401k Plan data: BIG HORN HOSPITAL ASSOCIATION PENSION PLAN plan

BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 401k Plan overview

Plan Name	BIG HORN HOSPITAL ASSOCIATION PENSION PLAN
Plan identification number	001

BIG HORN HOSPITAL ASSOCIATION PENSION PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	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.

401k Sponsoring company profile

BIG HORN HOSPITAL ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: BIG HORN HOSPITAL ASSOCIATION

Employer identification number (EIN): 810384618

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BIG HORN HOSPITAL ASSOCIATION PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 ROXANNA CAIN 2017-08-24
001 2016-01-01 ROXANNA CAIN 2017-06-09
001 2015-01-01 ROXANNA CAIN 2016-09-20
001 2014-01-01 ROXANNA CAIN
001 2013-01-01 ROXANNA CAIN
001 2012-01-01 ROXANNA CAIN
001 2011-01-01 ROXANNA CAIN
001 2009-01-01 GARY ROBERTSON
001 2009-01-01 GARY ROBERTSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2017-01-01	ROXANNA CAIN	2017-08-24
001	2016-01-01	ROXANNA CAIN	2017-06-09
001	2015-01-01	ROXANNA CAIN	2016-09-20
001	2014-01-01	ROXANNA CAIN
001	2013-01-01	ROXANNA CAIN
001	2012-01-01	ROXANNA CAIN
001	2011-01-01	ROXANNA CAIN
001	2009-01-01	GARY ROBERTSON
001	2009-01-01	GARY ROBERTSON

Plan Statistics for BIG HORN HOSPITAL ASSOCIATION PENSION PLAN

401k plan membership statisitcs for BIG HORN HOSPITAL ASSOCIATION PENSION PLAN

Measure Date Value
2014: BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 211
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 63
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 3
Total of all active and inactive participants 2014-01-01 66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 66
Number of participants with account balances 2014-01-01 66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 201
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 206
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 15
Total of all active and inactive participants 2013-01-01 221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 221
Number of participants with account balances 2013-01-01 89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 190
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 203
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 10
Total of all active and inactive participants 2012-01-01 213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 213
Number of participants with account balances 2012-01-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 192
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 195
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 7
Total of all active and inactive participants 2011-01-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 202
Number of participants with account balances 2011-01-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 156
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 178
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 180
Number of participants with account balances 2009-01-01 70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	211
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	63
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	3
Total of all active and inactive participants	2014-01-01	66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	66
Number of participants with account balances	2014-01-01	66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	201
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	206
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	15
Total of all active and inactive participants	2013-01-01	221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	221
Number of participants with account balances	2013-01-01	89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	190
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	203
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	10
Total of all active and inactive participants	2012-01-01	213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	213
Number of participants with account balances	2012-01-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	192
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	195
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	7
Total of all active and inactive participants	2011-01-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	202
Number of participants with account balances	2011-01-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	156
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	178
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	180
Number of participants with account balances	2009-01-01	70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on BIG HORN HOSPITAL ASSOCIATION PENSION PLAN

