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COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 401k Plan overview

Plan NameCOMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN
Plan identification number 001

COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(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.

401k Sponsoring company profile

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

Company Name:COMMUNITY MEMORIAL HOSPITAL, INC.
Employer identification number (EIN):390848401
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about COMMUNITY MEMORIAL HOSPITAL, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1950-02-07
Company Identification Number: 74403

More information about COMMUNITY MEMORIAL HOSPITAL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012015-01-01MICHELE MILLER-CAMPBELL
0012014-01-01MICHELE MILLER-CAMPBELL
0012013-01-01MICHELE MILLER-CAMPBELL
0012012-01-01MICHELE MILLER-CAMPBELL
0012011-01-01MICHELE MILLER-CAMPBELL
0012009-01-01LISA M. KRAUSE

Plan Statistics for COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN

401k plan membership statisitcs for COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN

Measure Date Value
2015: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01219
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-010
Number of participants with account balances2015-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01399
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01220
Total of all active and inactive participants2014-01-01220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01220
Number of participants with account balances2014-01-01220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0121
2013: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01368
Total number of active participants reported on line 7a of the Form 55002013-01-01350
Number of retired or separated participants receiving benefits2013-01-014
Number of other retired or separated participants entitled to future benefits2013-01-0146
Total of all active and inactive participants2013-01-01400
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01400
Number of participants with account balances2013-01-01293
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01416
Total number of active participants reported on line 7a of the Form 55002012-01-01367
Number of retired or separated participants receiving benefits2012-01-015
Number of other retired or separated participants entitled to future benefits2012-01-0140
Total of all active and inactive participants2012-01-01412
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01412
Number of participants with account balances2012-01-01279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-013
2011: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01418
Total number of active participants reported on line 7a of the Form 55002011-01-01378
Number of retired or separated participants receiving benefits2011-01-013
Number of other retired or separated participants entitled to future benefits2011-01-0140
Total of all active and inactive participants2011-01-01421
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01421
Number of participants with account balances2011-01-01282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0111
2009: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01391
Total number of active participants reported on line 7a of the Form 55002009-01-01377
Number of retired or separated participants receiving benefits2009-01-012
Number of other retired or separated participants entitled to future benefits2009-01-0124
Total of all active and inactive participants2009-01-01403
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01403
Number of participants with account balances2009-01-01279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-017

