401k Plan data: METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN plan

METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN 401k Plan overview

Plan Name	METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN
Plan identification number	005

METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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)(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.
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

COMMUNITY UNITED METHODIST HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: COMMUNITY UNITED METHODIST HOSPITAL, INC.

Employer identification number (EIN): 610461753

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
005 2016-07-01 TY KAHLE 2017-08-02
005 2015-07-01 TY KAHLE 2017-07-28
005 2014-07-01 TY KAHLE TY KAHLE 2016-04-15
005 2013-07-01 TY KAHLE TY KAHLE 2015-01-29
005 2012-07-01 STEPHANIE FUQUA STEPHANIE FUQUA 2014-01-28
005 2011-07-01 STEPHANIE FUQUA STEPHANIE FUQUA 2013-04-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
005	2016-07-01	TY KAHLE	2017-08-02
005	2015-07-01	TY KAHLE	2017-07-28
005	2014-07-01	TY KAHLE		TY KAHLE	2016-04-15
005	2013-07-01	TY KAHLE		TY KAHLE	2015-01-29
005	2012-07-01	STEPHANIE FUQUA		STEPHANIE FUQUA	2014-01-28
005	2011-07-01	STEPHANIE FUQUA		STEPHANIE FUQUA	2013-04-11

Financial Data on METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN

Measure	Date	Value
2015 : METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN 2015 401k financial data
Total income from all sources	2015-06-30	$18,723
Expenses. Total of all expenses incurred	2015-06-30	$25,286
Benefits paid (including direct rollovers)	2015-06-30	$24,170
Total plan assets at end of year	2015-06-30	$420,274
Total plan assets at beginning of year	2015-06-30	$426,837
Value of fidelity bond covering the plan	2015-06-30	$5,000,000
Other income received	2015-06-30	$6,177
Net income (gross income less expenses)	2015-06-30	$-6,563
Net plan assets at end of year (total assets less liabilities)	2015-06-30	$420,274
Net plan assets at beginning of year (total assets less liabilities)	2015-06-30	$426,837
Total contributions received or receivable from employer(s)	2015-06-30	$12,546
Expenses. Administrative service providers (salaries,fees and commissions)	2015-06-30	$1,116
2014 : METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN 2014 401k financial data
Total income from all sources	2014-06-30	$134,231
Expenses. Total of all expenses incurred	2014-06-30	$36,266
Benefits paid (including direct rollovers)	2014-06-30	$35,418
Total plan assets at end of year	2014-06-30	$426,837
Total plan assets at beginning of year	2014-06-30	$328,872
Value of fidelity bond covering the plan	2014-06-30	$5,000,000
Other income received	2014-06-30	$44,062
Net income (gross income less expenses)	2014-06-30	$97,965
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$426,837
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$328,872
Total contributions received or receivable from employer(s)	2014-06-30	$90,169
Expenses. Administrative service providers (salaries,fees and commissions)	2014-06-30	$848
2013 : METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN 2013 401k financial data
Total income from all sources	2013-06-30	$87,505
Expenses. Total of all expenses incurred	2013-06-30	$547
Total plan assets at end of year	2013-06-30	$328,872
Total plan assets at beginning of year	2013-06-30	$241,914
Value of fidelity bond covering the plan	2013-06-30	$5,000,000
Other income received	2013-06-30	$22,550
Net income (gross income less expenses)	2013-06-30	$86,958
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$328,872
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$241,914
Total contributions received or receivable from employer(s)	2013-06-30	$64,955
Expenses. Administrative service providers (salaries,fees and commissions)	2013-06-30	$547
2012 : METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN 2012 401k financial data
Total income from all sources	2012-06-30	$80,395
Expenses. Total of all expenses incurred	2012-06-30	$382
Total plan assets at end of year	2012-06-30	$241,914
Total plan assets at beginning of year	2012-06-30	$161,901
Value of fidelity bond covering the plan	2012-06-30	$5,000,000
Other income received	2012-06-30	$1,496
Net income (gross income less expenses)	2012-06-30	$80,013
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$241,914
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$161,901
Total contributions received or receivable from employer(s)	2012-06-30	$78,899
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$382
2011 : METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN 2011 401k financial data
Total income from all sources	2011-06-30	$73,678
Expenses. Total of all expenses incurred	2011-06-30	$10,928
Benefits paid (including direct rollovers)	2011-06-30	$10,669
Total plan assets at end of year	2011-06-30	$161,901
Total plan assets at beginning of year	2011-06-30	$99,151
Value of fidelity bond covering the plan	2011-06-30	$5,000,000
Other income received	2011-06-30	$21,064
Net income (gross income less expenses)	2011-06-30	$62,750
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$161,901
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$99,151
Total contributions received or receivable from employer(s)	2011-06-30	$52,614
Expenses. Administrative service providers (salaries,fees and commissions)	2011-06-30	$259

Form 5500 Responses for METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN

2014: METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: METHODIST HOSPITAL PHYSICIAN PRACTICE 401(A) PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	07581
Policy instance	1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	07581
Policy instance	1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	07581
Policy instance	1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	07581
Policy instance	1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	07581
Policy instance	1

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Company Name:	COMMUNITY UNITED METHODIST HOSPITAL, INC.
Employer identification number (EIN):	610461753
NAIC Classification:	622000
NAIC Description:	Hospitals