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ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN
Plan identification number 002

ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ASHLAND COMMUNITY HEALTHCARE SERVICES has sponsored the creation of one or more 401k plans.

Company Name:ASHLAND COMMUNITY HEALTHCARE SERVICES
Employer identification number (EIN):931213059
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about ASHLAND COMMUNITY HEALTHCARE SERVICES

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 1996-04-08
Company Identification Number: 51030584
Legal Registered Office Address: 2650 SISKIYOU BLVD

MEDFORD
United States of America (USA)
97504

More information about ASHLAND COMMUNITY HEALTHCARE SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022016-01-01PAUL MACUGA
0022015-01-01GREGG EDWARDS
0022014-01-01GREGG EDWARDS
0022013-01-01GREGG EDWARDS

Plan Statistics for ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN

Measure Date Value
2016: ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01324
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-010
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01379
Total number of active participants reported on line 7a of the Form 55002015-01-01138
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-01185
Total of all active and inactive participants2015-01-01324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01324
Number of participants with account balances2015-01-01324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01506
Total number of active participants reported on line 7a of the Form 55002014-01-01172
Number of retired or separated participants receiving benefits2014-01-012
Number of other retired or separated participants entitled to future benefits2014-01-01203
Total of all active and inactive participants2014-01-01377
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-012
Total participants2014-01-01379
Number of participants with account balances2014-01-01379
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01580
Total number of active participants reported on line 7a of the Form 55002013-01-01293
Number of retired or separated participants receiving benefits2013-01-011
Number of other retired or separated participants entitled to future benefits2013-01-01210
Total of all active and inactive participants2013-01-01504
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-012
Total participants2013-01-01506
Number of participants with account balances2013-01-01506
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-019

Financial Data on ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN

Measure Date Value
2016 : ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2016 401k financial data
Total transfer of assets from this plan2016-12-15$2,637,133
Total income from all sources (including contributions)2016-12-15$188,814
Total of all expenses incurred2016-12-15$195,256
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-15$191,041
Value of total assets at end of year2016-12-15$0
Value of total assets at beginning of year2016-12-15$2,643,575
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-15$4,215
Total interest from all sources2016-12-15$3,485
Total dividends received (eg from common stock, registered investment company shares)2016-12-15$32,976
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-15Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-12-15$0
Total dividends received from registered investment company shares (eg mutual funds)2016-12-15$32,976
Was this plan covered by a fidelity bond2016-12-15Yes
Value of fidelity bond cover2016-12-15$265,000
If this is an individual account plan, was there a blackout period2016-12-15Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-15$0
Funding deficiency by the employer to the plan for this plan year2016-12-15$0
Minimum employer required contribution for this plan year2016-12-15$0
Amount contributed by the employer to the plan for this plan year2016-12-15$0
Were there any nonexempt tranactions with any party-in-interest2016-12-15No
Administrative expenses (other) incurred2016-12-15$4,215
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-15No
Value of net income/loss2016-12-15$-6,442
Value of net assets at end of year (total assets less liabilities)2016-12-15$0
Value of net assets at beginning of year (total assets less liabilities)2016-12-15$2,643,575
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-15No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-15No
Were any leases to which the plan was party in default or uncollectible2016-12-15No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-15$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-15$2,504,441
Interest earned on other investments2016-12-15$3,485
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-15$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-15$139,134
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-15$152,353
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-15No
Was there a failure to transmit to the plan any participant contributions2016-12-15No
Has the plan failed to provide any benefit when due under the plan2016-12-15No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-15$191,041
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-15Yes
Did the plan have assets held for investment2016-12-15No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-15No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-15Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-15Yes
Opinion of an independent qualified public accountant for this plan2016-12-15Disclaimer
Accountancy firm name2016-12-15ALDRICH CPAS & ADVISORS LLP
Accountancy firm EIN2016-12-15930623286
2015 : ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2015 401k financial data
Total transfer of assets from this plan2015-12-31$331,057
Total income from all sources (including contributions)2015-12-31$-20,483
Total of all expenses incurred2015-12-31$410,519
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$403,354
Value of total assets at end of year2015-12-31$2,643,575
Value of total assets at beginning of year2015-12-31$3,405,634
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$7,165
Total interest from all sources2015-12-31$3,668
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$48,815
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$48,815
Administrative expenses professional fees incurred2015-12-31$2,674
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Funding deficiency by the employer to the plan for this plan year2015-12-31$0
Minimum employer required contribution for this plan year2015-12-31$0
Amount contributed by the employer to the plan for this plan year2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Administrative expenses (other) incurred2015-12-31$4,491
Total non interest bearing cash at end of year2015-12-31$0
Total non interest bearing cash at beginning of year2015-12-31$1,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-431,002
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,643,575
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,405,634
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$2,504,441
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,266,195
Interest earned on other investments2015-12-31$3,668
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$139,134
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$137,882
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-72,966
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$403,354
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
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
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 name2015-12-31AKT LLP
Accountancy firm EIN2015-12-31930623286
2014 : ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2014 401k financial data
Total transfer of assets from this plan2014-12-31$1,104,107
Total income from all sources (including contributions)2014-12-31$221,212
Total of all expenses incurred2014-12-31$586,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$531,938
Value of total assets at end of year2014-12-31$3,405,634
Value of total assets at beginning of year2014-12-31$4,875,056
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$54,589
Total interest from all sources2014-12-31$5,529
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$81,015
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$81,015
Administrative expenses professional fees incurred2014-12-31$43,964
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$10,000,000
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
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Other income not declared elsewhere2014-12-31$38
Administrative expenses (other) incurred2014-12-31$2,125
Total non interest bearing cash at end of year2014-12-31$1,557
Total non interest bearing cash at beginning of year2014-12-31$104
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-365,315
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,405,634
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,875,056
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$8,500
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,266,195
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$4,642,313
Interest earned on other investments2014-12-31$5,529
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$137,882
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$232,639
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$134,630
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$531,938
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31AKT LLP
Accountancy firm EIN2014-12-31930623286
2013 : ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$1,140,316
Total of all expenses incurred2013-12-31$291,119
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$291,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$500,199
Value of total assets at end of year2013-12-31$4,875,056
Value of total assets at beginning of year2013-12-31$4,025,859
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$27
Total interest from all sources2013-12-31$6,208
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$94,419
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$94,419
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$10,000,000
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
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$500,199
Amount contributed by the employer to the plan for this plan year2013-12-31$500,199
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Administrative expenses (other) incurred2013-12-31$27
Total non interest bearing cash at end of year2013-12-31$104
Total non interest bearing cash at beginning of year2013-12-31$104
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$849,197
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,875,056
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,025,859
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$4,642,313
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$3,826,519
Interest earned on other investments2013-12-31$6,208
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$232,639
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$199,236
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$539,490
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$500,199
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$291,092
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
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 name2013-12-31AKT LLP
Accountancy firm EIN2013-12-31930623286

Form 5500 Responses for ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN

2016: ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: ASHLAND COMMUNITY HOSPITAL RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA080300
Policy instance 1
Insurance contract or identification numberTA080300
Number of Individuals Covered324
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA080300
Policy instance 1
Insurance contract or identification numberTA080300
Number of Individuals Covered379
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA080300
Policy instance 1
Insurance contract or identification numberTA080300
Number of Individuals Covered506
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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