T.J. SAMSON COMMUNITY HOSPITAL, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN
401k plan membership statisitcs for T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN
| Measure | Date | Value |
|---|
| 2023: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2023 401k membership |
|---|
| Market value of plan assets | 2023-09-30 | 52,518,990 |
| Acturial value of plan assets | 2023-09-30 | 57,770,889 |
| Funding target for retired participants and beneficiaries receiving payment | 2023-09-30 | 34,208,209 |
| Number of terminated vested participants | 2023-09-30 | 413 |
| Fundng target for terminated vested participants | 2023-09-30 | 16,145,061 |
| Active participant vested funding target | 2023-09-30 | 17,117,065 |
| Number of active participants | 2023-09-30 | 328 |
| Total funding liabilities for active participants | 2023-09-30 | 17,715,604 |
| Total participant count | 2023-09-30 | 1,158 |
| Total funding target for all participants | 2023-09-30 | 68,068,874 |
| Balance at beginning of prior year after applicable adjustments | 2023-09-30 | 0 |
| Prefunding balance at beginning of prior year after applicable adjustments | 2023-09-30 | 0 |
| Carryover balanced portion elected for use to offset prior years funding requirement | 2023-09-30 | 0 |
| Prefunding balanced used to offset prior years funding requirement | 2023-09-30 | 0 |
| Amount remaining of carryover balance | 2023-09-30 | 0 |
| Amount remaining of prefunding balance | 2023-09-30 | 0 |
| Present value of excess contributions | 2023-09-30 | 86 |
| Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance | 2023-09-30 | 91 |
| Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance | 2023-09-30 | 0 |
| Reductions in caryover balances due to elections or deemed elections | 2023-09-30 | 0 |
| Reductions in prefunding balances due to elections or deemed elections | 2023-09-30 | 0 |
| Balance of carryovers at beginning of current year | 2023-09-30 | 0 |
| Balance of prefunding at beginning of current year | 2023-09-30 | 0 |
| Total employer contributions | 2023-09-30 | 1,259,068 |
| Contributions allocated toward unpaid minimum require contributions from prior years | 2023-09-30 | 0 |
| Contributions made to avoid restrictions adjusted to valuation date | 2023-09-30 | 0 |
| Contributions allocated toward minimum required contributions for current year adjusted to valuation date | 2023-09-30 | 1,188,274 |
| Liquidity shortfalls end of Q1 | 2023-09-30 | 0 |
| Liquidity shortfalls end of Q2 | 2023-09-30 | 0 |
| Liquidity shortfalls end of Q3 | 2023-09-30 | 0 |
| Liquidity shortfalls end of Q4 | 2023-09-30 | 0 |
| Unpaid minimum required contributions for all prior years | 2023-09-30 | 0 |
| iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years | 2023-09-30 | 0 |
| Remaining amount of unpaid minimum required contributions | 2023-09-30 | 0 |
| Minimum required contributions for current year target normal cost | 2023-09-30 | 185,000 |
| Net shortfall amortization installment of oustanding balance | 2023-09-30 | 10,297,985 |
| Waiver amortization installment | 2023-09-30 | 0 |
| Total funding amount beforereflecting carryover/prefunding balances | 2023-09-30 | 1,188,130 |
| Carryover balance elected to use to offset funding requirement | 2023-09-30 | 0 |
| Prefunding balance elected to use to offset funding requirement | 2023-09-30 | 0 |
| Additional cash requirement | 2023-09-30 | 1,188,130 |
| Contributions allocatedtoward minimum required contributions for current year | 2023-09-30 | 1,188,274 |
| Unpaid minimum required contributions for current year | 2023-09-30 | 0 |
| Unpaid minimum required contributions for all years | 2023-09-30 | 0 |
| 2022: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-10-01 | 963 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-10-01 | 311 |
| Number of retired or separated participants receiving benefits | 2022-10-01 | 309 |
| Number of other retired or separated participants entitled to future benefits | 2022-10-01 | 301 |
| Total of all active and inactive participants | 2022-10-01 | 921 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2022-10-01 | 25 |
