401k Plan data: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN plan

COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 401k Plan overview

Plan Name	COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN
Plan identification number	001

COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) 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

SOUTHEASTERN INDIANA MEDICAL HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: SOUTHEASTERN INDIANA MEDICAL HOLDINGS, INC.

Employer identification number (EIN): 352103592

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) 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 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 JOHN LOYA JOHN LOYA 2018-10-10
001 2016-01-01 JOHN LOYA JOHN LOYA 2017-10-16
001 2015-01-01 JOHN LOYA JOHN LOYA 2016-10-17
001 2014-01-01 JOHN LOYA JOHN LOYA 2015-10-15
001 2013-01-01 MEGAN BROWN MEGAN BROWN 2014-10-15
001 2012-01-01 MEGAN BROWN MEGAN BROWN 2013-10-15
001 2011-01-01 MEGAN BROWN MEGAN BROWN 2012-10-15
001 2010-01-01 LAURIE REED 2011-09-12 LAURIE REED 2011-09-12

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	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	JOHN LOYA		JOHN LOYA	2018-10-10
001	2016-01-01	JOHN LOYA		JOHN LOYA	2017-10-16
001	2015-01-01	JOHN LOYA		JOHN LOYA	2016-10-17
001	2014-01-01	JOHN LOYA		JOHN LOYA	2015-10-15
001	2013-01-01	MEGAN BROWN		MEGAN BROWN	2014-10-15
001	2012-01-01	MEGAN BROWN		MEGAN BROWN	2013-10-15
001	2011-01-01	MEGAN BROWN		MEGAN BROWN	2012-10-15
001	2010-01-01	LAURIE REED	2011-09-12	LAURIE REED	2011-09-12

Plan Statistics for COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN

401k plan membership statisitcs for COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN

Measure Date Value
2022: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 467
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 263
Number of retired or separated participants receiving benefits 2022-01-01 1
Number of other retired or separated participants entitled to future benefits 2022-01-01 186
Total of all active and inactive participants 2022-01-01 450
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 450
Number of participants with account balances 2022-01-01 447
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 14
2021: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 436
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 333
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 134
Total of all active and inactive participants 2021-01-01 467
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 467
Number of participants with account balances 2021-01-01 458
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 12
2020: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 431
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 315
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 121
Total of all active and inactive participants 2020-01-01 436
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 436
Number of participants with account balances 2020-01-01 428
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 6
2019: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 485
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 303
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 128
Total of all active and inactive participants 2019-01-01 431
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 431
Number of participants with account balances 2019-01-01 431
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 16
2018: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 451
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 359
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 111
Total of all active and inactive participants 2018-01-01 470
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 471
Number of participants with account balances 2018-01-01 471
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 14
2017: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 443
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 350
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 92
Total of all active and inactive participants 2017-01-01 442
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 1
Total participants 2017-01-01 443
Number of participants with account balances 2017-01-01 443
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 12
2016: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 288
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 351
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 78
Total of all active and inactive participants 2016-01-01 429
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 430
Number of participants with account balances 2016-01-01 412
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 8
2015: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 288
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 291
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 65
Total of all active and inactive participants 2015-01-01 356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 357
Number of participants with account balances 2015-01-01 360
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 8
2014: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 442
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 218
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 69
Total of all active and inactive participants 2014-01-01 287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 288
Number of participants with account balances 2014-01-01 338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 8
2013: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 245
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 318
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 48
Total of all active and inactive participants 2013-01-01 366
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 366
Number of participants with account balances 2013-01-01 329
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 4
2012: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 80
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 56
Total of all active and inactive participants 2012-01-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 136
Number of participants with account balances 2012-01-01 136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 6
2011: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 90
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 46
Total of all active and inactive participants 2011-01-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 136
Number of participants with account balances 2011-01-01 136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2