Financial Data on COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN

Measure Date Value
2015 : COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$5,789
Total income from all sources (including contributions)2015-09-30$-25,609
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$9,906,024
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$9,876,913
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$0
Value of total assets at end of year2015-09-30$0
Value of total assets at beginning of year2015-09-30$9,937,422
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$29,111
Total interest from all sources2015-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$2,599
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2015-09-30$0
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$2,599
Administrative expenses professional fees incurred2015-09-30$23,301
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Participant contributions at end of year2015-09-30$0
Participant contributions at beginning of year2015-09-30$103,664
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-09-30$5,789
Total non interest bearing cash at end of year2015-09-30$0
Total non interest bearing cash at beginning of year2015-09-30$5,789
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-9,931,633
Value of net assets at end of year (total assets less liabilities)2015-09-30$0
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$9,931,633
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$9,827,969
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-28,208
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$9,876,913
Contract administrator fees2015-09-30$5,810
Did the plan have assets held for investment2015-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30HERMANS & ASSOCIATES, CPA'S, S.C.
Accountancy firm EIN2015-09-30391421794
2014 : COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$5,789
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,181
Total income from all sources (including contributions)2014-12-31$1,765,707
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$6,074,537
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$6,003,835
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,053,757
Value of total assets at end of year2014-12-31$9,937,422
Value of total assets at beginning of year2014-12-31$14,242,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$70,702
Total interest from all sources2014-12-31$7,077
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$368,992
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2014-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$368,992
Administrative expenses professional fees incurred2014-12-31$14,460
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$710,883
Participant contributions at end of year2014-12-31$103,664
Participant contributions at beginning of year2014-12-31$166,649
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$59,168
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$5,789
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$2,181
Total non interest bearing cash at end of year2014-12-31$5,789
Total non interest bearing cash at beginning of year2014-12-31$3,147
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-4,308,830
Value of net assets at end of year (total assets less liabilities)2014-12-31$9,931,633
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$14,240,463
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$49,130
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$9,827,969
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$14,070,616
Interest on participant loans2014-12-31$7,077
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$335,881
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$283,706
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$2,232
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$6,003,835
Contract administrator fees2014-12-31$7,112
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31HERMANS & ASSOCIATES, CPA'S, S.C.
Accountancy firm EIN2014-12-31391421794
2013 : COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,181
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,842
Total income from all sources (including contributions)2013-12-31$3,606,584
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$2,003,196
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,937,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,430,662
Value of total assets at end of year2013-12-31$14,242,644
Value of total assets at beginning of year2013-12-31$12,638,917
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$65,934
Total interest from all sources2013-12-31$8,229
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$367,833
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$367,833
Administrative expenses professional fees incurred2013-12-31$12,394
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$767,478
Participant contributions at end of year2013-12-31$166,649
Participant contributions at beginning of year2013-12-31$173,078
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$368,600
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$2,181
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$1,842
Total non interest bearing cash at end of year2013-12-31$3,147
Total non interest bearing cash at beginning of year2013-12-31$1,782
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,603,388
Value of net assets at end of year (total assets less liabilities)2013-12-31$14,240,463
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$12,637,075
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$45,975
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$14,070,616
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$12,461,124
Interest on participant loans2013-12-31$8,229
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,799,860
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$294,584
Employer contributions (assets) at end of year2013-12-31$2,232
Employer contributions (assets) at beginning of year2013-12-31$2,933
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,937,262
Contract administrator fees2013-12-31$7,565
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31HERMANS & ASSOCIATES, CPA'S, S.C.
Accountancy firm EIN2013-12-31391421794
2012 : COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,842
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,223
Total income from all sources (including contributions)2012-12-31$2,809,651
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,225,895
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,160,064
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,092,400
Value of total assets at end of year2012-12-31$12,638,917
Value of total assets at beginning of year2012-12-31$11,055,542
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$65,831
Total interest from all sources2012-12-31$10,171
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$434,272
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$434,272
Administrative expenses professional fees incurred2012-12-31$15,134
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$764,502
Participant contributions at end of year2012-12-31$173,078
Participant contributions at beginning of year2012-12-31$186,618
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$31,363
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$1,842
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$2,223
Administrative expenses (other) incurred2012-12-31$4,586
Total non interest bearing cash at end of year2012-12-31$1,782
Total non interest bearing cash at beginning of year2012-12-31$40,873
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,583,756
Value of net assets at end of year (total assets less liabilities)2012-12-31$12,637,075
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$11,053,319
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$46,111
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$12,461,124
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$10,826,510
Interest on participant loans2012-12-31$10,171
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,272,808
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$296,535
Employer contributions (assets) at end of year2012-12-31$2,933
Employer contributions (assets) at beginning of year2012-12-31$1,541
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,160,064
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31HERMANS & ASSOCIATES, CPA'S, S.C.
Accountancy firm EIN2012-12-31391421794
2011 : COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,223
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$549
Total income from all sources (including contributions)2011-12-31$788,710
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$1,951,621
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,890,790
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,240,215
Value of total assets at end of year2011-12-31$11,055,542
Value of total assets at beginning of year2011-12-31$12,216,779
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$60,831
Total interest from all sources2011-12-31$8,311
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$299,708
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$299,708
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$831,020
Participant contributions at end of year2011-12-31$186,618
Participant contributions at beginning of year2011-12-31$157,160
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$87,394
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$2,223
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$549
Administrative expenses (other) incurred2011-12-31$14,985
Total non interest bearing cash at end of year2011-12-31$40,873
Total non interest bearing cash at beginning of year2011-12-31$541
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,162,911
Value of net assets at end of year (total assets less liabilities)2011-12-31$11,053,319
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$12,216,230
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$45,846
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$10,826,510
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$12,058,463
Interest on participant loans2011-12-31$8,311
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-759,524
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$321,801
Employer contributions (assets) at end of year2011-12-31$1,541
Employer contributions (assets) at beginning of year2011-12-31$615
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,890,790
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31HERMANS & ASSOCIATES, CPA'S, S.C.
Accountancy firm EIN2011-12-31391421794
2010 : COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$549
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$465
Total income from all sources (including contributions)2010-12-31$2,509,062
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$243,095
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$185,486
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$960,397
Value of total assets at end of year2010-12-31$12,216,779
Value of total assets at beginning of year2010-12-31$9,950,728
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$57,609
Total interest from all sources2010-12-31$7,674
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$234,623
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$234,623
Administrative expenses professional fees incurred2010-12-31$3,900
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$853,951
Participant contributions at end of year2010-12-31$157,160
Participant contributions at beginning of year2010-12-31$128,882
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$37,242
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$549
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$465
Administrative expenses (other) incurred2010-12-31$11,214
Total non interest bearing cash at end of year2010-12-31$541
Total non interest bearing cash at beginning of year2010-12-31$466
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$2,265,967
Value of net assets at end of year (total assets less liabilities)2010-12-31$12,216,230
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$9,950,263
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$42,495
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$12,058,463
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$9,821,380
Interest on participant loans2010-12-31$7,674
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,306,368
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$69,204
Employer contributions (assets) at end of year2010-12-31$615
Employer contributions (assets) at beginning of year2010-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$185,486
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31HERMANS & ASSOCIATES, CPA'S S.C.
Accountancy firm EIN2010-12-31391421794
2009 : COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN

2015: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingYes
2015-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: COMMUNITY MEMORIAL HOSPITAL, INC. 403(B) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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