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PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 401k Plan overview

Plan NamePENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN
Plan identification number 001

PENINSULA INSTITUTE FOR COMMUNITY HEALTH 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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC has sponsored the creation of one or more 401k plans.

Company Name:PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Employer identification number (EIN):541083954
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01ANGELA FUTRELL
0012017-01-01ANGELA FUTRELL ANGELA FUTRELL
0012016-01-01NONA HILTON
0012015-01-01ANGELA FUTRELL
0012014-01-01ANGELA FUTRELL
0012013-01-01ANGELA FUTRELL ANGELA FUTRELL2014-07-21
0012012-01-01ANGELA FUTRELL ANGELA FUTRELL2014-01-14
0012011-01-01ANGELA FUTRELL
0012010-01-01ANGELA FUTRELL

Plan Statistics for PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN

401k plan membership statisitcs for PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN

Measure Date Value
2022: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01209
Total number of active participants reported on line 7a of the Form 55002022-01-01170
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0126
Total of all active and inactive participants2022-01-01196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01196
Number of participants with account balances2022-01-01193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0122
2021: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01213
Total number of active participants reported on line 7a of the Form 55002021-01-01174
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0132
Total of all active and inactive participants2021-01-01206
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-012
Total participants2021-01-01208
Number of participants with account balances2021-01-01206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0113
2020: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01205
Total number of active participants reported on line 7a of the Form 55002020-01-01147
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0160
Total of all active and inactive participants2020-01-01207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01207
Number of participants with account balances2020-01-01193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-016
2019: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01214
Total number of active participants reported on line 7a of the Form 55002019-01-01151
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0151
Total of all active and inactive participants2019-01-01202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01202
Number of participants with account balances2019-01-01167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0115
2018: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01180
Total number of active participants reported on line 7a of the Form 55002018-01-01163
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0138
Total of all active and inactive participants2018-01-01201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01201
Number of participants with account balances2018-01-01167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0123
2017: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01213
Total number of active participants reported on line 7a of the Form 55002017-01-01172
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0127
Total of all active and inactive participants2017-01-01199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01199
Number of participants with account balances2017-01-01164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0120
2016: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01192
Total number of active participants reported on line 7a of the Form 55002016-01-01190
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0118
Total of all active and inactive participants2016-01-01208
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01208
Number of participants with account balances2016-01-01144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0110
2015: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01160
Total number of active participants reported on line 7a of the Form 55002015-01-01146
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-018
Total of all active and inactive participants2015-01-01154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01154
Number of participants with account balances2015-01-01109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-017
2014: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01153
Total number of active participants reported on line 7a of the Form 55002014-01-01146
Number of other retired or separated participants entitled to future benefits2014-01-019
Total of all active and inactive participants2014-01-01155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01155
Number of participants with account balances2014-01-01110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0116
2013: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01154
Total number of active participants reported on line 7a of the Form 55002013-01-01141
Number of retired or separated participants receiving benefits2013-01-015
Total of all active and inactive participants2013-01-01146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01146
Number of participants with account balances2013-01-01111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0122
2012: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01150
Total number of active participants reported on line 7a of the Form 55002012-01-01146
Number of retired or separated participants receiving benefits2012-01-015
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01151
Number of participants with account balances2012-01-0191
2011: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01132
Total number of active participants reported on line 7a of the Form 55002011-01-01140
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-01141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-011
Total participants2011-01-01142
Number of participants with account balances2011-01-01104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01133
Total number of active participants reported on line 7a of the Form 55002010-01-01123
Total of all active and inactive participants2010-01-01123
Total participants2010-01-01123
Number of participants with account balances2010-01-01108