| Total participants | 2022-10-01 | 946 |
| Number of participants with account balances | 2022-10-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2022-10-01 | 0 |
| Market value of plan assets | 2022-09-30 | 65,364,358 |
| Acturial value of plan assets | 2022-09-30 | 61,461,727 |
| Funding target for retired participants and beneficiaries receiving payment | 2022-09-30 | 33,644,542 |
| Number of terminated vested participants | 2022-09-30 | 415 |
| Fundng target for terminated vested participants | 2022-09-30 | 15,535,521 |
| Active participant vested funding target | 2022-09-30 | 17,522,178 |
| Number of active participants | 2022-09-30 | 360 |
| Total funding liabilities for active participants | 2022-09-30 | 17,746,181 |
| Total participant count | 2022-09-30 | 1,199 |
| Total funding target for all participants | 2022-09-30 | 66,926,244 |
| Balance at beginning of prior year after applicable adjustments | 2022-09-30 | 0 |
| Prefunding balance at beginning of prior year after applicable adjustments | 2022-09-30 | 0 |
| Carryover balanced portion elected for use to offset prior years funding requirement | 2022-09-30 | 0 |
| Prefunding balanced used to offset prior years funding requirement | 2022-09-30 | 0 |
| Amount remaining of carryover balance | 2022-09-30 | 0 |
| Amount remaining of prefunding balance | 2022-09-30 | 0 |
| Present value of excess contributions | 2022-09-30 | 92 |
| Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance | 2022-09-30 | 97 |
| Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance | 2022-09-30 | 0 |
| Reductions in caryover balances due to elections or deemed elections | 2022-09-30 | 0 |
| Reductions in prefunding balances due to elections or deemed elections | 2022-09-30 | 0 |
| Balance of carryovers at beginning of current year | 2022-09-30 | 0 |
| Balance of prefunding at beginning of current year | 2022-09-30 | 0 |
| Total employer contributions | 2022-09-30 | 748,689 |
| Contributions allocated toward unpaid minimum require contributions from prior years | 2022-09-30 | 0 |
| Contributions made to avoid restrictions adjusted to valuation date | 2022-09-30 | 0 |
| Contributions allocated toward minimum required contributions for current year adjusted to valuation date | 2022-09-30 | 717,991 |
| Liquidity shortfalls end of Q1 | 2022-09-30 | 0 |
| Liquidity shortfalls end of Q2 | 2022-09-30 | 0 |
| Liquidity shortfalls end of Q3 | 2022-09-30 | 0 |
| Liquidity shortfalls end of Q4 | 2022-09-30 | 0 |
| Unpaid minimum required contributions for all prior years | 2022-09-30 | 0 |
| iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years | 2022-09-30 | 0 |
| Remaining amount of unpaid minimum required contributions | 2022-09-30 | 0 |
| Minimum required contributions for current year target normal cost | 2022-09-30 | 183,000 |
| Net shortfall amortization installment of oustanding balance | 2022-09-30 | 5,464,517 |
| Waiver amortization installment | 2022-09-30 | 0 |
| Total funding amount beforereflecting carryover/prefunding balances | 2022-09-30 | 717,905 |
| Carryover balance elected to use to offset funding requirement | 2022-09-30 | 0 |
| Prefunding balance elected to use to offset funding requirement | 2022-09-30 | 0 |
| Additional cash requirement | 2022-09-30 | 717,905 |
| Contributions allocatedtoward minimum required contributions for current year | 2022-09-30 | 717,991 |
| Unpaid minimum required contributions for current year | 2022-09-30 | 0 |
| Unpaid minimum required contributions for all years | 2022-09-30 | 0 |
| 2021: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-10-01 | 885 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 324 |
| Number of retired or separated participants receiving benefits | 2021-10-01 | 141 |
| Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 408 |
| Total of all active and inactive participants | 2021-10-01 | 873 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2021-10-01 | 11 |
| Total participants | 2021-10-01 | 884 |
