401k Plan data: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN plan

HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan Name	HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN
Plan identification number	003

HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HCSC-BLOOD CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: HCSC-BLOOD CENTER, INC.

Employer identification number (EIN): 231731796

NAIC Classification: 621510
NAIC Description: Medical and Diagnostic Laboratories

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2021-07-01
003 2020-07-01
003 2019-07-01
003 2018-07-01
003 2017-07-01 MARK ANGENY STEPHEN A GERGAR 2019-02-06
003 2016-07-01 MARK ANGENY MARK ANGENY 2018-02-27
003 2015-07-01 MARK ANGENY STEPHEN GERGAR 2017-03-06
003 2014-07-01 MARK ANGENY STEPHEN GERGAR 2016-03-17
003 2013-07-01 MARK ANGENY STEPHEN GERGAR 2015-02-28
003 2012-07-01 MARK ANGENY STEPHEN GERGAR 2014-03-05
003 2011-07-01 MARK ANGENY THOMAS FENSTERMACHER 2013-01-29
003 2010-07-01 MARK G ANGENY THOMAS D FENSTERMACHER 2012-01-26
003 2009-07-01 MARK ANGENY THOMAS D FENSTERMACHER 2011-04-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2021-07-01
003	2020-07-01
003	2019-07-01
003	2018-07-01
003	2017-07-01	MARK ANGENY	STEPHEN A GERGAR	2019-02-06
003	2016-07-01	MARK ANGENY	MARK ANGENY	2018-02-27
003	2015-07-01	MARK ANGENY	STEPHEN GERGAR	2017-03-06
003	2014-07-01	MARK ANGENY	STEPHEN GERGAR	2016-03-17
003	2013-07-01	MARK ANGENY	STEPHEN GERGAR	2015-02-28
003	2012-07-01	MARK ANGENY	STEPHEN GERGAR	2014-03-05
003	2011-07-01	MARK ANGENY	THOMAS FENSTERMACHER	2013-01-29
003	2010-07-01	MARK G ANGENY	THOMAS D FENSTERMACHER	2012-01-26
003	2009-07-01	MARK ANGENY	THOMAS D FENSTERMACHER	2011-04-14

Plan Statistics for HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN

401k plan membership statisitcs for HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN

Measure Date Value
2021: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 256
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 218
Number of retired or separated participants receiving benefits 2021-07-01 7
Number of other retired or separated participants entitled to future benefits 2021-07-01 47
Total of all active and inactive participants 2021-07-01 272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 272
Number of participants with account balances 2021-07-01 252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 8
2020: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 279
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 204
Number of retired or separated participants receiving benefits 2020-07-01 8
Number of other retired or separated participants entitled to future benefits 2020-07-01 44
Total of all active and inactive participants 2020-07-01 256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 256
Number of participants with account balances 2020-07-01 245
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 13
2019: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 279
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 237
Number of retired or separated participants receiving benefits 2019-07-01 6
Number of other retired or separated participants entitled to future benefits 2019-07-01 36
Total of all active and inactive participants 2019-07-01 279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 279
Number of participants with account balances 2019-07-01 260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 7
2018: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 255
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 243
Number of retired or separated participants receiving benefits 2018-07-01 2
Number of other retired or separated participants entitled to future benefits 2018-07-01 34
Total of all active and inactive participants 2018-07-01 279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 279
Number of participants with account balances 2018-07-01 261
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 3
2017: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 229
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 214
Number of retired or separated participants receiving benefits 2017-07-01 9
Number of other retired or separated participants entitled to future benefits 2017-07-01 32
Total of all active and inactive participants 2017-07-01 255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 255
Number of participants with account balances 2017-07-01 239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 237
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 193
Number of retired or separated participants receiving benefits 2016-07-01 6
Number of other retired or separated participants entitled to future benefits 2016-07-01 29
Total of all active and inactive participants 2016-07-01 228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 1
Total participants 2016-07-01 229
Number of participants with account balances 2016-07-01 218
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 8
2015: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 274
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 190
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 47
Total of all active and inactive participants 2015-07-01 237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 237
Number of participants with account balances 2015-07-01 237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 2
2014: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 288
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 227
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 47
Total of all active and inactive participants 2014-07-01 274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 274
Number of participants with account balances 2014-07-01 274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 4
2013: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 291
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 247
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 41
Total of all active and inactive participants 2013-07-01 288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 288
Number of participants with account balances 2013-07-01 288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 4
2012: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 282
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 260
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 31
Total of all active and inactive participants 2012-07-01 291
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 291
Number of participants with account balances 2012-07-01 291
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 1
2011: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 264
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 251
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 31
Total of all active and inactive participants 2011-07-01 282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 282
Number of participants with account balances 2011-07-01 282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 6
2010: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 253
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 237
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 27
Total of all active and inactive participants 2010-07-01 264
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 264
Number of participants with account balances 2010-07-01 264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 4
2009: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 261
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 226
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 27
Total of all active and inactive participants 2009-07-01 253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 253
Number of participants with account balances 2009-07-01 253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 5