Measure	Date	Value
2022: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	467
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	263
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	186
Total of all active and inactive participants	2022-01-01	450
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	450
Number of participants with account balances	2022-01-01	447
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	14
2021: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	436
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	333
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	134
Total of all active and inactive participants	2021-01-01	467
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	467
Number of participants with account balances	2021-01-01	458
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	12
2020: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	431
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	315
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	121
Total of all active and inactive participants	2020-01-01	436
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	436
Number of participants with account balances	2020-01-01	428
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	6
2019: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	485
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	303
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	128
Total of all active and inactive participants	2019-01-01	431
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	431
Number of participants with account balances	2019-01-01	431
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	16
2018: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	451
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	359
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	111
Total of all active and inactive participants	2018-01-01	470
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	471
Number of participants with account balances	2018-01-01	471
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	14
2017: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	443
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	350
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	92
Total of all active and inactive participants	2017-01-01	442
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	443
Number of participants with account balances	2017-01-01	443
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	12
2016: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	288
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	351
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	78
Total of all active and inactive participants	2016-01-01	429
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	430
Number of participants with account balances	2016-01-01	412
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	8
2015: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	288
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	291
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	65
Total of all active and inactive participants	2015-01-01	356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	357
Number of participants with account balances	2015-01-01	360
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	8
2014: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	442
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	218
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	69
Total of all active and inactive participants	2014-01-01	287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	288
Number of participants with account balances	2014-01-01	338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	8
2013: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	245
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	318
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	48
Total of all active and inactive participants	2013-01-01	366
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	366
Number of participants with account balances	2013-01-01	329
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	4
2012: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	80
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	56
Total of all active and inactive participants	2012-01-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	136
Number of participants with account balances	2012-01-01	136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	6
2011: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	90
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	46
Total of all active and inactive participants	2011-01-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	136
Number of participants with account balances	2011-01-01	136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2

