401k Plan data: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN plan

SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan Name	SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN
Plan identification number	002

SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.

401k Sponsoring company profile

SAUK PRAIRIE HEALTHCARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: SAUK PRAIRIE HEALTHCARE, INC.

Employer identification number (EIN): 390872080

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 ROBBI BOS
002 2016-01-01 ROBBI BOS
002 2015-01-01 ROBBI BOS
002 2014-01-01 ROBBI BOS
002 2013-01-01 ROBBI BOS
002 2012-01-01 ROBERTA BOS ROBERTA BOS 2013-09-06
002 2011-01-01 ROBBI ECCHER
002 2010-01-01 ROBBI ECCHER
002 2009-01-01 ROBERTA ECCHER

Plan Statistics for SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN

401k plan membership statisitcs for SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN

Measure Date Value
2022: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 815
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 650
Number of retired or separated participants receiving benefits 2022-01-01 21
Number of other retired or separated participants entitled to future benefits 2022-01-01 184
Total of all active and inactive participants 2022-01-01 855
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 855
Number of participants with account balances 2022-01-01 758
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 13
2021: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 807
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 621
Number of retired or separated participants receiving benefits 2021-01-01 16
Number of other retired or separated participants entitled to future benefits 2021-01-01 178
Total of all active and inactive participants 2021-01-01 815
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 815
Number of participants with account balances 2021-01-01 724
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 795
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 629
Number of retired or separated participants receiving benefits 2020-01-01 23
Number of other retired or separated participants entitled to future benefits 2020-01-01 155
Total of all active and inactive participants 2020-01-01 807
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 807
Number of participants with account balances 2020-01-01 699
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 14
2019: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 775
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 641
Number of retired or separated participants receiving benefits 2019-01-01 21
Number of other retired or separated participants entitled to future benefits 2019-01-01 131
Total of all active and inactive participants 2019-01-01 793
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 793
Number of participants with account balances 2019-01-01 698
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 11
2018: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 755
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 623
Number of retired or separated participants receiving benefits 2018-01-01 12
Number of other retired or separated participants entitled to future benefits 2018-01-01 115
Total of all active and inactive participants 2018-01-01 750
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 751
Number of participants with account balances 2018-01-01 676
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 735
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 613
Number of retired or separated participants receiving benefits 2017-01-01 15
Number of other retired or separated participants entitled to future benefits 2017-01-01 127
Total of all active and inactive participants 2017-01-01 755
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 755
Number of participants with account balances 2017-01-01 651
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 723
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 594
Number of retired or separated participants receiving benefits 2016-01-01 7
Number of other retired or separated participants entitled to future benefits 2016-01-01 133
Total of all active and inactive participants 2016-01-01 734
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 735
Number of participants with account balances 2016-01-01 640
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 726
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 565
Number of retired or separated participants receiving benefits 2015-01-01 5
Number of other retired or separated participants entitled to future benefits 2015-01-01 153
Total of all active and inactive participants 2015-01-01 723
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 723
Number of participants with account balances 2015-01-01 601
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 648
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 563
Number of retired or separated participants receiving benefits 2014-01-01 6
Number of other retired or separated participants entitled to future benefits 2014-01-01 156
Total of all active and inactive participants 2014-01-01 725
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 726
Number of participants with account balances 2014-01-01 638
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 640
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 510
Number of retired or separated participants receiving benefits 2013-01-01 6
Number of other retired or separated participants entitled to future benefits 2013-01-01 132
Total of all active and inactive participants 2013-01-01 648
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 648
Number of participants with account balances 2013-01-01 582
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 632
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 498
Number of retired or separated participants receiving benefits 2012-01-01 4
Number of other retired or separated participants entitled to future benefits 2012-01-01 138
Total of all active and inactive participants 2012-01-01 640
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 640
Number of participants with account balances 2012-01-01 531
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 617
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 498
Number of retired or separated participants receiving benefits 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 132
Total of all active and inactive participants 2011-01-01 632
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 632
Number of participants with account balances 2011-01-01 507
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 614
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 497
Number of retired or separated participants receiving benefits 2010-01-01 2
Number of other retired or separated participants entitled to future benefits 2010-01-01 118
Total of all active and inactive participants 2010-01-01 617
