401k Plan data: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN plan

GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 401k Plan overview

Plan Name	GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN
Plan identification number	001

GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Floor-offset plan - Plan benefits are subject to offset for retirement benefits provided by an employer-sponsored defined contribution plan.
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).

401k Sponsoring company profile

GRAYS HARBOR COMMUNITY HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: GRAYS HARBOR COMMUNITY HOSPITAL

Employer identification number (EIN): 910568304

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about GRAYS HARBOR COMMUNITY HOSPITAL

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1939-10-31

Company Identification Number: 141005766

Legal Registered Office Address: 915 ANDERSON DR

ABERDEEN
United States of America (USA)
985201006

More information about GRAYS HARBOR COMMUNITY HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 JOSPEH VESSEY
001 2013-01-01 JOSPEH VESSEY
001 2012-01-01 TIMOTHY HOWDEN
001 2011-01-01 TIMOTHY HOWDEN
001 2009-01-01 TIMOTHY HOWDEN

Plan id#	Filing Submission Date	Name of Administrator
001	2014-01-01	JOSPEH VESSEY
001	2013-01-01	JOSPEH VESSEY
001	2012-01-01	TIMOTHY HOWDEN
001	2011-01-01	TIMOTHY HOWDEN
001	2009-01-01	TIMOTHY HOWDEN

Plan Statistics for GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN

401k plan membership statisitcs for GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN

Measure Date Value
2014: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,034
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 452
Number of retired or separated participants receiving benefits 2014-01-01 221
Number of other retired or separated participants entitled to future benefits 2014-01-01 335
Total of all active and inactive participants 2014-01-01 1,008
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 14
Total participants 2014-01-01 1,022
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,028
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 517
Number of retired or separated participants receiving benefits 2013-01-01 189
Number of other retired or separated participants entitled to future benefits 2013-01-01 318
Total of all active and inactive participants 2013-01-01 1,024
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 10
Total participants 2013-01-01 1,034
2012: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,030
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 558
Number of retired or separated participants receiving benefits 2012-01-01 180
Number of other retired or separated participants entitled to future benefits 2012-01-01 278
Total of all active and inactive participants 2012-01-01 1,016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 12
Total participants 2012-01-01 1,028
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 44
2011: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,002
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 599
Number of retired or separated participants receiving benefits 2011-01-01 163
Number of other retired or separated participants entitled to future benefits 2011-01-01 256
Total of all active and inactive participants 2011-01-01 1,018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 12
Total participants 2011-01-01 1,030
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 29
2009: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 940
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 569
Number of retired or separated participants receiving benefits 2009-01-01 146
Number of other retired or separated participants entitled to future benefits 2009-01-01 246
Total of all active and inactive participants 2009-01-01 961
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 10
Total participants 2009-01-01 971
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 32

Measure	Date	Value
2014: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,034
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	452
Number of retired or separated participants receiving benefits	2014-01-01	221
Number of other retired or separated participants entitled to future benefits	2014-01-01	335
Total of all active and inactive participants	2014-01-01	1,008
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	14
Total participants	2014-01-01	1,022
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,028
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	517
Number of retired or separated participants receiving benefits	2013-01-01	189
Number of other retired or separated participants entitled to future benefits	2013-01-01	318
Total of all active and inactive participants	2013-01-01	1,024
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	10
Total participants	2013-01-01	1,034
2012: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,030
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	558
Number of retired or separated participants receiving benefits	2012-01-01	180
Number of other retired or separated participants entitled to future benefits	2012-01-01	278
Total of all active and inactive participants	2012-01-01	1,016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	12
Total participants	2012-01-01	1,028
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	44
2011: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,002
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	599
Number of retired or separated participants receiving benefits	2011-01-01	163
Number of other retired or separated participants entitled to future benefits	2011-01-01	256
Total of all active and inactive participants	2011-01-01	1,018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	12
Total participants	2011-01-01	1,030
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	29
2009: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	940
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	569
Number of retired or separated participants receiving benefits	2009-01-01	146
Number of other retired or separated participants entitled to future benefits	2009-01-01	246
Total of all active and inactive participants	2009-01-01	961
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	10
Total participants	2009-01-01	971
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	32