Financial Data on COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN

Measure	Date	Value
2022 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
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	$-1,669,619
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,243,525
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,195,714
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$2,280,927
Value of total assets at end of year	2022-12-31	$20,278,180
Value of total assets at beginning of year	2022-12-31	$23,191,324
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$47,811
Total interest from all sources	2022-12-31	$1,810
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$606,826
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	$606,826
Administrative expenses professional fees incurred	2022-12-31	$12,250
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	$1,267,129
Participant contributions at end of year	2022-12-31	$98,189
Participant contributions at beginning of year	2022-12-31	$102,819
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$127,827
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	$-2,913,144
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$20,278,180
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$23,191,324
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$18,595,531
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$21,698,829
Interest on participant loans	2022-12-31	$1,810
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$1,584,460
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$1,389,649
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-4,559,182
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	No
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	$885,971
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$27
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,195,714
Contract administrator fees	2022-12-31	$35,561
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	DELTA WEALTH CPAS & ADVISORS, LLC
Accountancy firm EIN	2022-12-31	832494920
2021 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
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	$4,763,479
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$2,371,096
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$2,325,114
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$2,058,420
Value of total assets at end of year	2021-12-31	$23,191,324
Value of total assets at beginning of year	2021-12-31	$20,798,941
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$45,982
Total interest from all sources	2021-12-31	$1,789
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$1,204,708
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	$1,204,708
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$1,160,613
Participant contributions at end of year	2021-12-31	$102,819
Participant contributions at beginning of year	2021-12-31	$113,272
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$70,857
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	$2,392,383
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$23,191,324
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$20,798,941
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	$45,907
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$21,698,829
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$18,833,748
Interest on participant loans	2021-12-31	$1,789
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$1,389,649
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$1,851,921
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,498,562
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	No
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	$826,950
Employer contributions (assets) at end of year	2021-12-31	$27
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$2,325,114
Contract administrator fees	2021-12-31	$75
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	Disclaimer
Accountancy firm name	2021-12-31	DELTA WEALTH CPAS & ADVISORS, LLC
Accountancy firm EIN	2021-12-31	832494920
2020 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
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	$4,546,803
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$2,669,719
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$2,630,762
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,046,139
Value of total assets at end of year	2020-12-31	$20,798,941
Value of total assets at beginning of year	2020-12-31	$18,921,857
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$38,957
Total interest from all sources	2020-12-31	$26,130
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$549,023
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	$549,023
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	Yes
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	$1,077,846
Participant contributions at end of year	2020-12-31	$113,272
Participant contributions at beginning of year	2020-12-31	$97,145
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$191,476
Total non interest bearing cash at beginning of year	2020-12-31	$128,552
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	$1,877,084
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$20,798,941
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$18,921,857
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	$17,381
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$18,833,748
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$18,696,160
Interest on participant loans	2020-12-31	$4,093
Interest earned on other investments	2020-12-31	$22,037
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$1,851,921
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,925,511
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	No
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	$776,817
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$2,630,762
Contract administrator fees	2020-12-31	$21,576
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	2020-12-31	Yes
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	DELTA WEALTH CPAS & ADVISORS, LLC
Accountancy firm EIN	2020-12-31	832494920
2019 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2019 401k financial data
Total transfer of assets to this plan	2019-12-31	$43,443
Total income from all sources (including contributions)	2019-12-31	$5,192,475
Total loss/gain on sale of assets	2019-12-31	$17,213
Total of all expenses incurred	2019-12-31	$1,091,533
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,041,471
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,031,644
Value of total assets at end of year	2019-12-31	$18,921,857
Value of total assets at beginning of year	2019-12-31	$14,777,472
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$50,062
Total interest from all sources	2019-12-31	$2,130
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,132,066
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	$1,132,066
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	$1,176,201
Participant contributions at end of year	2019-12-31	$97,145
Participant contributions at beginning of year	2019-12-31	$59,363
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$15,621
Total non interest bearing cash at end of year	2019-12-31	$128,552
Total non interest bearing cash at beginning of year	2019-12-31	$75,842
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	$4,100,942
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$18,921,857
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$14,777,472
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	$50,062
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$18,696,160
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$14,642,267
Income. Interest from loans (other than to participants)	2019-12-31	$2,130
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$2,009,422
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	$839,822
Income. Dividends from common stock	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,041,471
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
Aggregate proceeds on sale of assets	2019-12-31	$1,593,244
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$1,576,031
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	HAYWOOD HENN, PC
Accountancy firm EIN	2019-12-31	263503918
2018 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$727,209
Total loss/gain on sale of assets	2018-12-31	$170,047
Total of all expenses incurred	2018-12-31	$1,539,194
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,508,826
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,017,634
Value of total assets at end of year	2018-12-31	$14,777,472
Value of total assets at beginning of year	2018-12-31	$15,589,457
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$30,368
Total interest from all sources	2018-12-31	$2,041
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,088,360
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	$1,088,360
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	$1,134,975
Participant contributions at end of year	2018-12-31	$59,363
Participant contributions at beginning of year	2018-12-31	$77,934
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$39,074
Administrative expenses (other) incurred	2018-12-31	$4,100
Total non interest bearing cash at end of year	2018-12-31	$75,842
Total non interest bearing cash at beginning of year	2018-12-31	$76,236