Measure	Date	Value
2014 : BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets from this plan	2014-12-31	$33,257
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	$253,974
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,425,180
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,422,585
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$139,342
Value of total assets at end of year	2014-12-31	$186,961
Value of total assets at beginning of year	2014-12-31	$2,391,424
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$2,595
Total interest from all sources	2014-12-31	$1,115
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$10,803
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$10,803
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$250,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$81,231
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$27,291
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$6,431
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$12,442
Administrative expenses (other) incurred	2014-12-31	$2,595
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-2,171,206
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$186,961
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,391,424
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$140,376
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,261,361
Interest on participant loans	2014-12-31	$1,115
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$7,989
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$7,989
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$102,714
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$45,669
Employer contributions (assets) at end of year	2014-12-31	$46,585
Employer contributions (assets) at beginning of year	2014-12-31	$88,352
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,422,585
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2014-12-31	410746749
2013 : BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$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	$555,058
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$204,510
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$203,125
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$254,324
Value of total assets at end of year	2013-12-31	$2,391,424
Value of total assets at beginning of year	2013-12-31	$2,040,876
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,385
Total interest from all sources	2013-12-31	$1,577
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$34,172
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$34,172
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$250,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$165,899
Participant contributions at end of year	2013-12-31	$27,291
Participant contributions at beginning of year	2013-12-31	$31,542
Participant contributions at end of year	2013-12-31	$6,431
Participant contributions at beginning of year	2013-12-31	$8,818
Administrative expenses (other) incurred	2013-12-31	$1,385
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$350,548
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,391,424
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,040,876
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,261,361
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,854,859
Interest on participant loans	2013-12-31	$1,577
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$7,989
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$57,091
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$57,091
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$264,985
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$88,425
Employer contributions (assets) at end of year	2013-12-31	$88,352
Employer contributions (assets) at beginning of year	2013-12-31	$88,566
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$203,125
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2013-12-31	410746749
2012 : BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$437,839
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$138,014
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$136,651
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$243,238
Value of total assets at end of year	2012-12-31	$2,040,876
Value of total assets at beginning of year	2012-12-31	$1,741,051
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,363
Total interest from all sources	2012-12-31	$1,754
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$16,988
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$16,988
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$250,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$154,672
Participant contributions at end of year	2012-12-31	$31,542
Participant contributions at beginning of year	2012-12-31	$36,453
Participant contributions at end of year	2012-12-31	$8,818
Participant contributions at beginning of year	2012-12-31	$12,129
Administrative expenses (other) incurred	2012-12-31	$1,363
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$299,825
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,040,876
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,741,051
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$1,854,859
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,542,339
Interest on participant loans	2012-12-31	$1,754
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$57,091
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$56,583
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$56,583
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$175,859
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$88,566
Employer contributions (assets) at end of year	2012-12-31	$88,566
Employer contributions (assets) at beginning of year	2012-12-31	$93,547
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$136,651
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2012-12-31	410746749
2011 : BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$324,120
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$49,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$48,785
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$340,058
Value of total assets at end of year	2011-12-31	$1,741,051
Value of total assets at beginning of year	2011-12-31	$1,466,545
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$829
Total interest from all sources	2011-12-31	$1,277
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$12,947
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$12,947
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$250,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$146,984
Participant contributions at end of year	2011-12-31	$36,453
Participant contributions at beginning of year	2011-12-31	$13,596
Participant contributions at end of year	2011-12-31	$12,129
Participant contributions at beginning of year	2011-12-31	$6,470
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$99,527
Administrative expenses (other) incurred	2011-12-31	$829
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$274,506
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,741,051
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,466,545
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,542,339
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,302,120
Interest on participant loans	2011-12-31	$1,277
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$56,583
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$56,103
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$56,103
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-30,162
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$93,547
Employer contributions (assets) at end of year	2011-12-31	$93,547
Employer contributions (assets) at beginning of year	2011-12-31	$88,256
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$48,785
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2011-12-31	410746749
2010 : BIG HORN HOSPITAL ASSOCIATION PENSION PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$354,950
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$30,771
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$29,574
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$224,308
Value of total assets at end of year	2010-12-31	$1,466,545
Value of total assets at beginning of year	2010-12-31	$1,142,366
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,197
Total interest from all sources	2010-12-31	$204
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$20,982
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$20,982
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$25,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$136,052
Participant contributions at end of year	2010-12-31	$13,596
Participant contributions at beginning of year	2010-12-31	$1,860
Participant contributions at end of year	2010-12-31	$6,470
Participant contributions at beginning of year	2010-12-31	$4,379
Administrative expenses (other) incurred	2010-12-31	$1,197
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$324,179
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,466,545
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,142,366
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,302,120
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,060,942
Interest on participant loans	2010-12-31	$204
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$56,103
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$230
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$230
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$109,456
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$88,256
Employer contributions (assets) at end of year	2010-12-31	$88,256
Employer contributions (assets) at beginning of year	2010-12-31	$74,955
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$29,574
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	LARSON ALLEN, LLP
Accountancy firm EIN	2010-12-31	410746749

Form 5500 Responses for BIG HORN HOSPITAL ASSOCIATION PENSION PLAN

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

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Company Name:	BIG HORN HOSPITAL ASSOCIATION
Employer identification number (EIN):	810384618
NAIC Classification:	622000
NAIC Description:	Hospitals