Financial Data on GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN

Measure	Date	Value
2014 : GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$288,960
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	$1,737,480
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,205,504
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,170,971
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$461,410
Value of total assets at end of year	2014-12-31	$24,535,682
Value of total assets at beginning of year	2014-12-31	$23,714,746
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$34,533
Total interest from all sources	2014-12-31	$5,574
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$532,624
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$532,624
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$531,976
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$24,535,682
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$23,714,746
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$34,533
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$24,254,179
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$23,610,346
Interest earned on other investments	2014-12-31	$5,549
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$276,541
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$96,483
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$96,483
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$25
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$4,962
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$7,917
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$737,872
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$461,410
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,170,971
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2014-12-31	910189318
2013 : GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$67,210
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$3,064,345
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$888,673
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$856,111
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$734,511
Value of total assets at end of year	2013-12-31	$23,714,746
Value of total assets at beginning of year	2013-12-31	$21,471,864
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$32,562
Total interest from all sources	2013-12-31	$2,542
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$497,499
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$497,499
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$2,175,672
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$23,714,746
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$21,471,864
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$32,562
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$23,610,346
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$21,210,841
Interest earned on other investments	2013-12-31	$2,458
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$96,483
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$129,890
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$129,890
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$84
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$7,917
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$131,133
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,829,793
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$734,511
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$856,111
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2013-12-31	910189318
2012 : GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$85,422
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$4,682,039
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$802,337
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$775,880
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,708,000
Value of total assets at end of year	2012-12-31	$21,471,864
Value of total assets at beginning of year	2012-12-31	$17,506,740
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$26,457
Total interest from all sources	2012-12-31	$6,307
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$562,638
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$562,638
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$3,879,702
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$21,471,864
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$17,506,740
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$26,457
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$21,210,841
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$17,099,576
Interest earned on other investments	2012-12-31	$4,692
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$129,890
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$394,887
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$394,887
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$1,615
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$131,133
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$12,277
Asset value of US Government securities at end of year	2012-12-31	$0
Asset value of US Government securities at beginning of year	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,405,094
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$2,708,000
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$775,880
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2012-12-31	910189318
2011 : GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$28,813
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$2,462,355
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$673,609
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$647,932
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,139,000
Value of total assets at end of year	2011-12-31	$17,506,740
Value of total assets at beginning of year	2011-12-31	$15,689,181
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$25,677
Total interest from all sources	2011-12-31	$7,102
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$406,901
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$406,901
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,788,746
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$17,506,740
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$15,689,181
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$25,677
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$17,099,576
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$14,059,206
Interest earned on other investments	2011-12-31	$4,643
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$394,887
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$585,397
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$585,397
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$2,459
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$12,277
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$62,578
Asset value of US Government securities at end of year	2011-12-31	$0
Asset value of US Government securities at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-90,648
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$2,139,000
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$982,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$647,932
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2011-12-31	910189318
2010 : GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Expenses. Interest paid	2010-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$3,992,799
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$603,567
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$586,309
Expenses. Certain deemed distributions of participant loans	2010-12-31	$0
Value of total corrective distributions	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,632,000
Value of total assets at end of year	2010-12-31	$15,689,181
Value of total assets at beginning of year	2010-12-31	$12,299,949
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$17,258
Total income from rents	2010-12-31	$0
Total interest from all sources	2010-12-31	$7,840
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$412,943
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$412,943
Administrative expenses professional fees incurred	2010-12-31	$0
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$0
Other income not declared elsewhere	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$3,389,232
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$15,689,181
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$12,299,949
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$17,258
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$14,059,206
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$11,293,154
Interest earned on other investments	2010-12-31	$5,176
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$585,397
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$431,966
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$431,966
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$2,664
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$62,578
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$49,829
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Asset value of US Government securities at end of year	2010-12-31	$0
Asset value of US Government securities at beginning of year	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$940,016
Net investment gain/loss from pooled separate accounts	2010-12-31	$0
Net investment gain or loss from common/collective trusts	2010-12-31	$0
Net gain/loss from 103.12 investment entities	2010-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$2,632,000
Employer contributions (assets) at end of year	2010-12-31	$982,000
Employer contributions (assets) at beginning of year	2010-12-31	$525,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$586,309
Contract administrator fees	2010-12-31	$0
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2010-12-31	910189318
2009 : GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN

2014: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: GRAYS HARBOR COMMUNITY HOSPITAL RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GRAYS HARBOR COMMUNITY HOSPITAL
Employer identification number (EIN):	910568304
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1939-10-31
Company Identification Number:	141005766
Legal Registered Office Address:	915 ANDERSON DR ABERDEEN United States of America (USA) 985201006