| Number of participants with account balances | 2021-10-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2021-10-01 | 0 |
| Market value of plan assets | 2021-09-30 | 61,499,920 |
| Acturial value of plan assets | 2021-09-30 | 60,648,736 |
| Funding target for retired participants and beneficiaries receiving payment | 2021-09-30 | 33,898,605 |
| Number of terminated vested participants | 2021-09-30 | 415 |
| Fundng target for terminated vested participants | 2021-09-30 | 14,613,753 |
| Active participant vested funding target | 2021-09-30 | 17,902,732 |
| Number of active participants | 2021-09-30 | 386 |
| Total funding liabilities for active participants | 2021-09-30 | 18,159,540 |
| Total participant count | 2021-09-30 | 1,216 |
| Total funding target for all participants | 2021-09-30 | 66,671,898 |
| Balance at beginning of prior year after applicable adjustments | 2021-09-30 | 0 |
| Prefunding balance at beginning of prior year after applicable adjustments | 2021-09-30 | 0 |
| Carryover balanced portion elected for use to offset prior years funding requirement | 2021-09-30 | 0 |
| Prefunding balanced used to offset prior years funding requirement | 2021-09-30 | 0 |
| Amount remaining of carryover balance | 2021-09-30 | 0 |
| Amount remaining of prefunding balance | 2021-09-30 | 0 |
| Present value of excess contributions | 2021-09-30 | 1 |
| Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance | 2021-09-30 | 1 |
| Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance | 2021-09-30 | 0 |
| Reductions in caryover balances due to elections or deemed elections | 2021-09-30 | 0 |
| Reductions in prefunding balances due to elections or deemed elections | 2021-09-30 | 0 |
| Balance of carryovers at beginning of current year | 2021-09-30 | 0 |
| Balance of prefunding at beginning of current year | 2021-09-30 | 0 |
| Total employer contributions | 2021-09-30 | 784,656 |
| Total employee contributions | 2021-09-30 | 0 |
| Contributions allocated toward unpaid minimum require contributions from prior years | 2021-09-30 | 0 |
| Contributions made to avoid restrictions adjusted to valuation date | 2021-09-30 | 0 |
| Contributions allocated toward minimum required contributions for current year adjusted to valuation date | 2021-09-30 | 750,587 |
| Liquidity shortfalls end of Q1 | 2021-09-30 | 0 |
| Liquidity shortfalls end of Q2 | 2021-09-30 | 0 |
| Liquidity shortfalls end of Q3 | 2021-09-30 | 0 |
| Liquidity shortfalls end of Q4 | 2021-09-30 | 0 |
| Unpaid minimum required contributions for all prior years | 2021-09-30 | 0 |
| iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years | 2021-09-30 | 0 |
| Remaining amount of unpaid minimum required contributions | 2021-09-30 | 0 |
| Minimum required contributions for current year target normal cost | 2021-09-30 | 185,000 |
| Net shortfall amortization installment of oustanding balance | 2021-09-30 | 6,023,162 |
| Waiver amortization installment | 2021-09-30 | 0 |
| Total funding amount beforereflecting carryover/prefunding balances | 2021-09-30 | 750,495 |
| Carryover balance elected to use to offset funding requirement | 2021-09-30 | 0 |
| Prefunding balance elected to use to offset funding requirement | 2021-09-30 | 0 |
| Additional cash requirement | 2021-09-30 | 750,495 |
| Contributions allocatedtoward minimum required contributions for current year | 2021-09-30 | 750,587 |
| Unpaid minimum required contributions for current year | 2021-09-30 | 0 |
| Unpaid minimum required contributions for all years | 2021-09-30 | 0 |
| 2020: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-10-01 | 888 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 359 |
| Number of retired or separated participants receiving benefits | 2020-10-01 | 110 |
| Number of other retired or separated participants entitled to future benefits | 2020-10-01 | 406 |
| Total of all active and inactive participants | 2020-10-01 | 875 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2020-10-01 | 15 |
| Total participants | 2020-10-01 | 890 |
| Number of participants with account balances | 2020-10-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2020-10-01 | 1 |
