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Form 5500 · Retirement plan · CHIPLEY, FL

NORTHWEST FLORIDA HEALTHCARE, INC.

The filing calls this plan NORTHWEST FLORIDA COMMUNITY HOSPITAL RETIREMENT PLAN.

NORTHWEST FLORIDA HEALTHCARE, INC. of CHIPLEY, FL files a Form 5500 for its retirement plan. Schedule A discloses 1 annuity or guaranteed-interest contract held by the plan, written by JOHN HANCOCK LIFE INSURANCE COMPANY. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.

Agent of record (Schedule A)
Contract year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-0244662 · plan 001 · plan year 2024, filed Oct 15, 2025

Participants at the start of the year
334
Contracts on file
1
Contract value
$4,061,387
Plan year end
December

Plan brief

Schedule A lists 1 insurance contract held by the plan — an annuity, a guaranteed-interest account or a similar funding vehicle, with JOHN HANCOCK LIFE INSURANCE COMPANY.

The contracts held $4,061,387 at the end of the plan year, as reported on Schedule A.

$14,818 in agent commissions is disclosed across the contracts; TRIAD INSURANCE INC is the agent of record.

A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.

The contract year ended in December.

Schedule A insurance contracts

CarrierContract typeCoveredYear endsContract valueCommission
JOHN HANCOCK LIFE INSURANCE COMPANYAnnuity / GIC175December$4,061,387$14,818

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
NORTHWEST FLORIDA HEALTHCARE, INC.
EIN 20-0244662
JOHN HANCOCK LIFE INSURANCE COMPANY
Recordkeeping and information management · EIN 01-0233346

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

What the plan holds

Plan assets at year end
$4,135,247
Paid out in benefits
$683,841
Participants at the start of the year
334
Participants with account balances
142

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

Who runs the plan

RecordkeeperEIN 01-0233346
JOHN HANCOCK LIFE INSURANCE COMPANY
Independent accountantEIN 72-1396621
CARR, RIGGS, AND INGRAM LLC
Accountant's opinion (Schedule H, line 3a)
Unmodified

The recordkeeper and the accountant are named on Schedule C of this filing. The opinion and the fee are from Schedule H.

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