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 617
Number of participants with account balances 2010-01-01 477
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 604
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 477
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 135
Total of all active and inactive participants 2009-01-01 614
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 614
Number of participants with account balances 2009-01-01 465
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	815
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	650
Number of retired or separated participants receiving benefits	2022-01-01	21
Number of other retired or separated participants entitled to future benefits	2022-01-01	184
Total of all active and inactive participants	2022-01-01	855
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	855
Number of participants with account balances	2022-01-01	758
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	13
2021: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	807
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	621
Number of retired or separated participants receiving benefits	2021-01-01	16
Number of other retired or separated participants entitled to future benefits	2021-01-01	178
Total of all active and inactive participants	2021-01-01	815
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	815
Number of participants with account balances	2021-01-01	724
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	795
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	629
Number of retired or separated participants receiving benefits	2020-01-01	23
Number of other retired or separated participants entitled to future benefits	2020-01-01	155
Total of all active and inactive participants	2020-01-01	807
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	807
Number of participants with account balances	2020-01-01	699
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	14
2019: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	775
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	641
Number of retired or separated participants receiving benefits	2019-01-01	21
Number of other retired or separated participants entitled to future benefits	2019-01-01	131
Total of all active and inactive participants	2019-01-01	793
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	793
Number of participants with account balances	2019-01-01	698
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	11
2018: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	755
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	623
Number of retired or separated participants receiving benefits	2018-01-01	12
Number of other retired or separated participants entitled to future benefits	2018-01-01	115
Total of all active and inactive participants	2018-01-01	750
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	751
Number of participants with account balances	2018-01-01	676
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	735
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	613
Number of retired or separated participants receiving benefits	2017-01-01	15
Number of other retired or separated participants entitled to future benefits	2017-01-01	127
Total of all active and inactive participants	2017-01-01	755
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	755
Number of participants with account balances	2017-01-01	651
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	723
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	594
Number of retired or separated participants receiving benefits	2016-01-01	7
Number of other retired or separated participants entitled to future benefits	2016-01-01	133
Total of all active and inactive participants	2016-01-01	734
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	735
Number of participants with account balances	2016-01-01	640
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	726
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	565
Number of retired or separated participants receiving benefits	2015-01-01	5
Number of other retired or separated participants entitled to future benefits	2015-01-01	153
Total of all active and inactive participants	2015-01-01	723
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	723
Number of participants with account balances	2015-01-01	601
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	648
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	563
Number of retired or separated participants receiving benefits	2014-01-01	6
Number of other retired or separated participants entitled to future benefits	2014-01-01	156
Total of all active and inactive participants	2014-01-01	725
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	726
Number of participants with account balances	2014-01-01	638
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	640
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	510
Number of retired or separated participants receiving benefits	2013-01-01	6
Number of other retired or separated participants entitled to future benefits	2013-01-01	132
Total of all active and inactive participants	2013-01-01	648
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	648
Number of participants with account balances	2013-01-01	582
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	632
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	498
Number of retired or separated participants receiving benefits	2012-01-01	4
Number of other retired or separated participants entitled to future benefits	2012-01-01	138
Total of all active and inactive participants	2012-01-01	640
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	640
Number of participants with account balances	2012-01-01	531
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	617
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	498
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	132
Total of all active and inactive participants	2011-01-01	632
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	632
Number of participants with account balances	2011-01-01	507
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	614
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	497
Number of retired or separated participants receiving benefits	2010-01-01	2
Number of other retired or separated participants entitled to future benefits	2010-01-01	118
Total of all active and inactive participants	2010-01-01	617
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	617
Number of participants with account balances	2010-01-01	477
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	604
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	477
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	135
Total of all active and inactive participants	2009-01-01	614
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	614
Number of participants with account balances	2009-01-01	465
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN