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	$-811,985
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$14,777,472
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$15,589,457
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$14,642,267
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$15,435,287
Interest on participant loans	2018-12-31	$2,041
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-2,550,873
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	$843,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,508,826
Contract administrator fees	2018-12-31	$26,268
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
Aggregate proceeds on sale of assets	2018-12-31	$2,002,285
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$1,832,238
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	HAYWOOD HENN, PC
Accountancy firm EIN	2018-12-31	263503918
2017 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2017 401k financial data
Total transfer of assets to this plan	2017-12-31	$8,729
Total income from all sources (including contributions)	2017-12-31	$3,966,439
Total loss/gain on sale of assets	2017-12-31	$81,725
Total of all expenses incurred	2017-12-31	$669,908
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$641,828
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$2,133,306
Value of total assets at end of year	2017-12-31	$15,589,457
Value of total assets at beginning of year	2017-12-31	$12,284,197
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$28,080
Total interest from all sources	2017-12-31	$2,593
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$673,404
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	$673,404
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	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,069,982
Participant contributions at end of year	2017-12-31	$77,934
Participant contributions at beginning of year	2017-12-31	$89,545
Participant contributions at beginning of year	2017-12-31	$1,149
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$223,198
Administrative expenses (other) incurred	2017-12-31	$2,708
Total non interest bearing cash at end of year	2017-12-31	$76,236
Total non interest bearing cash at beginning of year	2017-12-31	$59,859
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
Income. Non cash contributions	2017-12-31	$0
Value of net income/loss	2017-12-31	$3,296,531
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$15,589,457
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$12,284,197
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	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$15,435,287
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$12,133,195
Interest on participant loans	2017-12-31	$2,593
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,075,411
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	$840,126
Employer contributions (assets) at beginning of year	2017-12-31	$449
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$641,828
Contract administrator fees	2017-12-31	$25,372
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
Aggregate proceeds on sale of assets	2017-12-31	$1,023,969
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$942,244
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	HAYWOOD HENN, PC
Accountancy firm EIN	2017-12-31	263503918
2016 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2016 401k financial data
Total transfer of assets to this plan	2016-12-31	$46,005
Total income from all sources (including contributions)	2016-12-31	$5,011,751
Total loss/gain on sale of assets	2016-12-31	$35,621
Total of all expenses incurred	2016-12-31	$705,989
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$670,087
Expenses. Certain deemed distributions of participant loans	2016-12-31	$7,357
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,897,627
Value of total assets at end of year	2016-12-31	$12,284,197
Value of total assets at beginning of year	2016-12-31	$7,932,430
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$28,545
Total interest from all sources	2016-12-31	$2,718
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$412,110
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	$412,110
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	$1,071,631
Participant contributions at end of year	2016-12-31	$89,545
Participant contributions at beginning of year	2016-12-31	$70,311
Participant contributions at end of year	2016-12-31	$1,149
Participant contributions at beginning of year	2016-12-31	$23,817
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$1,997,345
Total non interest bearing cash at end of year	2016-12-31	$59,859
Total non interest bearing cash at beginning of year	2016-12-31	$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	2016-12-31	No
Value of net income/loss	2016-12-31	$4,305,762
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$12,284,197
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$7,932,430
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	$3,296
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$12,133,195
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$7,814,423
Interest on participant loans	2016-12-31	$2,718
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$663,675
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	Yes
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	$828,651
Employer contributions (assets) at end of year	2016-12-31	$449
Employer contributions (assets) at beginning of year	2016-12-31	$23,879
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$670,087
Contract administrator fees	2016-12-31	$25,249
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
Aggregate proceeds on sale of assets	2016-12-31	$1,168,978
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$1,133,357
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	HAYWOOD HENN, PC
Accountancy firm EIN	2016-12-31	263503918
2015 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2015 401k financial data
Total transfer of assets to this plan	2015-12-31	$38,080
Total income from all sources (including contributions)	2015-12-31	$1,431,525
Total loss/gain on sale of assets	2015-12-31	$76,428
Total of all expenses incurred	2015-12-31	$670,123
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$638,952
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,683,724
Value of total assets at end of year	2015-12-31	$7,932,430
Value of total assets at beginning of year	2015-12-31	$7,132,948
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$31,171
Total interest from all sources	2015-12-31	$1,775
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$423,318
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	$423,318
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
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$953,587
Participant contributions at end of year	2015-12-31	$70,311
Participant contributions at beginning of year	2015-12-31	$52,005
Participant contributions at end of year	2015-12-31	$23,817
Participant contributions at beginning of year	2015-12-31	$23,887
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$3,140
Administrative expenses (other) incurred	2015-12-31	$3,389
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$28,528
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
Income. Non cash contributions	2015-12-31	$0
Value of net income/loss	2015-12-31	$761,402
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$7,932,430
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$7,132,948
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
Investment advisory and management fees	2015-12-31	$27,782
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$7,814,423
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$7,006,364
Interest on participant loans	2015-12-31	$1,775
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-753,720
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	$726,997
Employer contributions (assets) at end of year	2015-12-31	$23,879
Employer contributions (assets) at beginning of year	2015-12-31	$22,164
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$638,952
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
Aggregate proceeds on sale of assets	2015-12-31	$921,630
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$845,202
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	HAYWOOD HENN, PC
Accountancy firm EIN	2015-12-31	263503918
2014 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2014 401k financial data
Total transfer of assets from this plan	2014-12-31	$51,035
Total income from all sources (including contributions)	2014-12-31	$2,126,335
Total of all expenses incurred	2014-12-31	$358,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$321,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,763,304
Value of total assets at end of year	2014-12-31	$7,132,948
Value of total assets at beginning of year	2014-12-31	$5,416,007
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$37,062
Total interest from all sources	2014-12-31	$1,975
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$356,051
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	$356,051
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
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$922,832
Participant contributions at end of year	2014-12-31	$52,005
Participant contributions at beginning of year	2014-12-31	$54,917