Financial Data on PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN

Measure Date Value
2022 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$1,545
Total of all expenses incurred2022-12-31$1,410,431
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,356,291
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,108,148
Value of total assets at end of year2022-12-31$7,871,464
Value of total assets at beginning of year2022-12-31$9,280,350
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$54,140
Total interest from all sources2022-12-31$48,211
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$98,622
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$98,622
Administrative expenses professional fees incurred2022-12-31$54,140
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$520,744
Participant contributions at end of year2022-12-31$159,770
Participant contributions at beginning of year2022-12-31$165,054
Participant contributions at end of year2022-12-31$16,829
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$7,989
Other income not declared elsewhere2022-12-31$8,654
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,408,886
Value of net assets at end of year (total assets less liabilities)2022-12-31$7,871,464
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$9,280,350
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$5,667,502
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$6,553,540
Interest on participant loans2022-12-31$8,313
Interest earned on other investments2022-12-31$39,898
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$2,019,568
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$2,561,756
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,262,090
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$579,415
Employer contributions (assets) at end of year2022-12-31$7,795
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,356,291
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Disclaimer
Accountancy firm name2022-12-31ROBINSON FARMER COX ASSOCIATES
Accountancy firm EIN2022-12-31541896113
2021 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$1,620,401
Total of all expenses incurred2021-12-31$401,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$344,661
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$704,887
Value of total assets at end of year2021-12-31$9,280,350
Value of total assets at beginning of year2021-12-31$8,061,432
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$56,822
Total interest from all sources2021-12-31$59,820
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$130,259
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$130,259
Administrative expenses professional fees incurred2021-12-31$56,822
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$470,833
Participant contributions at end of year2021-12-31$165,054
Participant contributions at beginning of year2021-12-31$154,908
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$24,897
Other income not declared elsewhere2021-12-31$8,632
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,218,918
Value of net assets at end of year (total assets less liabilities)2021-12-31$9,280,350
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,061,432
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$6,553,540
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$5,343,409
Interest on participant loans2021-12-31$8,691
Interest earned on other investments2021-12-31$51,129
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$2,561,756
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$2,563,115
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$716,803
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$209,157
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$344,661
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31ROBINSON FARMER COX ASSOCIATES
Accountancy firm EIN2021-12-31541896113
2020 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$1,267,409
Total of all expenses incurred2020-12-31$239,485
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$193,581
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$568,810
Value of total assets at end of year2020-12-31$8,061,432
Value of total assets at beginning of year2020-12-31$7,033,508
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$45,904
Total interest from all sources2020-12-31$58,006
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$80,584
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$80,584
Administrative expenses professional fees incurred2020-12-31$45,904
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$394,169
Participant contributions at end of year2020-12-31$154,908
Participant contributions at beginning of year2020-12-31$145,228
Participant contributions at beginning of year2020-12-31$9,908
Other income not declared elsewhere2020-12-31$5,597
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,027,924
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,061,432
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$7,033,508
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$5,343,409
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,809,686
Interest on participant loans2020-12-31$9,363
Interest earned on other investments2020-12-31$48,643
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$2,563,115
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$2,063,450
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$554,412
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$174,641
Employer contributions (assets) at beginning of year2020-12-31$5,236
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$193,581
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ROBINSON FARMER COX ASSOCIATES
Accountancy firm EIN2020-12-31541896113
2019 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2019 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$27
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$27
Total income from all sources (including contributions)2019-12-31$1,510,539
Total income from all sources (including contributions)2019-12-31$1,510,539
Total of all expenses incurred2019-12-31$376,640
Total of all expenses incurred2019-12-31$376,640
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$347,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$347,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$581,245
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$581,245
Value of total assets at end of year2019-12-31$7,033,508
Value of total assets at end of year2019-12-31$7,033,508
Value of total assets at beginning of year2019-12-31$5,899,636
Value of total assets at beginning of year2019-12-31$5,899,636
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$28,743
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$28,743
Total interest from all sources2019-12-31$40,739
Total interest from all sources2019-12-31$40,739
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$82,433
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$82,433
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$82,433
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$82,433
Administrative expenses professional fees incurred2019-12-31$28,743
Administrative expenses professional fees incurred2019-12-31$28,743
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$320,758
Contributions received from participants2019-12-31$320,758
Participant contributions at end of year2019-12-31$145,228
Participant contributions at end of year2019-12-31$145,228
Participant contributions at beginning of year2019-12-31$127,120
Participant contributions at beginning of year2019-12-31$127,120
Participant contributions at end of year2019-12-31$9,908
Participant contributions at end of year2019-12-31$9,908
Participant contributions at beginning of year2019-12-31$11,405
Participant contributions at beginning of year2019-12-31$11,405
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$27
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$27
Other income not declared elsewhere2019-12-31$2,623
Other income not declared elsewhere2019-12-31$2,623
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,133,899
Value of net income/loss2019-12-31$1,133,899
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,033,508
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,033,508
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,899,609
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,899,609
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,809,686
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,809,686
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$4,648,156
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$4,648,156
Interest on participant loans2019-12-31$8,951
Interest on participant loans2019-12-31$8,951
Interest earned on other investments2019-12-31$31,788
Interest earned on other investments2019-12-31$31,788
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$2,063,450
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$2,063,450
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,107,362
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,107,362
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$803,499
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$803,499
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$260,487
Contributions received in cash from employer2019-12-31$260,487
Employer contributions (assets) at end of year2019-12-31$5,236
Employer contributions (assets) at end of year2019-12-31$5,236
Employer contributions (assets) at beginning of year2019-12-31$5,593
Employer contributions (assets) at beginning of year2019-12-31$5,593
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$347,897
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$347,897
