401k Plan data: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN plan

MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN
Plan identification number	001

MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

DEANCO HEALTHCARE, LLC DBA MISSION COMMUNITY HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: DEANCO HEALTHCARE, LLC DBA MISSION COMMUNITY HOSPITAL

Employer identification number (EIN): 272099923

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 MIHI LEE 2019-10-10 MIHI LEE 2019-10-10
001 2017-01-01 JAMES THEIRING JAMES THEIRING 2018-10-15
001 2016-01-01 JAMES THEIRING
001 2016-01-01
001 2015-01-01 JAMES THEIRING
001 2014-01-01 JAMES THEIRING
001 2013-06-28 JAMES THEIRING

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01	MIHI LEE	2019-10-10	MIHI LEE	2019-10-10
001	2017-01-01	JAMES THEIRING		JAMES THEIRING	2018-10-15
001	2016-01-01	JAMES THEIRING
001	2016-01-01
001	2015-01-01	JAMES THEIRING
001	2014-01-01	JAMES THEIRING
001	2013-06-28	JAMES THEIRING

Plan Statistics for MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN

401k plan membership statisitcs for MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN

Measure Date Value
2022: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,078
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 791
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 292
Total of all active and inactive participants 2022-01-01 1,083
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 1,083
Number of participants with account balances 2022-01-01 919
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,040
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 789
Number of retired or separated participants receiving benefits 2021-01-01 282
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 1,071
Total participants 2021-01-01 1,071
Number of participants with account balances 2021-01-01 898
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 874
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 839
Number of retired or separated participants receiving benefits 2020-01-01 187
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 1,026
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 1,026
Number of participants with account balances 2020-01-01 771
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 820
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 773
Number of retired or separated participants receiving benefits 2019-01-01 108
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 881
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 881
Number of participants with account balances 2019-01-01 612
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 765
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 739
Number of retired or separated participants receiving benefits 2018-01-01 72
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 811
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 811
Number of participants with account balances 2018-01-01 518
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 1
2017: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 719
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 666
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 40
Total of all active and inactive participants 2017-01-01 706
Total participants 2017-01-01 706
Number of participants with account balances 2017-01-01 328
2016: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 770
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 707
Number of retired or separated participants receiving benefits 2016-01-01 2
Number of other retired or separated participants entitled to future benefits 2016-01-01 67
Total of all active and inactive participants 2016-01-01 776
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 777
Number of participants with account balances 2016-01-01 341
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 797
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 756
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 12
Total of all active and inactive participants 2015-01-01 769
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 770
Number of participants with account balances 2015-01-01 283
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 903
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 776
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 19
Total of all active and inactive participants 2014-01-01 797
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 797
Number of participants with account balances 2014-01-01 258
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-28 671
Total number of active participants reported on line 7a of the Form 5500 2013-06-28 898
Number of retired or separated participants receiving benefits 2013-06-28 0
Number of other retired or separated participants entitled to future benefits 2013-06-28 5
Total of all active and inactive participants 2013-06-28 903
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-06-28 0
Total participants 2013-06-28 903
Number of participants with account balances 2013-06-28 231
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-06-28 0

Measure	Date	Value
2022: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,078
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	791
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	292
Total of all active and inactive participants	2022-01-01	1,083
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	1,083
Number of participants with account balances	2022-01-01	919
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,040
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	789
Number of retired or separated participants receiving benefits	2021-01-01	282
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	1,071
Total participants	2021-01-01	1,071
Number of participants with account balances	2021-01-01	898
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	874
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	839
Number of retired or separated participants receiving benefits	2020-01-01	187
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	1,026
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	1,026
Number of participants with account balances	2020-01-01	771
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	820
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	773
Number of retired or separated participants receiving benefits	2019-01-01	108
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	881
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	881
Number of participants with account balances	2019-01-01	612
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	765
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	739
Number of retired or separated participants receiving benefits	2018-01-01	72
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	811
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	811
Number of participants with account balances	2018-01-01	518
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	1
2017: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	719
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	666
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	40
Total of all active and inactive participants	2017-01-01	706
Total participants	2017-01-01	706
Number of participants with account balances	2017-01-01	328
2016: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	770
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	707
Number of retired or separated participants receiving benefits	2016-01-01	2
Number of other retired or separated participants entitled to future benefits	2016-01-01	67
Total of all active and inactive participants	2016-01-01	776
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	777
Number of participants with account balances	2016-01-01	341
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	797
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	756
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	12
Total of all active and inactive participants	2015-01-01	769
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	770
Number of participants with account balances	2015-01-01	283
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	903
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	776
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	19
Total of all active and inactive participants	2014-01-01	797
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	797
Number of participants with account balances	2014-01-01	258
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-28	671
Total number of active participants reported on line 7a of the Form 5500	2013-06-28	898
Number of retired or separated participants receiving benefits	2013-06-28	0
Number of other retired or separated participants entitled to future benefits	2013-06-28	5
Total of all active and inactive participants	2013-06-28	903
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-06-28	0
Total participants	2013-06-28	903
Number of participants with account balances	2013-06-28	231
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-06-28	0