Participant contributions at end of year	2014-12-31	$23,887
Participant contributions at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$103,457
Administrative expenses (other) incurred	2014-12-31	$13,543
Total non interest bearing cash at end of year	2014-12-31	$28,528
Total non interest bearing cash at beginning of year	2014-12-31	$93
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	$1,767,976
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$7,132,948
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$5,416,007
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
Investment advisory and management fees	2014-12-31	$23,519
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$7,006,364
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$5,345,566
Interest on participant loans	2014-12-31	$1,975
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$5,005
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	$737,015
Employer contributions (assets) at end of year	2014-12-31	$22,164
Employer contributions (assets) at beginning of year	2014-12-31	$15,431
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$321,297
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	HAYWOOD HENN, PC
Accountancy firm EIN	2014-12-31	263503918
2013 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2013 401k financial data
Total transfer of assets from this plan	2013-12-31	$93,869
Total income from all sources (including contributions)	2013-12-31	$2,775,138
Total of all expenses incurred	2013-12-31	$627,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$596,181
Expenses. Certain deemed distributions of participant loans	2013-12-31	$1,679
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,037,829
Value of total assets at end of year	2013-12-31	$5,416,007
Value of total assets at beginning of year	2013-12-31	$3,362,422
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$29,824
Total interest from all sources	2013-12-31	$2,300
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$173,472
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	$173,472
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	$870,954
Participant contributions at end of year	2013-12-31	$54,917
Participant contributions at beginning of year	2013-12-31	$59,719
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$470,719
Administrative expenses (other) incurred	2013-12-31	$7,539
Total non interest bearing cash at end of year	2013-12-31	$93
Total non interest bearing cash at beginning of year	2013-12-31	$77
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
Income. Non cash contributions	2013-12-31	$0
Value of net income/loss	2013-12-31	$2,147,454
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$5,416,007
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,362,422
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
Investment advisory and management fees	2013-12-31	$19,053
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$5,345,566
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,292,177
Interest on participant loans	2013-12-31	$2,300
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$561,537
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	$696,156
Employer contributions (assets) at end of year	2013-12-31	$15,431
Employer contributions (assets) at beginning of year	2013-12-31	$10,449
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$596,181
Contract administrator fees	2013-12-31	$3,232
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	HAYWOOD HENN, PC
Accountancy firm EIN	2013-12-31	263503918
2012 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2012 401k financial data
Total transfer of assets from this plan	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$867,065
Total of all expenses incurred	2012-12-31	$176,623
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$148,876
Expenses. Certain deemed distributions of participant loans	2012-12-31	$4,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$422,372
Value of total assets at end of year	2012-12-31	$3,362,422
Value of total assets at beginning of year	2012-12-31	$2,671,980
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$23,094
Total interest from all sources	2012-12-31	$2,963
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$118,731
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$118,731
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$193,694
Participant contributions at end of year	2012-12-31	$59,719
Participant contributions at beginning of year	2012-12-31	$85,532
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$8,610
Total non interest bearing cash at end of year	2012-12-31	$77
Total non interest bearing cash at beginning of year	2012-12-31	$893
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$690,442
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,362,422
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,671,980
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$23,094
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,292,177
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,572,039
Interest on participant loans	2012-12-31	$2,963
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$322,999
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$220,068
Employer contributions (assets) at end of year	2012-12-31	$10,449
Employer contributions (assets) at beginning of year	2012-12-31	$13,516
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$148,876
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	HAYWOOD HENN, PC
Accountancy firm EIN	2012-12-31	263503918
2011 : COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2011 401k financial data
Total transfer of assets from this plan	2011-12-31	$10,841
Total income from all sources (including contributions)	2011-12-31	$293,409
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$50,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$24,296
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$388,814
Value of total assets at end of year	2011-12-31	$2,671,980
Value of total assets at beginning of year	2011-12-31	$2,439,527
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$25,819
Total interest from all sources	2011-12-31	$3,684
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$67,014
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$67,014
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$180,354
Participant contributions at end of year	2011-12-31	$85,532
Participant contributions at beginning of year	2011-12-31	$83,524
Total non interest bearing cash at end of year	2011-12-31	$893
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$243,294
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,671,980
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,439,527
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$25,819
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$2,572,039
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,296,790
Interest on participant loans	2011-12-31	$3,684
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$42,669
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$42,669
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-166,103
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$208,460
Employer contributions (assets) at end of year	2011-12-31	$13,516
Employer contributions (assets) at beginning of year	2011-12-31	$16,544
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$24,296
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	HAYWOOD HENN, PC
Accountancy firm EIN	2011-12-31	263503918

Form 5500 Responses for COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN

2022: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) 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 – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) 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 – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) 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 – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) 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: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) 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 – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) 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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: COLUMBUS REGIONAL HEALTH SYSTEM SERVICES 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

896252+087

Policy instance

Insurance contract or identification number	896252+087
Number of Individuals Covered	240
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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

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

Policy contract number

896252+087

Policy instance

Insurance contract or identification number	896252+087
Number of Individuals Covered	253
Insurance policy start date	2021-01-02
Insurance policy end date	2021-12-31
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

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

Policy contract number

896252+087

Policy instance

Insurance contract or identification number	896252+087
Number of Individuals Covered	265
Insurance policy start date	2020-03-02
Insurance policy end date	2020-12-31
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:	SOUTHEASTERN INDIANA MEDICAL HOLDINGS, INC.
Employer identification number (EIN):	352103592
NAIC Classification:	622000
NAIC Description:	Hospitals