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EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 401k Plan overview

Plan NameEMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC.
Plan identification number 001

EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).

401k Sponsoring company profile

IREDELL MEMORIAL HOSPITAL, INCORPORATED has sponsored the creation of one or more 401k plans.

Company Name:IREDELL MEMORIAL HOSPITAL, INCORPORATED
Employer identification number (EIN):560591303
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012014-10-01JOHN GREEN ED RUSH2016-07-13
0012014-10-01JOHN GREEN ED RUSH2017-07-14
0012013-10-01JOHN GREEN ED RUSH2015-07-15
0012012-10-01JOHN GREEN ED RUSH2014-07-15
0012011-10-01JOHN GREEN ED RUSH2013-07-15
0012010-10-01JOHN GREEN ED RUSH2012-07-16
0012009-10-01JOHN GREEN
0012009-10-01JOHN GREEN
0012008-10-01

Plan Statistics for EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC.

401k plan membership statisitcs for EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC.

Measure Date Value
2014: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2014 401k membership
Total participants, beginning-of-year2014-10-01998
Total number of active participants reported on line 7a of the Form 55002014-10-01731
Number of retired or separated participants receiving benefits2014-10-0119
Number of other retired or separated participants entitled to future benefits2014-10-01187
Total of all active and inactive participants2014-10-01937
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-011
Total participants2014-10-01938
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-010
2013: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2013 401k membership
Total participants, beginning-of-year2013-10-011,076
Total number of active participants reported on line 7a of the Form 55002013-10-01816
Number of retired or separated participants receiving benefits2013-10-0120
Number of other retired or separated participants entitled to future benefits2013-10-01161
Total of all active and inactive participants2013-10-01997
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-011
Total participants2013-10-01998
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-0115
2012: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2012 401k membership
Total participants, beginning-of-year2012-10-011,144
Total number of active participants reported on line 7a of the Form 55002012-10-01900
Number of retired or separated participants receiving benefits2012-10-0120
Number of other retired or separated participants entitled to future benefits2012-10-01155
Total of all active and inactive participants2012-10-011,075
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-011
Total participants2012-10-011,076
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-0115
2011: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2011 401k membership
Total participants, beginning-of-year2011-10-011,195
Total number of active participants reported on line 7a of the Form 55002011-10-01987
Number of retired or separated participants receiving benefits2011-10-0128
Number of other retired or separated participants entitled to future benefits2011-10-01127
Total of all active and inactive participants2011-10-011,142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-012
Total participants2011-10-011,144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-0121
2010: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2010 401k membership
Total participants, beginning-of-year2010-10-011,259
Total number of active participants reported on line 7a of the Form 55002010-10-011,064
Number of retired or separated participants receiving benefits2010-10-0129
Number of other retired or separated participants entitled to future benefits2010-10-01100
Total of all active and inactive participants2010-10-011,193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-10-012
Total participants2010-10-011,195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-10-0127
2009: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2009 401k membership
Total participants, beginning-of-year2009-10-011,404
Total number of active participants reported on line 7a of the Form 55002009-10-011,148
Number of retired or separated participants receiving benefits2009-10-0130
Number of other retired or separated participants entitled to future benefits2009-10-0178
Total of all active and inactive participants2009-10-011,256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-013
Total participants2009-10-011,259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-0161

Financial Data on EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC.