Financial Data on MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN

Measure	Date	Value
2022 : MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2022 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$385,101
Total of all expenses incurred	2022-12-31	$2,392,037
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$2,327,911
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$3,516,282
Value of total assets at end of year	2022-12-31	$16,442,263
Value of total assets at beginning of year	2022-12-31	$18,449,199
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$64,126
Total interest from all sources	2022-12-31	$42,793
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$1,114,648
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$1,114,648
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$3,164,981
Participant contributions at end of year	2022-12-31	$748,114
Participant contributions at beginning of year	2022-12-31	$719,829
Participant contributions at end of year	2022-12-31	$1,527
Participant contributions at beginning of year	2022-12-31	$343
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$24,297
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$0
Administrative expenses (other) incurred	2022-12-31	$57,931
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-2,006,936
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$16,442,263
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$18,449,199
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$6,195
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$14,840,523
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$17,165,434
Interest on participant loans	2022-12-31	$31,909
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$777,138
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$491,579
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$491,579
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$10,884
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-4,288,622
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$327,004
Employer contributions (assets) at end of year	2022-12-31	$74,961
Employer contributions (assets) at beginning of year	2022-12-31	$72,014
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$2,327,911
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	FARBER HASS HURLEY, LLP
Accountancy firm EIN	2022-12-31	204207759
2021 : MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$5,403,395
Total of all expenses incurred	2021-12-31	$1,845,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,806,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$3,522,073
Value of total assets at end of year	2021-12-31	$18,449,199
Value of total assets at beginning of year	2021-12-31	$14,891,509
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$39,362
Total interest from all sources	2021-12-31	$40,417
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$1,587,836
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$1,587,836
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$3,108,860
Participant contributions at end of year	2021-12-31	$719,829
Participant contributions at beginning of year	2021-12-31	$551,726
Participant contributions at end of year	2021-12-31	$343
Participant contributions at beginning of year	2021-12-31	$233
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$137,503
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$0
Administrative expenses (other) incurred	2021-12-31	$35,094
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$3,557,690
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$18,449,199
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$14,891,509
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$4,268
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$17,165,434
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$13,729,353
Interest on participant loans	2021-12-31	$40,327
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$491,579
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$541,643
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$541,643
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$90
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$253,069
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$275,710
Employer contributions (assets) at end of year	2021-12-31	$72,014
Employer contributions (assets) at beginning of year	2021-12-31	$68,554
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,806,343
Contract administrator fees	2021-12-31	$0
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FARBER HASS HURLEY, LLP
Accountancy firm EIN	2021-12-31	204207759
2020 : MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$4,703,673
Total of all expenses incurred	2020-12-31	$1,859,363
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,829,443
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,766,729
Value of total assets at end of year	2020-12-31	$14,891,509
Value of total assets at beginning of year	2020-12-31	$12,047,199
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$29,920
Total interest from all sources	2020-12-31	$23,020
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$719,067
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$719,067
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$2,452,208
Participant contributions at end of year	2020-12-31	$551,726
Participant contributions at beginning of year	2020-12-31	$436,819
Participant contributions at end of year	2020-12-31	$233
Participant contributions at beginning of year	2020-12-31	$400
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$62,038
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$0
Administrative expenses (other) incurred	2020-12-31	$26,532
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$2,844,310
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$14,891,509
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$12,047,199
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$3,388
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$13,729,353
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$11,146,724
Interest on participant loans	2020-12-31	$21,689
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$541,643
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$402,064
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$402,064
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$1,331
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,194,857
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$252,483
Employer contributions (assets) at end of year	2020-12-31	$68,554
Employer contributions (assets) at beginning of year	2020-12-31	$61,192
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,829,443
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	FARBER HASS HURLEY, LLP
Accountancy firm EIN	2020-12-31	204207759
2019 : MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2019 401k financial data
Total transfer of assets from this plan	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$4,139,317
Total of all expenses incurred	2019-12-31	$663,005
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$637,229
Expenses. Certain deemed distributions of participant loans	2019-12-31	$0
Value of total corrective distributions	2019-12-31	$2,716
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,294,914
Value of total assets at end of year	2019-12-31	$12,047,199
Value of total assets at beginning of year	2019-12-31	$8,570,887
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$23,060
Total interest from all sources	2019-12-31	$32,143
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$630,694
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$630,694
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,980,013
Participant contributions at end of year	2019-12-31	$436,819
Participant contributions at beginning of year	2019-12-31	$353,027
Participant contributions at end of year	2019-12-31	$400
Participant contributions at beginning of year	2019-12-31	$58,827
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$103,036
Administrative expenses (other) incurred	2019-12-31	$22,172
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$3,476,312
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$12,047,199
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$8,570,887
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$888
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$11,146,724
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$7,748,969
Interest on participant loans	2019-12-31	$26,392
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$402,064
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$372,215
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$372,215
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$5,751
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,181,566
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$211,865
Employer contributions (assets) at end of year	2019-12-31	$61,192
Employer contributions (assets) at beginning of year	2019-12-31	$37,849
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$637,229
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	FARBER HASS HURLEY, LLP
Accountancy firm EIN	2019-12-31	204207759
2018 : MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$1,254,415
Total of all expenses incurred	2018-12-31	$625,772
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$600,462
Expenses. Certain deemed distributions of participant loans	2018-12-31	$6,791
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,808,581
Value of total assets at end of year	2018-12-31	$8,570,887
Value of total assets at beginning of year	2018-12-31	$7,942,244
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$18,519
Total interest from all sources	2018-12-31	$21,610
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$535,166
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$535,166
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,522,195
Participant contributions at end of year	2018-12-31	$353,027
Participant contributions at beginning of year	2018-12-31	$329,888
Participant contributions at end of year	2018-12-31	$58,827
Participant contributions at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$146,500
Administrative expenses (other) incurred	2018-12-31	$18,377
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$628,643
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$8,570,887
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$7,942,244
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$142
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$7,748,969
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$7,499,835
Interest on participant loans	2018-12-31	$19,205
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$372,215
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$82,087
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$82,087
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$2,405