Measure	Date	Value
2021: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	256
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	218
Number of retired or separated participants receiving benefits	2021-07-01	7
Number of other retired or separated participants entitled to future benefits	2021-07-01	47
Total of all active and inactive participants	2021-07-01	272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	272
Number of participants with account balances	2021-07-01	252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	8
2020: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	279
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	204
Number of retired or separated participants receiving benefits	2020-07-01	8
Number of other retired or separated participants entitled to future benefits	2020-07-01	44
Total of all active and inactive participants	2020-07-01	256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	256
Number of participants with account balances	2020-07-01	245
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	13
2019: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	279
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	237
Number of retired or separated participants receiving benefits	2019-07-01	6
Number of other retired or separated participants entitled to future benefits	2019-07-01	36
Total of all active and inactive participants	2019-07-01	279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	279
Number of participants with account balances	2019-07-01	260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	7
2018: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	255
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	243
Number of retired or separated participants receiving benefits	2018-07-01	2
Number of other retired or separated participants entitled to future benefits	2018-07-01	34
Total of all active and inactive participants	2018-07-01	279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	279
Number of participants with account balances	2018-07-01	261
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	3
2017: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	229
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	214
Number of retired or separated participants receiving benefits	2017-07-01	9
Number of other retired or separated participants entitled to future benefits	2017-07-01	32
Total of all active and inactive participants	2017-07-01	255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	255
Number of participants with account balances	2017-07-01	239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	237
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	193
Number of retired or separated participants receiving benefits	2016-07-01	6
Number of other retired or separated participants entitled to future benefits	2016-07-01	29
Total of all active and inactive participants	2016-07-01	228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	1
Total participants	2016-07-01	229
Number of participants with account balances	2016-07-01	218
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	8
2015: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	274
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	190
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	47
Total of all active and inactive participants	2015-07-01	237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	237
Number of participants with account balances	2015-07-01	237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	2
2014: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	288
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	227
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	47
Total of all active and inactive participants	2014-07-01	274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	274
Number of participants with account balances	2014-07-01	274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	4
2013: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	291
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	247
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	41
Total of all active and inactive participants	2013-07-01	288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	288
Number of participants with account balances	2013-07-01	288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	4
2012: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	282
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	260
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	31
Total of all active and inactive participants	2012-07-01	291
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	291
Number of participants with account balances	2012-07-01	291
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	1
2011: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	264
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	251
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	31
Total of all active and inactive participants	2011-07-01	282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	282
Number of participants with account balances	2011-07-01	282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	6
2010: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	253
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	237
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	27
Total of all active and inactive participants	2010-07-01	264
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	264
Number of participants with account balances	2010-07-01	264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	4
2009: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	261
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	226
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	27
Total of all active and inactive participants	2009-07-01	253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	253
Number of participants with account balances	2009-07-01	253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	5