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ROBINSON FARMER COX ASSOCIATES
Accountancy firm name2019-12-31ROBINSON FARMER COX ASSOCIATES
Accountancy firm EIN2019-12-31541896113
Accountancy firm EIN2019-12-31541896113
2018 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$27
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$17
Total income from all sources (including contributions)2018-12-31$384,014
Total of all expenses incurred2018-12-31$312,206
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$294,076
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$616,116
Value of total assets at end of year2018-12-31$5,899,636
Value of total assets at beginning of year2018-12-31$5,827,818
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$18,130
Total interest from all sources2018-12-31$24,022
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$70,953
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$70,953
Administrative expenses professional fees incurred2018-12-31$18,103
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$335,319
Participant contributions at end of year2018-12-31$127,120
Participant contributions at beginning of year2018-12-31$139,124
Participant contributions at end of year2018-12-31$11,405
Participant contributions at beginning of year2018-12-31$11,083
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$5,312
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$27
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$17
Administrative expenses (other) incurred2018-12-31$27
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$71,808
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,899,609
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,827,801
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$4,648,156
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,547,421
Interest on participant loans2018-12-31$6,574
Interest earned on other investments2018-12-31$17,448
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,107,362
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,128,346
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-327,077
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$275,485
Employer contributions (assets) at end of year2018-12-31$5,593
Employer contributions (assets) at beginning of year2018-12-31$1,844
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$294,076
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ROBINSON FARMER COX ASSOCIATES
Accountancy firm EIN2018-12-31541896113
2017 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$17
Total income from all sources (including contributions)2017-12-31$1,368,074
Total of all expenses incurred2017-12-31$431,467
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$413,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$738,096
Value of total assets at end of year2017-12-31$5,827,818
Value of total assets at beginning of year2017-12-31$4,891,194
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$18,444
Total interest from all sources2017-12-31$27,415
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$64,911
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$64,911
Administrative expenses professional fees incurred2017-12-31$18,427
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$100,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$387,551
Participant contributions at end of year2017-12-31$139,124
Participant contributions at beginning of year2017-12-31$145,089
Participant contributions at end of year2017-12-31$11,083
Participant contributions at beginning of year2017-12-31$11,169
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$1,013
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$17
Administrative expenses (other) incurred2017-12-31$17
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$936,607
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,827,801
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$4,891,194
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$4,547,421
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,150,129
Interest on participant loans2017-12-31$7,107
Interest earned on other investments2017-12-31$20,308
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,128,346
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,579,190
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$537,652
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$349,532
Employer contributions (assets) at end of year2017-12-31$1,844
Employer contributions (assets) at beginning of year2017-12-31$5,617
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$413,023
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ROBINSON FARMER COX ASSOCIATES
Accountancy firm EIN2017-12-31541896113
2016 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$688,959
Total of all expenses incurred2016-12-31$674,669
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$657,913
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$463,951
Value of total assets at end of year2016-12-31$4,891,194
Value of total assets at beginning of year2016-12-31$4,876,904
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$16,756
Total interest from all sources2016-12-31$30,596
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$37,040
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$37,040
Administrative expenses professional fees incurred2016-12-31$16,217
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$100,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$323,015
Participant contributions at end of year2016-12-31$145,089
Participant contributions at beginning of year2016-12-31$105,139
Participant contributions at end of year2016-12-31$11,169
Administrative expenses (other) incurred2016-12-31$539
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$14,290
Value of net assets at end of year (total assets less liabilities)2016-12-31$4,891,194
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$4,876,904
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,150,129
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$3,301,682
Interest on participant loans2016-12-31$6,442
Interest earned on other investments2016-12-31$24,154
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,579,190
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,345,536
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$157,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$140,936
Employer contributions (assets) at end of year2016-12-31$5,617
Employer contributions (assets) at beginning of year2016-12-31$124,547
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$657,913
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ROBINSON FARMER COX ASSOCIATES
Accountancy firm EIN2016-12-31541896113
2015 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-165,163
Total unrealized appreciation/depreciation of assets2015-12-31$-165,163
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$563,753
Total loss/gain on sale of assets2015-12-31$-529
Total of all expenses incurred2015-12-31$260,679
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$243,440
Expenses. Certain deemed distributions of participant loans2015-12-31$1,675
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$566,677
Value of total assets at end of year2015-12-31$4,340,693
Value of total assets at beginning of year2015-12-31$4,037,619
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$15,564
Total interest from all sources2015-12-31$7,640
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$155,128
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$155,128
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$100,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$306,827
Participant contributions at end of year2015-12-31$105,139
Participant contributions at beginning of year2015-12-31$163,762
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$0
Assets. Other investments not covered elsewhere at end of year2015-12-31$531,251
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$533,170
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$2,575
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$27,902
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$303,074
Value of net assets at end of year (total assets less liabilities)2015-12-31$4,340,693
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$4,037,619
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,573,461
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$2,379,744
Interest on participant loans2015-12-31$7,640
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,006,295
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$933,041
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$257,275
Employer contributions (assets) at end of year2015-12-31$124,547
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$243,440
Contract administrator fees2015-12-31$15,564
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$-529
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CAVANAUGH NELSON, PLC
Accountancy firm EIN2015-12-31541967771
2014 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$8,205
Total unrealized appreciation/depreciation of assets2014-12-31$8,205
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$549,991
Total loss/gain on sale of assets2014-12-31$29,890
Total of all expenses incurred2014-12-31$420,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$393,158
Expenses. Certain deemed distributions of participant loans2014-12-31$21,874
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$382,862
Value of total assets at end of year2014-12-31$4,037,619
Value of total assets at beginning of year2014-12-31$3,907,632
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$4,972
Total interest from all sources2014-12-31$8,388
