401k Plan data: CMH, INC. 403(B) plan

CMH, INC. 403(B) 401k Plan overview

Plan Name	CMH, INC. 403(B)
Plan identification number	002

CMH, INC. 403(B) Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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.
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

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

Company Name: COMMUNITY MEMORIAL HOSPITAL

Employer identification number (EIN): 150548010

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CMH, INC. 403(B)

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2023-01-01
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 JENNIFER MONTANA

Plan Statistics for CMH, INC. 403(B)

401k plan membership statisitcs for CMH, INC. 403(B)

Measure Date Value
2023: CMH, INC. 403(B) 2023 401k membership
Total participants, beginning-of-year 2023-01-01 366
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 274
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 114
Total of all active and inactive participants 2023-01-01 388
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2023-01-01 0
Total participants 2023-01-01 388
Number of participants with account balances 2023-01-01 382
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2023-01-01 4
2022: CMH, INC. 403(B) 2022 401k membership
Total participants, beginning-of-year 2022-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 258
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 108
Total of all active and inactive participants 2022-01-01 366
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 366
Number of participants with account balances 2022-01-01 322
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 7
2021: CMH, INC. 403(B) 2021 401k membership
Total participants, beginning-of-year 2021-01-01 295
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 268
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 81
Total of all active and inactive participants 2021-01-01 349
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 349
Number of participants with account balances 2021-01-01 301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 8
2020: CMH, INC. 403(B) 2020 401k membership
Total participants, beginning-of-year 2020-01-01 278
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 254
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 41
Total of all active and inactive participants 2020-01-01 295
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 295
Number of participants with account balances 2020-01-01 290
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 3
2019: CMH, INC. 403(B) 2019 401k membership
Total participants, beginning-of-year 2019-01-01 271
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 267
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 11
Total of all active and inactive participants 2019-01-01 278
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 278
Number of participants with account balances 2019-01-01 277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 3
2018: CMH, INC. 403(B) 2018 401k membership
Total participants, beginning-of-year 2018-01-01 336
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 260
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 11
Total of all active and inactive participants 2018-01-01 271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 271
Number of participants with account balances 2018-01-01 263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 3
2017: CMH, INC. 403(B) 2017 401k membership
Total participants, beginning-of-year 2017-01-01 307
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 334
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 2
Total of all active and inactive participants 2017-01-01 336
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 336
Number of participants with account balances 2017-01-01 130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0

Measure	Date	Value
2023: CMH, INC. 403(B) 2023 401k membership
Total participants, beginning-of-year	2023-01-01	366
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	274
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	114
Total of all active and inactive participants	2023-01-01	388
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	0
Total participants	2023-01-01	388
Number of participants with account balances	2023-01-01	382
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	4
2022: CMH, INC. 403(B) 2022 401k membership
Total participants, beginning-of-year	2022-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	258
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	108
Total of all active and inactive participants	2022-01-01	366
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	366
Number of participants with account balances	2022-01-01	322
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	7
2021: CMH, INC. 403(B) 2021 401k membership
Total participants, beginning-of-year	2021-01-01	295
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	268
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	81
Total of all active and inactive participants	2021-01-01	349
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	349
Number of participants with account balances	2021-01-01	301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	8
2020: CMH, INC. 403(B) 2020 401k membership
Total participants, beginning-of-year	2020-01-01	278
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	254
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	41
Total of all active and inactive participants	2020-01-01	295
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	295
Number of participants with account balances	2020-01-01	290
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	3
2019: CMH, INC. 403(B) 2019 401k membership
Total participants, beginning-of-year	2019-01-01	271
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	267
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	11
Total of all active and inactive participants	2019-01-01	278
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	278
Number of participants with account balances	2019-01-01	277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	3
2018: CMH, INC. 403(B) 2018 401k membership
Total participants, beginning-of-year	2018-01-01	336
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	260
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	11
Total of all active and inactive participants	2018-01-01	271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	271
Number of participants with account balances	2018-01-01	263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	3
2017: CMH, INC. 403(B) 2017 401k membership
Total participants, beginning-of-year	2017-01-01	307
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	334
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	2
Total of all active and inactive participants	2017-01-01	336
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	336
Number of participants with account balances	2017-01-01	130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0