Financial Data on HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN

Measure	Date	Value
2022 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$187,194
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$827,474
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$773,089
Expenses. Certain deemed distributions of participant loans	2022-06-30	$27,905
Value of total corrective distributions	2022-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$792,719
Value of total assets at end of year	2022-06-30	$7,751,519
Value of total assets at beginning of year	2022-06-30	$8,391,799
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$26,480
Total interest from all sources	2022-06-30	$62,835
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$199,106
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$199,106
Administrative expenses professional fees incurred	2022-06-30	$0
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$200,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$426,124
Participant contributions at end of year	2022-06-30	$205,954
Participant contributions at beginning of year	2022-06-30	$235,250
Assets. Other investments not covered elsewhere at end of year	2022-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2022-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-06-30	$0
Other income not declared elsewhere	2022-06-30	$0
Administrative expenses (other) incurred	2022-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-640,280
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$7,751,519
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$8,391,799
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Investment advisory and management fees	2022-06-30	$19,573
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$3,623,128
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$4,553,737
Value of interest in pooled separate accounts at end of year	2022-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2022-06-30	$0
Interest on participant loans	2022-06-30	$9,702
Interest earned on other investments	2022-06-30	$53,133
Value of interest in common/collective trusts at end of year	2022-06-30	$0
Value of interest in common/collective trusts at beginning of year	2022-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$3,922,437
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$3,602,812
Expenses. Payments to insurance carriers foe the provision of benefits	2022-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-867,466
Net investment gain/loss from pooled separate accounts	2022-06-30	$0
Net investment gain or loss from common/collective trusts	2022-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Assets. Invements in employer securities at end of year	2022-06-30	$0
Assets. Invements in employer securities at beginning of year	2022-06-30	$0
Contributions received in cash from employer	2022-06-30	$366,595
Income. Dividends from common stock	2022-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$773,089
Contract administrator fees	2022-06-30	$6,907
Did the plan have assets held for investment	2022-06-30	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	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2022-06-30	410746749
2021 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$1,755,502
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$1,156,386
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$1,145,433
Expenses. Certain deemed distributions of participant loans	2021-06-30	$0
Value of total corrective distributions	2021-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$672,060
Value of total assets at end of year	2021-06-30	$8,391,799
Value of total assets at beginning of year	2021-06-30	$7,792,683
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$10,953
Total interest from all sources	2021-06-30	$71,173
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$280,104
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$280,104
Administrative expenses professional fees incurred	2021-06-30	$0
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$200,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$319,759
Participant contributions at end of year	2021-06-30	$235,250
Participant contributions at beginning of year	2021-06-30	$211,358
Assets. Other investments not covered elsewhere at end of year	2021-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2021-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$37,327
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-06-30	$0
Other income not declared elsewhere	2021-06-30	$0
Administrative expenses (other) incurred	2021-06-30	$700
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$599,116
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$8,391,799
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$7,792,683
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Investment advisory and management fees	2021-06-30	$3,219
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$4,553,737
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$3,448,896
Value of interest in pooled separate accounts at end of year	2021-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2021-06-30	$0
Interest on participant loans	2021-06-30	$11,452
Interest earned on other investments	2021-06-30	$59,721
Value of interest in common/collective trusts at end of year	2021-06-30	$0
Value of interest in common/collective trusts at beginning of year	2021-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$3,602,812
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$4,132,429
Expenses. Payments to insurance carriers foe the provision of benefits	2021-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$732,165
Net investment gain/loss from pooled separate accounts	2021-06-30	$0
Net investment gain or loss from common/collective trusts	2021-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Assets. Invements in employer securities at end of year	2021-06-30	$0
Assets. Invements in employer securities at beginning of year	2021-06-30	$0
Contributions received in cash from employer	2021-06-30	$314,974
Income. Dividends from common stock	2021-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$1,145,433
Contract administrator fees	2021-06-30	$7,034