Measure	Date	Value
2022 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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	$-8,023,234
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$6,969,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$6,764,583
Expenses. Certain deemed distributions of participant loans	2022-12-31	$8,812
Value of total corrective distributions	2022-12-31	$351
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$6,311,460
Value of total assets at end of year	2022-12-31	$92,756,742
Value of total assets at beginning of year	2022-12-31	$107,749,436
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$195,714
Total interest from all sources	2022-12-31	$220,071
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$3,669,779
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	$3,669,779
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	$3,708,512
Participant contributions at end of year	2022-12-31	$347,375
Participant contributions at beginning of year	2022-12-31	$434,970
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$1,783,307
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$2,029,183
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$579,811
Other income not declared elsewhere	2022-12-31	$-191,455
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	$-14,992,694
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$92,756,742
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$107,749,436
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	$61,844
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$79,509,014
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$95,517,499
Interest on participant loans	2022-12-31	$17,370
Interest earned on other investments	2022-12-31	$202,701
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$11,117,046
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$9,767,784
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-18,033,089
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	$2,023,137
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$6,764,583
Contract administrator fees	2022-12-31	$133,870
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2022-12-31	410746749
2021 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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	$19,221,878
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$1,823,842
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,677,808
Expenses. Certain deemed distributions of participant loans	2021-12-31	$7,566
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$6,167,599
Value of total assets at end of year	2021-12-31	$107,749,436
Value of total assets at beginning of year	2021-12-31	$90,351,400
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$138,468
Total interest from all sources	2021-12-31	$197,809
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$5,357,963
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	$5,357,963
Administrative expenses professional fees incurred	2021-12-31	$174
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	$3,445,141
Participant contributions at end of year	2021-12-31	$434,970
Participant contributions at beginning of year	2021-12-31	$445,279
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$2,029,183
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$1,684,201
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$814,021
Other income not declared elsewhere	2021-12-31	$242,620
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	$17,398,036
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$107,749,436
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$90,351,400
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	$62,049
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$95,517,499
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$78,999,248
Interest on participant loans	2021-12-31	$23,045
Interest earned on other investments	2021-12-31	$174,764
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$9,767,784
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$9,222,672
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$7,255,887
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	$1,908,437
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,677,808
Contract administrator fees	2021-12-31	$76,245
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2021-12-31	410746749
2020 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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	$16,126,191
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$5,612,068
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$5,512,430
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$5,726,496
Value of total assets at end of year	2020-12-31	$90,351,400
Value of total assets at beginning of year	2020-12-31	$79,837,277
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$99,638
Total interest from all sources	2020-12-31	$240,416
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$2,887,692
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	$2,887,692
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	$3,236,925
Participant contributions at end of year	2020-12-31	$445,279
Participant contributions at beginning of year	2020-12-31	$460,646
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$1,684,201
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$1,369,380
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$663,599
Other income not declared elsewhere	2020-12-31	$177,391
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	$10,514,123
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$90,351,400
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$79,837,277
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	$7,875
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$78,999,248
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$68,929,249
Interest on participant loans	2020-12-31	$22,004
Interest earned on other investments	2020-12-31	$218,412
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$9,222,672
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$9,078,002
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$7,094,196
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	$1,825,972
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$5,512,430
Contract administrator fees	2020-12-31	$91,763
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-12-31	410746749
2019 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$17,867,234
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,137,078
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,011,886
Expenses. Certain deemed distributions of participant loans	2019-12-31	$11,432
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$6,095,506
Value of total assets at end of year	2019-12-31	$79,837,277
Value of total assets at beginning of year	2019-12-31	$64,107,121
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$113,760
Total interest from all sources	2019-12-31	$289,918
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$2,799,670
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	$2,799,670
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	$3,001,352
Participant contributions at end of year	2019-12-31	$460,646