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$120,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$120,646
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$100,000
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$284,673
Participant contributions at end of year2014-12-31$163,762
Participant contributions at beginning of year2014-12-31$145,264
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$0
Assets. Other investments not covered elsewhere at end of year2014-12-31$533,170
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$513,407
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$3,753
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$27,902
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$18,302
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$129,987
Value of net assets at end of year (total assets less liabilities)2014-12-31$4,037,619
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,907,632
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$2,379,744
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$2,128,598
Interest on participant loans2014-12-31$8,388
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$933,041
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$866,723
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$94,436
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$235,338
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$393,158
Contract administrator fees2014-12-31$4,972
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$29,890
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 name2014-12-31CAVANAUGH NELSON, PLC
Accountancy firm EIN2014-12-31541967771
2013 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$817,448
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$168,544
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$164,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$515,481
Value of total assets at end of year2013-12-31$3,907,632
Value of total assets at beginning of year2013-12-31$3,258,728
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$4,427
Total interest from all sources2013-12-31$4,343
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$85,311
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$85,311
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$100,000
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$280,143
Participant contributions at end of year2013-12-31$145,264
Participant contributions at beginning of year2013-12-31$64,552
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$0
Assets. Other investments not covered elsewhere at end of year2013-12-31$513,407
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$445,613
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$18,302
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$15,360
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$648,904
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,907,632
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,258,728
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$2,128,598
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,609,809
Interest on participant loans2013-12-31$4,343
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$866,723
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$887,202
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$212,313
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$235,338
Employer contributions (assets) at end of year2013-12-31$235,338
Employer contributions (assets) at beginning of year2013-12-31$236,192
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$164,117
Contract administrator fees2013-12-31$4,427
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 name2013-12-31CAVANAUGH NELSON PLC
Accountancy firm EIN2013-12-31541967771
2012 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$797,740
Total of all expenses incurred2012-12-31$156,685
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$156,213
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$562,563
Value of total assets at end of year2012-12-31$3,258,728
Value of total assets at beginning of year2012-12-31$2,617,673
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$472
Total interest from all sources2012-12-31$4,339
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$54,588
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$54,588
Was this plan covered by a fidelity bond2012-12-31No
Value of fidelity bond cover2012-12-31$100,000
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$266,047
Participant contributions at end of year2012-12-31$64,552
Participant contributions at beginning of year2012-12-31$77,251
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$7,938
Assets. Other investments not covered elsewhere at end of year2012-12-31$445,613
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$418,525
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$15,360
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$641,055
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,258,728
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,617,673
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,609,809
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,310,811
Interest on participant loans2012-12-31$4,339
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$887,202
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$798,079
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$176,250
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$296,516
Employer contributions (assets) at end of year2012-12-31$236,192
Employer contributions (assets) at beginning of year2012-12-31$5,069
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$156,213
Contract administrator fees2012-12-31$472
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 name2012-12-31CAVANAUGH NELSON PLC
Accountancy firm EIN2012-12-31541967771
2011 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$491,895
Total of all expenses incurred2011-12-31$84,581
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$77,780
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$495,868
Value of total assets at end of year2011-12-31$2,617,673
Value of total assets at beginning of year2011-12-31$2,210,359
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$6,801
Total interest from all sources2011-12-31$3,734
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$27,384
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$27,384
Was this plan covered by a fidelity bond2011-12-31No
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$256,539
Participant contributions at end of year2011-12-31$77,251
Participant contributions at beginning of year2011-12-31$66,318
Participant contributions at end of year2011-12-31$7,938
Participant contributions at beginning of year2011-12-31$8,408
Assets. Other investments not covered elsewhere at end of year2011-12-31$418,525
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$430,970
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$21,372
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$407,314
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,617,673
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,210,359
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,310,811
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,253,319
Interest on participant loans2011-12-31$3,734
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$798,079
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$424,502
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-35,091
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$239,329
Employer contributions (assets) at end of year2011-12-31$5,069
Employer contributions (assets) at beginning of year2011-12-31$5,470
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$77,780
Contract administrator fees2011-12-31$6,801
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 name2011-12-31CAVANAUGH NELSON PLC
Accountancy firm EIN2011-12-31541967771
2010 : PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$625,800
Total of all expenses incurred2010-12-31$38,349
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$37,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$474,109
Value of total assets at end of year2010-12-31$1,622,908
Value of total assets at beginning of year2010-12-31$2,210,359
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$533
Total interest from all sources2010-12-31$960
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$25,801
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$25,801
Was this plan covered by a fidelity bond2010-12-31No
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$126,677
Participant contributions at end of year2010-12-31$8,774
Participant contributions at beginning of year2010-12-31$66,318
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$8,408
Assets. Other investments not covered elsewhere at end of year2010-12-31$1,614,134
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$430,970
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$21,372
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$587,451
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,622,908
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,210,359
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,253,319
Interest on participant loans2010-12-31$960
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$424,502
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$124,930
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$347,432
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$5,470
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$37,816
Contract administrator fees2010-12-31$533
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 name2010-12-31CAVANAUGH NELSON PLC
Accountancy firm EIN2010-12-31541967771