Did the plan have assets held for investment	2021-06-30	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	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	CONCANNON MILLER
Accountancy firm EIN	2021-06-30	232620120
2020 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$912,704
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$420,210
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$414,472
Expenses. Certain deemed distributions of participant loans	2020-06-30	$0
Value of total corrective distributions	2020-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$646,093
Value of total assets at end of year	2020-06-30	$7,792,100
Value of total assets at beginning of year	2020-06-30	$7,299,606
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$5,738
Total interest from all sources	2020-06-30	$95,926
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$153,804
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$153,804
Administrative expenses professional fees incurred	2020-06-30	$0
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$500,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$326,688
Participant contributions at end of year	2020-06-30	$210,776
Participant contributions at beginning of year	2020-06-30	$273,879
Assets. Other investments not covered elsewhere at end of year	2020-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-06-30	$0
Other income not declared elsewhere	2020-06-30	$916
Administrative expenses (other) incurred	2020-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$492,494
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$7,792,100
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$7,299,606
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Investment advisory and management fees	2020-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$3,448,895
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$3,190,258
Value of interest in pooled separate accounts at end of year	2020-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2020-06-30	$0
Interest on participant loans	2020-06-30	$14,907
Interest earned on other investments	2020-06-30	$81,019
Value of interest in common/collective trusts at end of year	2020-06-30	$0
Value of interest in common/collective trusts at beginning of year	2020-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$4,132,429
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$3,835,469
Expenses. Payments to insurance carriers foe the provision of benefits	2020-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$15,965
Net investment gain/loss from pooled separate accounts	2020-06-30	$0
Net investment gain or loss from common/collective trusts	2020-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Assets. Invements in employer securities at end of year	2020-06-30	$0
Assets. Invements in employer securities at beginning of year	2020-06-30	$0
Contributions received in cash from employer	2020-06-30	$319,405
Income. Dividends from common stock	2020-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$414,472
Contract administrator fees	2020-06-30	$5,738
Did the plan have assets held for investment	2020-06-30	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	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	CONCANNON MILLER & CO, P.C.
Accountancy firm EIN	2020-06-30	232620120
2019 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$989,015
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$492,522
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$484,205
Expenses. Certain deemed distributions of participant loans	2019-06-30	$0
Value of total corrective distributions	2019-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$686,950
Value of total assets at end of year	2019-06-30	$7,299,606
Value of total assets at beginning of year	2019-06-30	$6,803,113
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$8,317
Total interest from all sources	2019-06-30	$90,121
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$231,693
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$231,693
Administrative expenses professional fees incurred	2019-06-30	$0
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$500,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$308,866
Participant contributions at end of year	2019-06-30	$273,879
Participant contributions at beginning of year	2019-06-30	$296,337
Assets. Other investments not covered elsewhere at end of year	2019-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2019-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$80,240
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-06-30	$0
Other income not declared elsewhere	2019-06-30	$23
Administrative expenses (other) incurred	2019-06-30	$1,784
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$496,493
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$7,299,606
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$6,803,113
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Investment advisory and management fees	2019-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$3,190,258
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$2,699,803
Value of interest in pooled separate accounts at end of year	2019-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$0
Interest on participant loans	2019-06-30	$15,187
Interest earned on other investments	2019-06-30	$74,934
Value of interest in common/collective trusts at end of year	2019-06-30	$0
Value of interest in common/collective trusts at beginning of year	2019-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$3,835,469
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$3,806,973
Expenses. Payments to insurance carriers foe the provision of benefits	2019-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$-19,772
Net investment gain/loss from pooled separate accounts	2019-06-30	$0
Net investment gain or loss from common/collective trusts	2019-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Assets. Invements in employer securities at end of year	2019-06-30	$0
Assets. Invements in employer securities at beginning of year	2019-06-30	$0
Contributions received in cash from employer	2019-06-30	$297,844
Income. Dividends from common stock	2019-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$484,205
Contract administrator fees	2019-06-30	$6,533