Measure Date Value
2015 : EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-09-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2015-09-30$-161,317
Total unrealized appreciation/depreciation of assets2015-09-30$-161,317
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Expenses. Interest paid2015-09-30$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022015-09-30$0
Total income from all sources (including contributions)2015-09-30$982,749
Total loss/gain on sale of assets2015-09-30$57,563
Total of all expenses incurred2015-09-30$2,624,225
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$2,623,342
Expenses. Certain deemed distributions of participant loans2015-09-30$0
Value of total corrective distributions2015-09-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$800,000
Value of total assets at end of year2015-09-30$18,429,447
Value of total assets at beginning of year2015-09-30$20,070,923
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$883
Total income from rents2015-09-30$0
Total interest from all sources2015-09-30$166,948
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$320,898
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$130,989
Assets. Real estate other than employer real property at end of year2015-09-30$0
Assets. Real estate other than employer real property at beginning of year2015-09-30$0
Administrative expenses professional fees incurred2015-09-30$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-09-30$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-09-30$0
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$0
Participant contributions at end of year2015-09-30$0
Participant contributions at beginning of year2015-09-30$0
Participant contributions at end of year2015-09-30$0
Participant contributions at beginning of year2015-09-30$0
Assets. Other investments not covered elsewhere at end of year2015-09-30$0
Assets. Other investments not covered elsewhere at beginning of year2015-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-09-30$40,684
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-09-30$41,820
Assets. Loans (other than to participants) at end of year2015-09-30$0
Assets. Loans (other than to participants) at beginning of year2015-09-30$0
Other income not declared elsewhere2015-09-30$15,032
Administrative expenses (other) incurred2015-09-30$883
Total non interest bearing cash at end of year2015-09-30$-28,684
Total non interest bearing cash at beginning of year2015-09-30$9,579
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-1,641,476
Value of net assets at end of year (total assets less liabilities)2015-09-30$18,429,447
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$20,070,923
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Assets. partnership/joint venture interests at end of year2015-09-30$0
Assets. partnership/joint venture interests at beginning of year2015-09-30$0
Investment advisory and management fees2015-09-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$5,603,646
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$5,464,312
Value of interest in pooled separate accounts at end of year2015-09-30$0
Value of interest in pooled separate accounts at beginning of year2015-09-30$0
Interest on participant loans2015-09-30$0
Income. Interest from loans (other than to participants)2015-09-30$0
Interest earned on other investments2015-09-30$0
Income. Interest from US Government securities2015-09-30$44,309
Income. Interest from corporate debt instruments2015-09-30$122,333
Value of interest in master investment trust accounts at end of year2015-09-30$0
Value of interest in master investment trust accounts at beginning of year2015-09-30$0
Value of interest in common/collective trusts at end of year2015-09-30$0
Value of interest in common/collective trusts at beginning of year2015-09-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-09-30$701,386
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-09-30$1,906,036
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-09-30$1,906,036
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-09-30$306
Assets. Value of investments in 103.12 investment entities at end of year2015-09-30$0
Assets. Value of investments in 103.12 investment entities at beginning of year2015-09-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-30$0
Asset value of US Government securities at end of year2015-09-30$2,461,636
Asset value of US Government securities at beginning of year2015-09-30$2,207,236
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-216,375
Net investment gain/loss from pooled separate accounts2015-09-30$0
Net gain/loss from 103.12 investment entities2015-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30Yes
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$800,000
Employer contributions (assets) at end of year2015-09-30$0
Employer contributions (assets) at beginning of year2015-09-30$0
Income. Dividends from preferred stock2015-09-30$0
Income. Dividends from common stock2015-09-30$189,909
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$2,623,342
Asset. Corporate debt instrument preferred debt at end of year2015-09-30$0
Asset. Corporate debt instrument preferred debt at beginning of year2015-09-30$0
Asset. Corporate debt instrument debt (other) at end of year2015-09-30$3,087,925
Asset. Corporate debt instrument debt (other) at beginning of year2015-09-30$2,978,428
Contract administrator fees2015-09-30$0
Assets. Corporate common stocks other than exployer securities at end of year2015-09-30$6,562,854
Assets. Corporate common stocks other than exployer securities at beginning of year2015-09-30$7,463,512
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Aggregate proceeds on sale of assets2015-09-30$11,364,816
Aggregate carrying amount (costs) on sale of assets2015-09-30$11,307,253
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30MOOSE,MARTIN,HAYNES & LUNDY,PA
Accountancy firm EIN2015-09-30561526593
2014 : EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-09-30$636,364
Total unrealized appreciation/depreciation of assets2014-09-30$636,364
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total income from all sources (including contributions)2014-09-30$2,273,865
Total loss/gain on sale of assets2014-09-30$100,041
Total of all expenses incurred2014-09-30$2,340,875
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$2,339,768
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$910,000
Value of total assets at end of year2014-09-30$20,070,923
