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DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME 401k Plan overview

Plan NameDEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME
Plan identification number 001

DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

MILLER COUNTY HOSPITAL & NURSING HOME has sponsored the creation of one or more 401k plans.

Company Name:MILLER COUNTY HOSPITAL & NURSING HOME
Employer identification number (EIN):586010601
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012011-01-01JILL BROWN, CFO
0012009-01-01JILL BROWN, CFO

Plan Statistics for DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME

401k plan membership statisitcs for DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME

Measure Date Value
2011: DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME 2011 401k membership
Total participants, beginning-of-year2011-01-01256
Total number of active participants reported on line 7a of the Form 55002011-01-01256
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0163
Total of all active and inactive participants2011-01-01319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01319
Number of participants with account balances2011-01-01228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-018
2009: DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME 2009 401k membership
Total participants, beginning-of-year2009-01-01120
Total number of active participants reported on line 7a of the Form 55002009-01-01208
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0110
Total of all active and inactive participants2009-01-01218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01218
Number of participants with account balances2009-01-01217
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME

Measure Date Value
2011 : DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
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$306,561
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$183,846
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$171,754
Expenses. Certain deemed distributions of participant loans2011-12-31$12,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$350,391
Value of total assets at end of year2011-12-31$1,672,253
Value of total assets at beginning of year2011-12-31$1,514,505
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$0
Total interest from all sources2011-12-31$824
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$220,257
Participant contributions at end of year2011-12-31$35,857
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$122,715
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,672,253
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,514,505
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,636,396
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,514,505
Interest on participant loans2011-12-31$824
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-44,654
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$130,134
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$171,754
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
2010 : DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME 2010 401k financial data
Total income from all sources2010-12-31$537,391
Expenses. Total of all expenses incurred2010-12-31$378,419
Benefits paid (including direct rollovers)2010-12-31$378,419
Total plan assets at end of year2010-12-31$1,514,505
Total plan assets at beginning of year2010-12-31$1,355,533
Total contributions received or receivable from participants2010-12-31$208,078
Other income received2010-12-31$205,675
Net income (gross income less expenses)2010-12-31$158,972
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,514,505
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,355,533
Assets. Value of participant loans2010-12-31$30,828
Total contributions received or receivable from employer(s)2010-12-31$123,638

Form 5500 Responses for DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME

2011: DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: DEFINED CONTRIBUTION PLAN AND TRUST FOR MILLER COUNTY HOSPITAL AND NURSING HOME 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

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