assets. Other investments not covered elsewhere at end of year2012-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$19,189,062
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$1,227,634
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$48,601
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$49,639
Other income not declared elsewhere2012-12-31$0
Administrative expenses (other) incurred2012-12-31$0
Liabilities. Value of operating payables at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Income. Non cash contributions2012-12-31$0
Value of net income/loss2012-12-31$11,868,302
Value of net assets at end of year (total assets less liabilities)2012-12-31$80,763,088
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$68,894,786
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
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 year2012-12-31$0
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2012-12-31$0
Investment advisory and management fees2012-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$59,349,962
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$48,165,895
Interest on participant loans2012-12-31$52,216
Income. Interest from loans (other than to participants)2012-12-31$0
Interest earned on other investments2012-12-31$429,409
Income. Interest from US Government securities2012-12-31$0
Income. Interest from corporate debt instruments2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$543,289
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$543,289
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$20,234,288
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$7,038,441
Net investment gain/loss from pooled separate accounts2012-12-31$0
Net investment gain or loss from common/collective trusts2012-12-31$0
Net gain/loss from 103.12 investment entities2012-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,028,705
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$0
Income. Dividends from preferred stock2012-12-31$0
Income. Dividends from common stock2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$5,188,686
Contract administrator fees2012-12-31$4,800
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$0
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$0
Aggregate carrying amount (costs) on sale of assets2012-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2012-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BKD, LLP
Accountancy firm EIN2012-12-31840175870
2011 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$49,639
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$63,590
Total income from all sources (including contributions)2011-12-31$7,590,629
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$4,186,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,180,652
Value of total corrective distributions2011-12-31$2,231
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$8,734,156
Value of total assets at end of year2011-12-31$68,944,425
Value of total assets at beginning of year2011-12-31$65,554,060
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,430
Total interest from all sources2011-12-31$368,102
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$1,557,368
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$1,557,368
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$5,413,514
Participant contributions at end of year2011-12-31$997,578
Participant contributions at beginning of year2011-12-31$799,655
Assets. Other investments not covered elsewhere at end of year2011-12-31$19,189,062
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$17,202,397
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$2,419,653
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$48,601
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$62,549
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$49,639
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$63,590
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$3,404,316
Value of net assets at end of year (total assets less liabilities)2011-12-31$68,894,786
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$65,490,470
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$48,165,895
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$47,209,727
Interest on participant loans2011-12-31$43,081
Interest earned on other investments2011-12-31$324,929
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$543,289
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$279,732
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$279,732
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$92
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-3,068,997
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$900,989
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$4,180,652
Contract administrator fees2011-12-31$3,430
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31Yes
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BKD
Accountancy firm EIN2011-12-31440160260
2010 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$63,590
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$71,702
Total income from all sources (including contributions)2010-12-31$13,487,290
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$4,652,878
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$4,622,531
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$6,935,731
Value of total assets at end of year2010-12-31$65,554,060
Value of total assets at beginning of year2010-12-31$56,727,760
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$30,347
Total interest from all sources2010-12-31$489,633
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$1,366,114
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$1,366,114
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$5,070,492
Participant contributions at end of year2010-12-31$799,655
Participant contributions at beginning of year2010-12-31$599,010
Assets. Other investments not covered elsewhere at end of year2010-12-31$17,202,397
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$996,200
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$62,549
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$71,535
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$63,590
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$71,702
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$8,834,412
Value of net assets at end of year (total assets less liabilities)2010-12-31$65,490,470
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$56,656,058
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$47,209,727
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$40,046,180
Interest on participant loans2010-12-31$41,132
Interest earned on other investments2010-12-31$448,429
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$279,732
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$310,286
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$310,286
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$72
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$15,700,749
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$4,695,812
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$869,039
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$4,622,531
Contract administrator fees2010-12-31$30,347
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BKD
Accountancy firm EIN2010-12-31440160260
2009 : BOULDER COMMUNITY HEALTH 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for BOULDER COMMUNITY HEALTH 403(B) PLAN

2022: BOULDER COMMUNITY HEALTH 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: BOULDER COMMUNITY HEALTH 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BOULDER COMMUNITY HEALTH 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: BOULDER COMMUNITY HEALTH 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: BOULDER COMMUNITY HEALTH 403(B) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: BOULDER COMMUNITY HEALTH 403(B) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: BOULDER COMMUNITY HEALTH 403(B) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BOULDER COMMUNITY HEALTH 403(B) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BOULDER COMMUNITY HEALTH 403(B) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BOULDER COMMUNITY HEALTH 403(B) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BOULDER COMMUNITY HEALTH 403(B) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BOULDER COMMUNITY HEALTH 403(B) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: BOULDER COMMUNITY HEALTH 403(B) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: BOULDER COMMUNITY HEALTH 403(B) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered2765
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number457579
Policy instance 1
Insurance contract or identification number457579
Number of Individuals Covered2765
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered2766
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number457579
Policy instance 1
Insurance contract or identification number457579
Number of Individuals Covered2766
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered2746
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number457579
Policy instance 1
Insurance contract or identification number457579
Number of Individuals Covered2746
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered2921
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number457579
Policy instance 1
Insurance contract or identification number457579
Number of Individuals Covered2921
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number457579
Policy instance 1
Insurance contract or identification number457579
Number of Individuals Covered2885
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered2885
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered2863
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number457579
Policy instance 1
Insurance contract or identification number457579
Number of Individuals Covered2863
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered2681
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered2685
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered2694
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered2793
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893114007
Policy instance 1
Insurance contract or identification number893114007
Number of Individuals Covered1194
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $20,520
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $20,520
Insurance broker organization code?4
Insurance broker nameNRP FINANCIAL INC.

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