Value of total assets at beginning of year2014-09-30$20,137,933
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$1,107
Total interest from all sources2014-09-30$140,932
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$351,957
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-09-30$147,760
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-09-30$41,820
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-09-30$41,459
Other income not declared elsewhere2014-09-30$715
Administrative expenses (other) incurred2014-09-30$1,107
Total non interest bearing cash at end of year2014-09-30$9,579
Total non interest bearing cash at beginning of year2014-09-30$-4,454
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$-67,010
Value of net assets at end of year (total assets less liabilities)2014-09-30$20,070,923
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$20,137,933
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$5,464,312
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$6,883,989
Income. Interest from US Government securities2014-09-30$23,035
Income. Interest from corporate debt instruments2014-09-30$117,786
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-09-30$1,906,036
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-09-30$989,213
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-09-30$989,213
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-09-30$111
Asset value of US Government securities at end of year2014-09-30$2,207,236
Asset value of US Government securities at beginning of year2014-09-30$1,402,680
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$133,856
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30Yes
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$910,000
Employer contributions (assets) at beginning of year2014-09-30$0
Income. Dividends from common stock2014-09-30$204,197
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$2,339,768
Asset. Corporate debt instrument debt (other) at end of year2014-09-30$2,978,428
Asset. Corporate debt instrument debt (other) at beginning of year2014-09-30$3,395,898
Assets. Corporate common stocks other than exployer securities at end of year2014-09-30$7,463,512
Assets. Corporate common stocks other than exployer securities at beginning of year2014-09-30$7,429,148
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Aggregate proceeds on sale of assets2014-09-30$8,460,456
Aggregate carrying amount (costs) on sale of assets2014-09-30$8,360,415
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30MOOSE, MARTIN, HAYNES & LUNDY, PA
Accountancy firm EIN2014-09-30561526593
2013 : EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-09-30$621,024
Total unrealized appreciation/depreciation of assets2013-09-30$621,024
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total income from all sources (including contributions)2013-09-30$1,107,842
Total loss/gain on sale of assets2013-09-30$91,933
Total of all expenses incurred2013-09-30$1,669,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$1,668,644
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$0
Value of total assets at end of year2013-09-30$20,137,933
Value of total assets at beginning of year2013-09-30$20,699,354
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$619
Total interest from all sources2013-09-30$153,993
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$377,315
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-09-30$197,390
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-09-30$41,459
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-09-30$45,907
Other income not declared elsewhere2013-09-30$1,067
Administrative expenses (other) incurred2013-09-30$619
Total non interest bearing cash at end of year2013-09-30$-4,454
Total non interest bearing cash at beginning of year2013-09-30$10,936
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$-561,421
Value of net assets at end of year (total assets less liabilities)2013-09-30$20,137,933
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$20,699,354
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$6,883,989
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$7,866,754
Income. Interest from US Government securities2013-09-30$18,509
Income. Interest from corporate debt instruments2013-09-30$135,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-09-30$989,213
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-09-30$1,452,190
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-09-30$1,452,190
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-09-30$314
Asset value of US Government securities at end of year2013-09-30$1,402,680
Asset value of US Government securities at beginning of year2013-09-30$1,443,572
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$-137,490
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30Yes
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$0
Employer contributions (assets) at end of year2013-09-30$0
Employer contributions (assets) at beginning of year2013-09-30$231,668
Income. Dividends from common stock2013-09-30$179,925
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$1,668,644
Asset. Corporate debt instrument debt (other) at end of year2013-09-30$3,395,898
Asset. Corporate debt instrument debt (other) at beginning of year2013-09-30$3,113,474
Assets. Corporate common stocks other than exployer securities at end of year2013-09-30$7,429,148
Assets. Corporate common stocks other than exployer securities at beginning of year2013-09-30$6,534,853
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Aggregate proceeds on sale of assets2013-09-30$5,691,846
Aggregate carrying amount (costs) on sale of assets2013-09-30$5,599,913
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30MOOSE,MARTIN,HAYNES & LUNDY,PA
Accountancy firm EIN2013-09-30561526593
2012 : EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-09-30$1,249,701
Total unrealized appreciation/depreciation of assets2012-09-30$1,249,701
Total transfer of assets to this plan2012-09-30$1,435
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total income from all sources (including contributions)2012-09-30$2,661,865
Total loss/gain on sale of assets2012-09-30$55,539
Total of all expenses incurred2012-09-30$699,033
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$698,539
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$231,668
Value of total assets at end of year2012-09-30$20,699,354
Value of total assets at beginning of year2012-09-30$18,735,087