Financial Data on CMH, INC. 403(B)

Measure	Date	Value
2023 : CMH, INC. 403(B) 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$52,648
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$52,648
Total income from all sources (including contributions)	2023-12-31	$3,396,029
Total loss/gain on sale of assets	2023-12-31	$0
Total of all expenses incurred	2023-12-31	$634,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$632,667
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$1,727,061
Value of total assets at end of year	2023-12-31	$12,205,868
Value of total assets at beginning of year	2023-12-31	$9,444,442
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$1,936
Total interest from all sources	2023-12-31	$2,336
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$351,601
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-12-31	$351,601
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$600,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$980,605
Income. Received or receivable in cash from other sources (including rollovers)	2023-12-31	$333,799
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2023-12-31	$52,648
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2023-12-31	$52,648
Total non interest bearing cash at end of year	2023-12-31	$0
Total non interest bearing cash at beginning of year	2023-12-31	$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	2023-12-31	No
Value of net income/loss	2023-12-31	$2,761,426
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$12,153,220
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$9,391,794
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$12,175,185
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$9,365,932
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2023-12-31	$30,683
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2023-12-31	$78,510
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2023-12-31	$78,510
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2023-12-31	$2,336
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$1,315,031
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	No
Was there a failure to transmit to the plan any participant contributions	2023-12-31	No
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Contributions received in cash from employer	2023-12-31	$412,657
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$632,667
Did the plan have assets held for investment	2023-12-31	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	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	FUSTCHARLES LLP
Accountancy firm EIN	2023-12-31	161226221
2022 : CMH, INC. 403(B) 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$52,648
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	$-219,068
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$779,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$775,428
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,437,058
Value of total assets at end of year	2022-12-31	$9,444,442
Value of total assets at beginning of year	2022-12-31	$10,389,965
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$3,675
Total interest from all sources	2022-12-31	$915
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$288,310
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$288,310
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$873,673
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$178,059
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$52,648
Administrative expenses (other) incurred	2022-12-31	$3,675
Total non interest bearing cash at end of year	2022-12-31	$0
Total non interest bearing cash at beginning of year	2022-12-31	$975
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-998,171
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$9,391,794
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$10,389,965
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$9,365,932
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$10,355,984
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$78,510
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$33,006
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$33,006
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$915
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,945,351
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$385,326
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$775,428
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	FUSTCHARLES LLP
Accountancy firm EIN	2022-12-31	161226221
2021 : CMH, INC. 403(B) 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$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	$2,704,829
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$562,561
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$561,586
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,539,648
Value of total assets at end of year	2021-12-31	$10,389,965
Value of total assets at beginning of year	2021-12-31	$8,247,697
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$975
Total interest from all sources	2021-12-31	$7
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$1,293,741
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$1,293,741
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$600,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$926,898
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$188,255
Administrative expenses (other) incurred	2021-12-31	$975
Total non interest bearing cash at end of year	2021-12-31	$975
Total non interest bearing cash at beginning of year	2021-12-31	$375
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$2,142,268
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$10,389,965
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$8,247,697
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$10,355,984
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$8,222,490
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$33,006
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$24,832
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$24,832
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$7
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$-128,567
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$424,495
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$561,586
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2021-12-31	161226221
2020 : CMH, INC. 403(B) 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$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	$3,528,988
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$365,069
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$364,439
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,333,960
Value of total assets at end of year	2020-12-31	$8,247,697
Value of total assets at beginning of year	2020-12-31	$5,083,778
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$630
Total interest from all sources	2020-12-31	$54
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$249,432
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$249,432
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$600,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$825,713
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$1,068,084
Administrative expenses (other) incurred	2020-12-31	$630
Total non interest bearing cash at end of year	2020-12-31	$375
Total non interest bearing cash at beginning of year	2020-12-31	$56,843
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$3,163,919
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$8,247,697
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$5,083,778
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$8,222,490
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$5,009,915
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$24,832
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$17,020