Participant contributions at beginning of year	2019-12-31	$467,199
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$1,369,380
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$1,008,478
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$1,312,134
Other income not declared elsewhere	2019-12-31	$233,157
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	$15,730,156
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$79,837,277
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$64,107,121
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	$63,319
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$68,929,249
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$48,812,591
Interest on participant loans	2019-12-31	$23,998
Interest earned on other investments	2019-12-31	$265,920
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$9,078,002
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$13,818,853
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$8,448,983
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	$1,782,020
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,011,886
Contract administrator fees	2019-12-31	$50,441
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-12-31	410746749
2018 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$3,123,282
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$3,513,338
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$3,411,540
Expenses. Certain deemed distributions of participant loans	2018-12-31	$1,066
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$5,492,102
Value of total assets at end of year	2018-12-31	$64,107,121
Value of total assets at beginning of year	2018-12-31	$64,497,177
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$100,732
Total interest from all sources	2018-12-31	$431,881
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$2,842,845
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	$2,842,845
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	$2,772,484
Participant contributions at end of year	2018-12-31	$467,199
Participant contributions at beginning of year	2018-12-31	$418,980
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$1,008,478
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$786,465
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$1,035,494
Other income not declared elsewhere	2018-12-31	$40,126
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	$-390,056
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$64,107,121
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$64,497,177
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	$99,157
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$48,812,591
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$49,747,084
Interest on participant loans	2018-12-31	$21,133
Interest earned on other investments	2018-12-31	$410,748
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$13,818,853
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$13,544,648
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-5,683,672
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	$1,684,124
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$3,411,540
Contract administrator fees	2018-12-31	$1,575
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2018-12-31	410746749
2017 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$12,344,262
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$4,460,593
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$4,308,349
Expenses. Certain deemed distributions of participant loans	2017-12-31	$25,269
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$4,877,821
Value of total assets at end of year	2017-12-31	$64,497,177
Value of total assets at beginning of year	2017-12-31	$56,613,508
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$126,975
Total interest from all sources	2017-12-31	$420,433
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$1,910,340
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	$1,910,340
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	$2,659,870
Participant contributions at end of year	2017-12-31	$418,980
Participant contributions at beginning of year	2017-12-31	$412,429
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$786,465
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$571,335
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$594,876
Other income not declared elsewhere	2017-12-31	$200,087
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	$7,883,669
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$64,497,177
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$56,613,508
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	$125,319
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$49,747,084
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$42,209,692
Interest on participant loans	2017-12-31	$16,828
Interest earned on other investments	2017-12-31	$403,605
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$13,544,648
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$13,420,052
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$4,935,581
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	No
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	$1,623,075
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$4,308,349
Contract administrator fees	2017-12-31	$1,656
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2017-12-31	410746749
2016 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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	$7,860,897
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,423,556
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,397,754
Expenses. Certain deemed distributions of participant loans	2016-12-31	$5,072
Value of total corrective distributions	2016-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$4,223,657
Value of total assets at end of year	2016-12-31	$56,613,508
Value of total assets at beginning of year	2016-12-31	$51,176,167
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$20,730
Total interest from all sources	2016-12-31	$391,977
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,399,006
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	$1,399,006
Administrative expenses professional fees incurred	2016-12-31	$0
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	$2,467,544
Participant contributions at end of year	2016-12-31	$412,429
Participant contributions at beginning of year	2016-12-31	$394,759
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$571,335
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$461,241
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$255,194
Other income not declared elsewhere	2016-12-31	$65,680
Administrative expenses (other) incurred	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	$5,437,341
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$56,613,508
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$51,176,167
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	$18,374
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$42,209,692
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$38,489,869
Interest on participant loans	2016-12-31	$15,253
Interest earned on other investments	2016-12-31	$376,724