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$494
Total interest from all sources2012-09-30$63,138
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$367,524
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-09-30$230,214
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-09-30$0
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-09-30$45,907
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-09-30$5,802
Other income not declared elsewhere2012-09-30$664
Administrative expenses (other) incurred2012-09-30$494
Total non interest bearing cash at end of year2012-09-30$10,936
Total non interest bearing cash at beginning of year2012-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$1,962,832
Value of net assets at end of year (total assets less liabilities)2012-09-30$20,699,354
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$18,735,087
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$7,866,754
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-09-30$9,027,251
Income. Interest from US Government securities2012-09-30$9,832
Income. Interest from corporate debt instruments2012-09-30$52,924
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-09-30$1,452,190
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-09-30$264,912
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-09-30$264,912
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-09-30$382
Asset value of US Government securities at end of year2012-09-30$1,443,572
Asset value of US Government securities at beginning of year2012-09-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$693,631
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30Yes
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$231,668
Employer contributions (assets) at end of year2012-09-30$231,668
Employer contributions (assets) at beginning of year2012-09-30$5,130,000
Income. Dividends from common stock2012-09-30$137,310
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$698,539
Asset. Corporate debt instrument debt (other) at end of year2012-09-30$3,113,474
Asset. Corporate debt instrument debt (other) at beginning of year2012-09-30$0
Assets. Corporate common stocks other than exployer securities at end of year2012-09-30$6,534,853
Assets. Corporate common stocks other than exployer securities at beginning of year2012-09-30$4,307,122
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Aggregate proceeds on sale of assets2012-09-30$25,646,368
Aggregate carrying amount (costs) on sale of assets2012-09-30$25,590,829
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30Yes
Opinion of an independent qualified public accountant for this plan2012-09-30Disclaimer
Accountancy firm name2012-09-30MOOSE,MARTIN,HAYNES & LUNDY,PA
Accountancy firm EIN2012-09-30561526593
2011 : EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-09-30$-218,103
Total unrealized appreciation/depreciation of assets2011-09-30$-218,103
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total income from all sources (including contributions)2011-09-30$4,667,263
Total loss/gain on sale of assets2011-09-30$-149,963
Total of all expenses incurred2011-09-30$2,024,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$2,022,440
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$5,130,000
Value of total assets at end of year2011-09-30$18,735,087
Value of total assets at beginning of year2011-09-30$16,091,916
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$1,652
Total interest from all sources2011-09-30$1,855
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$305,132
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-09-30$210,706
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-09-30$5,802
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-09-30$5,272
Other income not declared elsewhere2011-09-30$2,080
Administrative expenses (other) incurred2011-09-30$1,652
Total non interest bearing cash at end of year2011-09-30$0
Total non interest bearing cash at beginning of year2011-09-30$12,069
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$2,643,171
Value of net assets at end of year (total assets less liabilities)2011-09-30$18,735,087
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$16,091,916
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-09-30$9,027,251
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-09-30$6,349,106
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-09-30$264,912
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-09-30$5,219,222
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-09-30$5,219,222
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-09-30$1,855
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-09-30$-403,738
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30Yes
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$5,130,000
Employer contributions (assets) at end of year2011-09-30$5,130,000
Employer contributions (assets) at beginning of year2011-09-30$788,370
Income. Dividends from common stock2011-09-30$94,426
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$2,022,440
Assets. Corporate common stocks other than exployer securities at end of year2011-09-30$4,307,122
Assets. Corporate common stocks other than exployer securities at beginning of year2011-09-30$3,717,877
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Aggregate proceeds on sale of assets2011-09-30$13,376,543
Aggregate carrying amount (costs) on sale of assets2011-09-30$13,526,506
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30Yes
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
Accountancy firm name2011-09-30MOOSE,MARTIN,HAYNES & LUNDY,PA
Accountancy firm EIN2011-09-30561526593
2010 : EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC.

2014: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedYes
2014-10-01This submission is the final filingYes
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement - TrustYes
2013: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement - TrustYes
2012: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement - TrustYes
2011: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement - TrustYes
2010: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – TrustYes
2010-10-01Plan benefit arrangement - TrustYes
2009: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement - TrustYes
2008: EMPLOYEES' RETIREMENT PLAN OF IREDELL MEMORIAL HOSPITAL, INC. 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

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