Form 5500 Responses for PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC 403(B) PLAN

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

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number079624001
Policy instance 2
Insurance contract or identification number079624001
Number of Individuals Covered30
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerLOAN SERVICE FEES
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered179
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number079624001
Policy instance 2
Insurance contract or identification number079624001
Number of Individuals Covered30
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of fees paid to insurance companyUSD $661
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees661
Additional information about fees paid to insurance brokerLOAN SERVICE FEES
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered179
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number079624001
Policy instance 2
Insurance contract or identification number079624001
Number of Individuals Covered30
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $580
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees580
Additional information about fees paid to insurance brokerLOAN SERVICE FEES
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered172
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number079624001
Policy instance 2
Insurance contract or identification number079624001
Number of Individuals Covered30
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $656
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees656
Additional information about fees paid to insurance brokerLOAN SERVICE FEES
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered172
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,128
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,128
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered168
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,535
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,535
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number079624001
Policy instance 2
Insurance contract or identification number079624001
Number of Individuals Covered33
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $729
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $729
Additional information about fees paid to insurance brokerLOAN SERVICE FEES
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number079624001
Policy instance 2
Insurance contract or identification number079624001
Number of Individuals Covered32
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $799
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees799
Additional information about fees paid to insurance brokerLOAN SERVICE FEES
Insurance broker organization code?3
Insurance broker nameEQUI-VEST
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered165
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,363
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,363
Insurance broker organization code?3
Insurance broker nameTHE LEADERS GROUP INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered154
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,906
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,906
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTHE LEADERS GROUP INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered155
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,758
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,758
Insurance broker organization code?3
Insurance broker nameTHE LEADERS GROUP INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered146
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,941
Total amount of fees paid to insurance companyUSD $1,440
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,760
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker nameCEROS FINANCIAL SERVICES INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered151
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,258
Amount paid for insurance broker fees374
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
Insurance broker nameTHE LEADERS GROUP INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered142
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,711
Total amount of fees paid to insurance companyUSD $110
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered124
Insurance policy start date2010-06-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,582
Total amount of fees paid to insurance companyUSD $44
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes

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