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$13,420,052
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$11,830,298
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,780,577
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	$1,500,919
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,397,754
Contract administrator fees	2016-12-31	$2,356
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2016-12-31	410746749
2015 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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	$0
Total income from all sources (including contributions)	2015-12-31	$4,588,292
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,083,817
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,034,052
Expenses. Certain deemed distributions of participant loans	2015-12-31	$47,836
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$4,173,583
Value of total assets at end of year	2015-12-31	$51,176,167
Value of total assets at beginning of year	2015-12-31	$48,671,692
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$1,929
Total interest from all sources	2015-12-31	$407,758
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,999,374
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	$1,999,374
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	Yes
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	$2,378,509
Participant contributions at end of year	2015-12-31	$394,759
Participant contributions at beginning of year	2015-12-31	$412,130
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$461,241
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$296,240
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$337,888
Other income not declared elsewhere	2015-12-31	$3,314
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	$2,504,475
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$51,176,167
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$48,671,692
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	$38,489,869
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$35,537,692
Interest on participant loans	2015-12-31	$15,910
Interest earned on other investments	2015-12-31	$391,848
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$11,830,298
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$12,425,630
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,995,737
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	No
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	$1,457,186
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,034,052
Contract administrator fees	2015-12-31	$1,929
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	2015-12-31	Yes
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2015-12-31	410746749
2014 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$7,321,448
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,696,388
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,627,336
Expenses. Certain deemed distributions of participant loans	2014-12-31	$67,064
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$4,517,011
Value of total assets at end of year	2014-12-31	$48,671,692
Value of total assets at beginning of year	2014-12-31	$43,046,632
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,988
Total interest from all sources	2014-12-31	$355,406
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$2,547,361
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	$2,547,361
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	$2,296,512
Participant contributions at end of year	2014-12-31	$412,130
Participant contributions at beginning of year	2014-12-31	$378,584
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$296,240
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$127,605
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$864,545
Other income not declared elsewhere	2014-12-31	$574
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	$5,625,060
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$48,671,692
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$43,046,632
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	$35,537,692
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$32,239,671
Interest on participant loans	2014-12-31	$15,162
Interest earned on other investments	2014-12-31	$340,244
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$12,425,630
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$10,300,772
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-98,904
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	No
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	$1,355,954
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,627,336
Contract administrator fees	2014-12-31	$1,988
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	WIPFLI ULLRICH BERTERLSON LLP
Accountancy firm EIN	2014-12-31	390758449
2013 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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	$0
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	$11,661,155
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,393,947
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,392,053
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$5,158,377
Value of total assets at end of year	2013-12-31	$43,046,632
Value of total assets at beginning of year	2013-12-31	$32,779,424
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,894
Total interest from all sources	2013-12-31	$11,843
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$1,656,363
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	$1,656,363
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	$2,054,617
Participant contributions at end of year	2013-12-31	$378,584
Participant contributions at beginning of year	2013-12-31	$319,669
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$127,605
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$55,374
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$1,852,240
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash 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	$10,267,208
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$43,046,632
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$32,779,424
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	$32,239,671
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$24,028,172
Interest on participant loans	2013-12-31	$11,843
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$4,021
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$4,021
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$10,300,772
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$8,372,188
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$4,834,572
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	No
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	$1,251,520
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,392,053
Contract administrator fees	2013-12-31	$1,894
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	WIPFLI ULLRICH BERTERLSON LLP
Accountancy firm EIN	2013-12-31	390758449
2012 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$126,666
Total income from all sources (including contributions)	2012-12-31	$6,636,101
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,542,638