Did the plan have assets held for investment	2019-06-30	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	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2019-06-30	232620120
2018 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$938,658
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$417,516
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$410,681
Expenses. Certain deemed distributions of participant loans	2018-06-30	$0
Value of total corrective distributions	2018-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$611,494
Value of total assets at end of year	2018-06-30	$6,803,113
Value of total assets at beginning of year	2018-06-30	$6,281,971
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$6,835
Total interest from all sources	2018-06-30	$80,653
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$218,699
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$218,699
Administrative expenses professional fees incurred	2018-06-30	$824
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$500,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$300,308
Participant contributions at end of year	2018-06-30	$296,337
Participant contributions at beginning of year	2018-06-30	$321,023
Assets. Other investments not covered elsewhere at end of year	2018-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$39,225
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-06-30	$0
Other income not declared elsewhere	2018-06-30	$501
Administrative expenses (other) incurred	2018-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$521,142
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$6,803,113
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$6,281,971
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Investment advisory and management fees	2018-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$2,699,803
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$2,261,462
Value of interest in pooled separate accounts at end of year	2018-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2018-06-30	$0
Interest on participant loans	2018-06-30	$12,903
Interest earned on other investments	2018-06-30	$67,750
Value of interest in common/collective trusts at end of year	2018-06-30	$0
Value of interest in common/collective trusts at beginning of year	2018-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$3,806,973
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$3,699,486
Expenses. Payments to insurance carriers foe the provision of benefits	2018-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$27,311
Net investment gain/loss from pooled separate accounts	2018-06-30	$0
Net investment gain or loss from common/collective trusts	2018-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Assets. Invements in employer securities at end of year	2018-06-30	$0
Assets. Invements in employer securities at beginning of year	2018-06-30	$0
Contributions received in cash from employer	2018-06-30	$271,961
Income. Dividends from common stock	2018-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$410,681
Contract administrator fees	2018-06-30	$6,011
Did the plan have assets held for investment	2018-06-30	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	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	CONCANNON ,MILLER, & CO. , P.C.
Accountancy firm EIN	2018-06-30	232620120
2017 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$970,256
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$531,719
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$491,559
Expenses. Certain deemed distributions of participant loans	2017-06-30	$31,110
Value of total corrective distributions	2017-06-30	$316
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$616,285
Value of total assets at end of year	2017-06-30	$6,281,971
Value of total assets at beginning of year	2017-06-30	$5,843,434
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$8,734
Total interest from all sources	2017-06-30	$85,129
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$80,947
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-06-30	$80,947
Administrative expenses professional fees incurred	2017-06-30	$0
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$500,000
If this is an individual account plan, was there a blackout period	2017-06-30	Yes
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$267,979
Participant contributions at end of year	2017-06-30	$321,023
Participant contributions at beginning of year	2017-06-30	$434,012
Assets. Other investments not covered elsewhere at end of year	2017-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$51,772
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-06-30	$0
Other income not declared elsewhere	2017-06-30	$155
Administrative expenses (other) incurred	2017-06-30	$748
Total non interest bearing cash at beginning of year	2017-06-30	$34
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$438,537
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$6,281,971
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$5,843,434
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Investment advisory and management fees	2017-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$2,261,462
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$1,857,054
Value of interest in pooled separate accounts at end of year	2017-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2017-06-30	$3,076
Interest on participant loans	2017-06-30	$16,281
Interest earned on other investments	2017-06-30	$68,848
Value of interest in common/collective trusts at end of year	2017-06-30	$0
Value of interest in common/collective trusts at beginning of year	2017-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$3,699,486
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$3,549,258
Expenses. Payments to insurance carriers foe the provision of benefits	2017-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$187,628
Net investment gain/loss from pooled separate accounts	2017-06-30	$112
Net investment gain or loss from common/collective trusts	2017-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Assets. Invements in employer securities at end of year	2017-06-30	$0
Assets. Invements in employer securities at beginning of year	2017-06-30	$0