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-1,110,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$139,886
Employer contributions (assets) at end of year	2018-12-31	$37,849
Employer contributions (assets) at beginning of year	2018-12-31	$30,434
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$600,462
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	FARBER HASS HURLEY, LLP
Accountancy firm EIN	2018-12-31	204207759
2017 : MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$2,105,629
Total of all expenses incurred	2017-12-31	$770,916
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$692,433
Expenses. Certain deemed distributions of participant loans	2017-12-31	$57,502
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,247,360
Value of total assets at end of year	2017-12-31	$7,942,244
Value of total assets at beginning of year	2017-12-31	$6,607,531
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$20,981
Total interest from all sources	2017-12-31	$15,352
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$244,659
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$244,659
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,087,149
Participant contributions at end of year	2017-12-31	$329,888
Participant contributions at beginning of year	2017-12-31	$292,189
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$42,240
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$39,786
Other income not declared elsewhere	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,334,713
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$7,942,244
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$6,607,531
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$14,711
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$7,499,835
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$4,710,601
Interest on participant loans	2017-12-31	$14,772
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$82,087
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$580
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$1,521,475
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$598,258
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$120,425
Employer contributions (assets) at end of year	2017-12-31	$30,434
Employer contributions (assets) at beginning of year	2017-12-31	$41,026
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$692,433
Contract administrator fees	2017-12-31	$6,270
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	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	FARBER HASS HURLEY, LLP
Accountancy firm EIN	2017-12-31	204207759
2016 : MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,744,884
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$434,498
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$392,984
Expenses. Certain deemed distributions of participant loans	2016-12-31	$4,780
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,395,639
Value of total assets at end of year	2016-12-31	$6,524,265
Value of total assets at beginning of year	2016-12-31	$5,213,879
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$36,734
Total interest from all sources	2016-12-31	$34,843
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$135,154
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$135,154
Administrative expenses professional fees incurred	2016-12-31	$3,344
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,094,506
Participant contributions at end of year	2016-12-31	$292,189
Participant contributions at beginning of year	2016-12-31	$212,782
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$34,561
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$198,121
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$3,632
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,310,386
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$6,524,265
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$5,213,879
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$4,015
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$4,710,601
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$3,734,016
Interest on participant loans	2016-12-31	$10,397
Interest earned on other investments	2016-12-31	$24,446
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,521,475
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,197,876
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$175,616
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$103,012
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$34,644
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$392,984
Contract administrator fees	2016-12-31	$29,375
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	FARBER HASS HURLEY, LLP
Accountancy firm EIN	2016-12-31	204207759
2015 : MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$20,688
Total income from all sources (including contributions)	2015-12-31	$2,921,923
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$645,988
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$616,742
Expenses. Certain deemed distributions of participant loans	2015-12-31	$8,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,912,207
Value of total assets at end of year	2015-12-31	$5,213,879
Value of total assets at beginning of year	2015-12-31	$2,958,632
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$20,446
Total interest from all sources	2015-12-31	$20,905
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$137,953
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$137,953
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$959,297
Participant contributions at end of year	2015-12-31	$212,782
Participant contributions at beginning of year	2015-12-31	$121,789
Participant contributions at end of year	2015-12-31	$34,561
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$1,835,833
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$20,688
Other income not declared elsewhere	2015-12-31	$1,326
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$2,275,935
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$5,213,879
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,937,944
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$3,734,016
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$2,224,824
Interest on participant loans	2015-12-31	$5,807
Interest earned on other investments	2015-12-31	$15,098
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,197,876
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$612,019
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-150,468
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$117,077
Employer contributions (assets) at end of year	2015-12-31	$34,644
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$616,742
Contract administrator fees	2015-12-31	$20,446
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2015-12-31	204207759
2014 : MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$20,688
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$14,860
Total income from all sources (including contributions)	2014-12-31	$1,476,880
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$266,225
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$228,637
Expenses. Certain deemed distributions of participant loans	2014-12-31	$5,558
Value of total corrective distributions	2014-12-31	$24,932
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,334,244
Value of total assets at end of year	2014-12-31	$2,958,632
Value of total assets at beginning of year	2014-12-31	$1,742,149
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$7,098
Total interest from all sources	2014-12-31	$12,962
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$73,773
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$73,773
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,095,286
Participant contributions at end of year	2014-12-31	$121,789
Participant contributions at beginning of year	2014-12-31	$26,809
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$33,953
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$238,746
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$20,688
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$14,860
Other income not declared elsewhere	2014-12-31	$819
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,210,655
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,937,944
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,727,289
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$2,224,824
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$1,241,068
Interest on participant loans	2014-12-31	$3,765
Interest earned on other investments	2014-12-31	$9,197
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$612,019
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$406,962
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$55,082
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$212
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$33,357
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$228,637
Contract administrator fees	2014-12-31	$7,098
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2014-12-31	204207759
2013 : MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$14,860
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,749,169
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$21,880
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$6,842
Value of total corrective distributions	2013-12-31	$14,877
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,700,576
Value of total assets at end of year	2013-12-31	$1,742,149
Value of total assets at beginning of year	2013-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$161
Total interest from all sources	2013-12-31	$12
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$19,871
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$19,871
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$512,557
Participant contributions at end of year	2013-12-31	$26,809
Participant contributions at beginning of year	2013-12-31	$0
Participant contributions at end of year	2013-12-31	$33,953
Participant contributions at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$1,125,145
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$14,860
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,727,289
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,727,289
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$1,241,068
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$0
Interest on participant loans	2013-12-31	$12
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$406,962
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$28,710
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$62,874
Employer contributions (assets) at end of year	2013-12-31	$33,357
Employer contributions (assets) at beginning of year	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$6,842
Contract administrator fees	2013-12-31	$161
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MOSS ADAMS
Accountancy firm EIN	2013-12-31	910189318