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,523,608
Expenses. Certain deemed distributions of participant loans	2012-12-31	$15,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,258,601
Value of total assets at end of year	2012-12-31	$32,779,424
Value of total assets at beginning of year	2012-12-31	$27,812,627
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,747
Total interest from all sources	2012-12-31	$236,496
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$748,826
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	$748,826
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	$1,825,538
Participant contributions at end of year	2012-12-31	$319,669
Participant contributions at beginning of year	2012-12-31	$335,212
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$55,374
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$53,536
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$324,030
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$25,493
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$126,666
Other income not declared elsewhere	2012-12-31	$1,838
Total non interest bearing cash at beginning of year	2012-12-31	$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	2012-12-31	No
Value of net income/loss	2012-12-31	$5,093,463
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$32,779,424
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$27,685,961
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	$1,028
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$24,028,172
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$20,551,552
Interest on participant loans	2012-12-31	$13,032
Interest earned on other investments	2012-12-31	$223,464
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$4,021
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$106,086
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$106,086
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$8,372,188
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$6,739,891
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$2,390,340
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	$1,109,033
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,523,608
Contract administrator fees	2012-12-31	$2,719
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	WIPFLI LLP
Accountancy firm EIN	2012-12-31	390758449
2011 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$126,666
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$2,926,203
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,380,509
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,377,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,014,501
Value of total assets at end of year	2011-12-31	$27,812,627
Value of total assets at beginning of year	2011-12-31	$26,140,267
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,600
Total interest from all sources	2011-12-31	$185,768
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$401,212
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	$401,212
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,709,713
Participant contributions at end of year	2011-12-31	$335,212
Participant contributions at beginning of year	2011-12-31	$316,636
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$53,536
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$68,763
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$280,040
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$25,493
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$126,666
Other income not declared elsewhere	2011-12-31	$-15,228
Administrative expenses (other) incurred	2011-12-31	$2,600
Total non interest bearing cash at end of year	2011-12-31	$857
Total non interest bearing cash at beginning of year	2011-12-31	$806
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	$1,545,694
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$27,685,961
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$26,140,267
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$20,551,552
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$21,009,825
Interest on participant loans	2011-12-31	$11,363
Interest earned on other investments	2011-12-31	$174,401
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$106,086
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$90,373
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$90,373
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$4
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$6,739,891
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$4,653,864
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-660,050
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	$1,024,748
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,377,909
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
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	WIPFLI
Accountancy firm EIN	2011-12-31	390758449
2010 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$5,519,920
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,094,793
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,092,249
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,644,335
Value of total assets at end of year	2010-12-31	$26,140,267
Value of total assets at beginning of year	2010-12-31	$21,715,140
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$2,544
Total interest from all sources	2010-12-31	$147,014
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$418,232
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$418,232
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,625,973
Participant contributions at end of year	2010-12-31	$316,636
Participant contributions at beginning of year	2010-12-31	$204,823
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$68,763
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$61,583
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$86,597
Other income not declared elsewhere	2010-12-31	$7,218
Total non interest bearing cash at end of year	2010-12-31	$806
Total non interest bearing cash at beginning of year	2010-12-31	$752
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$4,425,127
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$26,140,267
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$21,715,140
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$21,009,825
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$17,168,985
Interest on participant loans	2010-12-31	$6,735
Interest earned on other investments	2010-12-31	$140,272
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$90,373
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$86,808
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$86,808
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$7
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$4,653,864
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$4,192,189
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,303,121
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$931,765
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,092,249
Contract administrator fees	2010-12-31	$2,544
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	WIPFLI ULLRICH BERTERLSON LLP
Accountancy firm EIN	2010-12-31	390758449
2009 : SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN

2022: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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 – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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 – 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: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: SAUK PRAIRIE MEMORIAL HOSPITAL AND CLINICS TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	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

895824-007

Policy instance

Insurance contract or identification number	895824-007
Number of Individuals Covered	309
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

CR25757

Policy instance

Insurance contract or identification number	CR25757
Number of Individuals Covered	22
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,006
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,006
Insurance broker organization code?	4

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

Policy contract number

CR25757

Policy instance

Insurance contract or identification number	CR25757
Number of Individuals Covered	24
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $872
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $872
Insurance broker organization code?	4

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

Policy contract number

895824-007

Policy instance

Insurance contract or identification number	895824-007
Number of Individuals Covered	310
Insurance policy start date	2021-01-01
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

895824-007

Policy instance

Insurance contract or identification number	895824-007
Number of Individuals Covered	243
Insurance policy start date	2020-01-01
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

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

Policy contract number

CR25757

Policy instance

Insurance contract or identification number	CR25757
Number of Individuals Covered	25
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,190
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,190
Insurance broker organization code?	4

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

Policy contract number

895824-007

Policy instance

Insurance contract or identification number	895824-007
Number of Individuals Covered	250
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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

CR25757

Policy instance

Insurance contract or identification number	CR25757
Number of Individuals Covered	26
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,191
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,191
Insurance broker organization code?	4

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

Policy contract number

CR25757

Policy instance

Insurance contract or identification number	CR25757
Number of Individuals Covered	30
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $1,520
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,520
Insurance broker organization code?	4
Insurance broker name	LPL FINANCIAL CORPORATION

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

Policy contract number

GP55533

Policy instance

Insurance contract or identification number	GP55533
Number of Individuals Covered	497
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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

G[55533

Policy instance

Insurance contract or identification number	G[55533
Number of Individuals Covered	419
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $26,585
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 $26,585
Insurance broker organization code?	4
Insurance broker name	VSR FINANCIAL

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

Policy contract number

CR25757

Policy instance

Insurance contract or identification number	CR25757
Number of Individuals Covered	37
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,797
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 $1,797
Insurance broker organization code?	4
Insurance broker name	VSR FINANCIAL SERVICES, INC.

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

Policy contract number

G[55533

Policy instance

Insurance contract or identification number	G[55533
Number of Individuals Covered	574
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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

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

Policy contract number

CR25757

Policy instance

Insurance contract or identification number	CR25757
Number of Individuals Covered	40
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,219
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 $2,219
Insurance broker organization code?	4
Insurance broker name	VSR FINANCIAL SERVICES, INC.

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

Policy contract number

G[55533

Policy instance

Insurance contract or identification number	G[55533
Number of Individuals Covered	571
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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

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

Policy contract number

CR25757

Policy instance

Insurance contract or identification number	CR25757
Number of Individuals Covered	44
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,006
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 $2,006
Insurance broker organization code?	4
Insurance broker name	VSR FINANCIAL SERVICES, INC.

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

Policy contract number

CR25757

Policy instance

Insurance contract or identification number	CR25757
Number of Individuals Covered	48
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $2,406
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 $2,406
Insurance broker organization code?	4
Insurance broker name	VSR FINANCIAL SERVICES, INC.

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

Policy contract number

GP55533

Policy instance

Insurance contract or identification number	GP55533
Number of Individuals Covered	479
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $14,972
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 $14,972
Insurance broker organization code?	4
Insurance broker name	VSR FINANCIAL SERVICES, INC.

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

Policy contract number

GP55533

Policy instance

Insurance contract or identification number	GP55533
Number of Individuals Covered	449
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $9,235
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

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

Policy contract number

CR25757

Policy instance

Insurance contract or identification number	CR25757
Number of Individuals Covered	52
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,332
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

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

Policy contract number

GP55533

Policy instance

Insurance contract or identification number	GP55533
Number of Individuals Covered	381
Insurance policy start date	2010-10-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,580
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 $1,580
Insurance broker organization code?	4
Insurance broker name	VSR FINANCIAL SERVICES, INC.

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

Policy contract number

GP55280

Policy instance

Insurance contract or identification number	GP55280
Number of Individuals Covered	0
Insurance policy start date	2010-01-01
Insurance policy end date	2010-09-30
Total amount of commissions paid to insurance broker	USD $7,648
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 $711
Insurance broker organization code?	4
Insurance broker name	VSR FINANCIAL SERVICES, INC.

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

Policy contract number

CR25757

Policy instance

Insurance contract or identification number	CR25757
Number of Individuals Covered	55
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,619
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 $215
Insurance broker organization code?	4
Insurance broker name	VSR FINANCIAL SERVICES, INC.

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Company Name:	SAUK PRAIRIE HEALTHCARE, INC.
Employer identification number (EIN):	390872080
NAIC Classification:	622000
NAIC Description:	Hospitals