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$17,020
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$54
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$945,542
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$440,163
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$364,439
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2020-12-31	161226221
2019 : CMH, INC. 403(B) 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at 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 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	$2,332,894
Total income from all sources (including contributions)	2019-12-31	$2,332,894
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$70,109
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$69,694
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$69,694
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,616,718
Value of total assets at end of year	2019-12-31	$5,083,778
Value of total assets at end of year	2019-12-31	$5,083,778
Value of total assets at beginning of year	2019-12-31	$2,820,993
Value of total assets at beginning of year	2019-12-31	$2,820,993
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$415
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$415
Total interest from all sources	2019-12-31	$231
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$136,070
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$136,070
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$136,070
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$818,337
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$338,580
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$338,580
Administrative expenses (other) incurred	2019-12-31	$415
Administrative expenses (other) incurred	2019-12-31	$415
Total non interest bearing cash at end of year	2019-12-31	$56,843
Total non interest bearing cash at end of year	2019-12-31	$56,843
Total non interest bearing cash at beginning of year	2019-12-31	$42,896
Total non interest bearing cash at beginning of year	2019-12-31	$42,896
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$2,262,785
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$5,083,778
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$5,083,778
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,820,993
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$5,009,915
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$5,009,915
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,767,019
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,767,019
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$17,020
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$11,078
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$11,078
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$11,078
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$11,078
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$231
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$231
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$579,875
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$579,875
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$459,801
Contributions received in cash from employer	2019-12-31	$459,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$69,694
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm name	2019-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2019-12-31	161226221
Accountancy firm EIN	2019-12-31	161226221
2018 : CMH, INC. 403(B) 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$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	$1,657,273
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$34,987
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$29,444
Value of total corrective distributions	2018-12-31	$1,288
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,831,044
Value of total assets at end of year	2018-12-31	$2,820,993
Value of total assets at beginning of year	2018-12-31	$1,198,707
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$4,255
Total interest from all sources	2018-12-31	$129
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$85,843
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$85,843
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$736,740
Participant contributions at beginning of year	2018-12-31	$13,916
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$607,655
Administrative expenses (other) incurred	2018-12-31	$4,255
Total non interest bearing cash at end of year	2018-12-31	$42,896
Total non interest bearing cash at beginning of year	2018-12-31	$70
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$1,622,286
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$2,820,993
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,198,707
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$2,767,019
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,169,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$11,078
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$5,121
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$5,121
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$129
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-259,743
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$486,649
Employer contributions (assets) at beginning of year	2018-12-31	$9,756
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$29,444
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2018-12-31	161226221
2017 : CMH, INC. 403(B) 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$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	$1,231,869
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$33,162
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$33,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,142,093
Value of total assets at end of year	2017-12-31	$1,198,707
Value of total assets at beginning of year	2017-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$70
Total interest from all sources	2017-12-31	$26
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$28,312
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$28,312
Was this plan covered by a fidelity bond	2017-12-31	No
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$418,876
Participant contributions at end of year	2017-12-31	$13,916
Participant contributions at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$443,902
Administrative expenses (other) incurred	2017-12-31	$70
Total non interest bearing cash at end of year	2017-12-31	$70
Total non interest bearing cash at beginning of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,198,707
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,198,707
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,169,844
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$5,121
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$26
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$61,438
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$279,315
Employer contributions (assets) at end of year	2017-12-31	$9,756
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$33,092
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2017-12-31	161226221

Form 5500 Responses for CMH, INC. 403(B)

2023: CMH, INC. 403(B) 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: CMH, INC. 403(B) 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CMH, INC. 403(B) 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CMH, INC. 403(B) 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CMH, INC. 403(B) 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CMH, INC. 403(B) 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CMH, INC. 403(B) 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
2017-01-01	Submission has been amended	Yes
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	COMMUNITY MEMORIAL HOSPITAL
Employer identification number (EIN):	150548010
NAIC Classification:	622000
NAIC Description:	Hospitals