Contributions received in cash from employer	2017-06-30	$296,534
Income. Dividends from common stock	2017-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$491,559
Contract administrator fees	2017-06-30	$7,986
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-06-30	Yes
Did the plan have assets held for investment	2017-06-30	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	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	CONCANNON, MILLER, & CO., P,C.
Accountancy firm EIN	2017-06-30	232620120
2016 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$748,457
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$675,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$610,060
Expenses. Certain deemed distributions of participant loans	2016-06-30	$57,435
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$585,275
Value of total assets at end of year	2016-06-30	$5,843,434
Value of total assets at beginning of year	2016-06-30	$5,770,313
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$7,841
Total interest from all sources	2016-06-30	$120,070
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$34,986
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-06-30	$34,986
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$500,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$273,500
Participant contributions at end of year	2016-06-30	$434,012
Participant contributions at beginning of year	2016-06-30	$451,804
Administrative expenses (other) incurred	2016-06-30	$7,841
Total non interest bearing cash at end of year	2016-06-30	$34
Total non interest bearing cash at beginning of year	2016-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$73,121
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$5,843,434
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$5,770,313
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$1,857,054
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$1,927,364
Value of interest in pooled separate accounts at end of year	2016-06-30	$3,076
Value of interest in pooled separate accounts at beginning of year	2016-06-30	$2,775
Interest on participant loans	2016-06-30	$18,534
Interest earned on other investments	2016-06-30	$101,536
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$3,549,258
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$3,388,370
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$8,126
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$311,775
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$610,060
Did the plan have assets held for investment	2016-06-30	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	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2016-06-30	232620120
2015 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$886,867
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$760,775
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$679,153
Expenses. Certain deemed distributions of participant loans	2015-06-30	$73,396
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$657,017
Value of total assets at end of year	2015-06-30	$5,770,313
Value of total assets at beginning of year	2015-06-30	$5,644,221
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$8,226
Total interest from all sources	2015-06-30	$115,359
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$35,106
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-30	$35,106
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$500,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$290,735
Participant contributions at end of year	2015-06-30	$451,804
Participant contributions at beginning of year	2015-06-30	$464,556
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$13,150
Other income not declared elsewhere	2015-06-30	$967
Administrative expenses (other) incurred	2015-06-30	$8,226
Total non interest bearing cash at end of year	2015-06-30	$0
Total non interest bearing cash at beginning of year	2015-06-30	$67
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$126,092
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$5,770,313
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$5,644,221
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$1,927,364
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$1,994,816
Value of interest in pooled separate accounts at end of year	2015-06-30	$2,775
Value of interest in pooled separate accounts at beginning of year	2015-06-30	$2,659
Interest on participant loans	2015-06-30	$18,829
Interest earned on other investments	2015-06-30	$96,530
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$3,388,370
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$3,182,123
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$78,418
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$353,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$679,153
Did the plan have assets held for investment	2015-06-30	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	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2015-06-30	232620120
2014 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$1,141,777
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$763,179
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$734,728
Expenses. Certain deemed distributions of participant loans	2014-06-30	$23,843
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$666,279
Value of total assets at end of year	2014-06-30	$5,644,221
Value of total assets at beginning of year	2014-06-30	$5,265,623
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$4,608
Total interest from all sources	2014-06-30	$111,051
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$35,258
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-06-30	$35,258
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$276,443
Participant contributions at end of year	2014-06-30	$464,556
Participant contributions at beginning of year	2014-06-30	$383,111
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$38,745
Administrative expenses (other) incurred	2014-06-30	$4,608
Total non interest bearing cash at end of year	2014-06-30	$67
Total non interest bearing cash at beginning of year	2014-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$378,598
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$5,644,221