Form 5500 Responses for MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN

2022: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MISSION COMMUNITY HOSPITAL'S 401(K) RETIREMENT PLAN 2013 form 5500 responses
2013-06-28	Type of plan entity	Single employer plan
2013-06-28	First time form 5500 has been submitted	Yes
2013-06-28	Submission has been amended	No
2013-06-28	This submission is the final filing	No
2013-06-28	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-06-28	Plan is a collectively bargained plan	No
2013-06-28	Plan funding arrangement – Insurance	Yes
2013-06-28	Plan funding arrangement – Trust	Yes
2013-06-28	Plan benefit arrangement – Insurance	Yes
2013-06-28	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893630-087

Policy instance

Insurance contract or identification number	893630-087
Insurance policy start date	2018-01-01
Insurance policy end date	2018-06-15
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893630-087

Policy instance

Insurance contract or identification number	893630-087
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-06-15
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893630-087

Policy instance

Insurance contract or identification number	893630-087
Number of Individuals Covered	202
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,774
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Commission paid to Insurance Broker	USD $1,774
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893630-087

Policy instance

Insurance contract or identification number	893630-087
Number of Individuals Covered	197
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,090
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Commission paid to Insurance Broker	USD $1,090
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893630-087

Policy instance

Insurance contract or identification number	893630-087
Number of Individuals Covered	191
Insurance policy start date	2013-06-28
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $148
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Commission paid to Insurance Broker	USD $148
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

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Company Name:	DEANCO HEALTHCARE, LLC DBA MISSION COMMUNITY HOSPITAL
Employer identification number (EIN):	272099923
NAIC Classification:	622000
NAIC Description:	Hospitals