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$5,265,623
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$1,994,816
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$1,785,560
Value of interest in pooled separate accounts at end of year	2014-06-30	$2,659
Value of interest in pooled separate accounts at beginning of year	2014-06-30	$0
Interest on participant loans	2014-06-30	$18,062
Interest earned on other investments	2014-06-30	$92,989
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$3,182,123
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$3,096,952
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$329,189
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$351,091
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$734,728
Did the plan have assets held for investment	2014-06-30	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	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2014-06-30	232620120
2013 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$911,177
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$377,502
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$343,380
Expenses. Certain deemed distributions of participant loans	2013-06-30	$27,638
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$583,718
Value of total assets at end of year	2013-06-30	$5,265,623
Value of total assets at beginning of year	2013-06-30	$4,731,948
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$6,484
Total interest from all sources	2013-06-30	$104,835
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$32,027
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-06-30	$32,027
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$257,712
Participant contributions at end of year	2013-06-30	$383,111
Participant contributions at beginning of year	2013-06-30	$351,141
Administrative expenses (other) incurred	2013-06-30	$6,484
Total non interest bearing cash at end of year	2013-06-30	$0
Total non interest bearing cash at beginning of year	2013-06-30	$59
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$533,675
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$5,265,623
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$4,731,948
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$1,785,560
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$1,386,804
Interest on participant loans	2013-06-30	$15,363
Interest earned on other investments	2013-06-30	$89,472
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$3,096,952
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$2,993,944
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$190,597
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$326,006
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$343,380
Did the plan have assets held for investment	2013-06-30	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	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2013-06-30	232620120
2012 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$713,146
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$246,413
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$226,512
Expenses. Certain deemed distributions of participant loans	2012-06-30	$13,990
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$577,696
Value of total assets at end of year	2012-06-30	$4,731,948
Value of total assets at beginning of year	2012-06-30	$4,265,215
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$5,911
Total interest from all sources	2012-06-30	$98,383
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$26,324
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-06-30	$26,324
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$257,564
Participant contributions at end of year	2012-06-30	$351,141
Participant contributions at beginning of year	2012-06-30	$271,155
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$1,949
Administrative expenses (other) incurred	2012-06-30	$5,911
Total non interest bearing cash at end of year	2012-06-30	$59
Total non interest bearing cash at beginning of year	2012-06-30	$22
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$466,733
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$4,731,948
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$4,265,215
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$1,386,804
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$1,193,752
Interest on participant loans	2012-06-30	$13,749
Interest earned on other investments	2012-06-30	$84,634
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$2,993,944
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$2,800,286
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$10,743
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$318,183
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$226,512
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2012-06-30	232620120
2011 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2011-06-30	$0
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total transfer of assets to this plan	2011-06-30	$0
Total transfer of assets from this plan	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Expenses. Interest paid	2011-06-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$937,010
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$283,132
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$260,859
Expenses. Certain deemed distributions of participant loans	2011-06-30	$14,506
Value of total corrective distributions	2011-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$564,298
Value of total assets at end of year	2011-06-30	$4,265,215
Value of total assets at beginning of year	2011-06-30	$3,611,337
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$7,767
Total income from rents	2011-06-30	$0
Total interest from all sources	2011-06-30	$85,955
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$20,285
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-06-30	$20,285
Assets. Real estate other than employer real property at end of year	2011-06-30	$0
Assets. Real estate other than employer real property at beginning of year	2011-06-30	$0
Administrative expenses professional fees incurred	2011-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2011-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-06-30	$0
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$243,008
Participant contributions at end of year	2011-06-30	$271,155
Participant contributions at beginning of year	2011-06-30	$263,806
Participant contributions at end of year	2011-06-30	$0
Participant contributions at beginning of year	2011-06-30	$0
Assets. Other investments not covered elsewhere at end of year	2011-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2011-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-06-30	$0
Assets. Loans (other than to participants) at end of year	2011-06-30	$0
Assets. Loans (other than to participants) at beginning of year	2011-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-06-30	$0
Other income not declared elsewhere	2011-06-30	$0
Administrative expenses (other) incurred	2011-06-30	$7,767
Liabilities. Value of operating payables at end of year	2011-06-30	$0
Liabilities. Value of operating payables at beginning of year	2011-06-30	$0
Total non interest bearing cash at end of year	2011-06-30	$22
Total non interest bearing cash at beginning of year	2011-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Income. Non cash contributions	2011-06-30	$0
Value of net income/loss	2011-06-30	$653,878
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$4,265,215
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$3,611,337
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Assets. partnership/joint venture interests at end of year	2011-06-30	$0
Assets. partnership/joint venture interests at beginning of year	2011-06-30	$0
Investment advisory and management fees	2011-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$1,193,752
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$998,097
Value of interest in pooled separate accounts at end of year	2011-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2011-06-30	$0
Interest on participant loans	2011-06-30	$12,094
Income. Interest from loans (other than to participants)	2011-06-30	$0
Interest earned on other investments	2011-06-30	$73,861
Income. Interest from US Government securities	2011-06-30	$0
Income. Interest from corporate debt instruments	2011-06-30	$0
Value of interest in master investment trust accounts at end of year	2011-06-30	$0
Value of interest in master investment trust accounts at beginning of year	2011-06-30	$0
Value of interest in common/collective trusts at end of year	2011-06-30	$0
Value of interest in common/collective trusts at beginning of year	2011-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-06-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-06-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-06-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2011-06-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$2,800,286
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$2,349,434
Expenses. Payments to insurance carriers foe the provision of benefits	2011-06-30	$0
Asset value of US Government securities at end of year	2011-06-30	$0
Asset value of US Government securities at beginning of year	2011-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$266,472
Net investment gain/loss from pooled separate accounts	2011-06-30	$0
Net investment gain or loss from common/collective trusts	2011-06-30	$0
Net gain/loss from 103.12 investment entities	2011-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Assets. Invements in employer securities at end of year	2011-06-30	$0
Assets. Invements in employer securities at beginning of year	2011-06-30	$0
Assets. Value of employer real property at end of year	2011-06-30	$0
Assets. Value of employer real property at beginning of year	2011-06-30	$0
Contributions received in cash from employer	2011-06-30	$321,290
Employer contributions (assets) at end of year	2011-06-30	$0
Employer contributions (assets) at beginning of year	2011-06-30	$0
Income. Dividends from preferred stock	2011-06-30	$0
Income. Dividends from common stock	2011-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$260,859
Asset. Corporate debt instrument preferred debt at end of year	2011-06-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2011-06-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2011-06-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2011-06-30	$0
Contract administrator fees	2011-06-30	$0
Assets. Corporate common stocks other than exployer securities at end of year	2011-06-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-06-30	$0
Liabilities. Value of benefit claims payable at end of year	2011-06-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-06-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2011-06-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-06-30	$0
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Aggregate proceeds on sale of assets	2011-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2011-06-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2011-06-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-06-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2011-06-30	232620120
2010 : HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN

2021: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: HOSPITAL CENTRAL SERVICES, INC. TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62191

Policy instance

Insurance contract or identification number	MR 62191
Number of Individuals Covered	272
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62191

Policy instance

Insurance contract or identification number	MR 62191
Number of Individuals Covered	256
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62191

Policy instance

Insurance contract or identification number	MR 62191
Number of Individuals Covered	279
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62191

Policy instance

Insurance contract or identification number	MR 62191
Number of Individuals Covered	279
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62191

Policy instance

Insurance contract or identification number	MR 62191
Number of Individuals Covered	255
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

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Company Name:	HCSC-BLOOD CENTER, INC.
Employer identification number (EIN):	231731796
NAIC Classification:	621510
NAIC Description:	Medical and Diagnostic Laboratories