| Market value of plan assets | 2020-09-30 | 57,019,566 |
| Acturial value of plan assets | 2020-09-30 | 57,441,315 |
| Funding target for retired participants and beneficiaries receiving payment | 2020-09-30 | 33,247,951 |
| Number of terminated vested participants | 2020-09-30 | 428 |
| Fundng target for terminated vested participants | 2020-09-30 | 15,074,933 |
| Active participant vested funding target | 2020-09-30 | 20,034,284 |
| Number of active participants | 2020-09-30 | 413 |
| Total funding liabilities for active participants | 2020-09-30 | 20,310,964 |
| Total participant count | 2020-09-30 | 1,243 |
| Total funding target for all participants | 2020-09-30 | 68,633,848 |
| Balance at beginning of prior year after applicable adjustments | 2020-09-30 | 0 |
| Prefunding balance at beginning of prior year after applicable adjustments | 2020-09-30 | 0 |
| Carryover balanced portion elected for use to offset prior years funding requirement | 2020-09-30 | 0 |
| Prefunding balanced used to offset prior years funding requirement | 2020-09-30 | 0 |
| Amount remaining of carryover balance | 2020-09-30 | 0 |
| Amount remaining of prefunding balance | 2020-09-30 | 0 |
| Present value of excess contributions | 2020-09-30 | 168 |
| Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance | 2020-09-30 | 178 |
| Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance | 2020-09-30 | 0 |
| Reductions in caryover balances due to elections or deemed elections | 2020-09-30 | 0 |
| Reductions in prefunding balances due to elections or deemed elections | 2020-09-30 | 0 |
| Balance of carryovers at beginning of current year | 2020-09-30 | 0 |
| Balance of prefunding at beginning of current year | 2020-09-30 | 0 |
| Total employer contributions | 2020-09-30 | 4,563,803 |
| Total employee contributions | 2020-09-30 | 0 |
| Contributions allocated toward unpaid minimum require contributions from prior years | 2020-09-30 | 0 |
| Contributions made to avoid restrictions adjusted to valuation date | 2020-09-30 | 0 |
| Contributions allocated toward minimum required contributions for current year adjusted to valuation date | 2020-09-30 | 4,333,349 |
| Liquidity shortfalls end of Q1 | 2020-09-30 | 0 |
| Liquidity shortfalls end of Q2 | 2020-09-30 | 0 |
| Liquidity shortfalls end of Q3 | 2020-09-30 | 0 |
| Liquidity shortfalls end of Q4 | 2020-09-30 | 0 |
| Unpaid minimum required contributions for all prior years | 2020-09-30 | 0 |
| iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years | 2020-09-30 | 0 |
| Remaining amount of unpaid minimum required contributions | 2020-09-30 | 0 |
| Minimum required contributions for current year target normal cost | 2020-09-30 | 185,000 |
| Net shortfall amortization installment of oustanding balance | 2020-09-30 | 11,192,533 |
| Waiver amortization installment | 2020-09-30 | 0 |
| Total funding amount beforereflecting carryover/prefunding balances | 2020-09-30 | 4,333,348 |
| Carryover balance elected to use to offset funding requirement | 2020-09-30 | 0 |
| Prefunding balance elected to use to offset funding requirement | 2020-09-30 | 0 |
| Additional cash requirement | 2020-09-30 | 4,333,348 |
| Contributions allocatedtoward minimum required contributions for current year | 2020-09-30 | 4,333,349 |
| Unpaid minimum required contributions for current year | 2020-09-30 | 0 |
| Unpaid minimum required contributions for all years | 2020-09-30 | 0 |
| 2019: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-10-01 | 888 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 380 |
| Number of retired or separated participants receiving benefits | 2019-10-01 | 86 |
| Number of other retired or separated participants entitled to future benefits | 2019-10-01 | 413 |
| Total of all active and inactive participants | 2019-10-01 | 879 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2019-10-01 | 11 |
| Total participants | 2019-10-01 | 890 |
| Number of participants with account balances | 2019-10-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2019-10-01 | 0 |
| Market value of plan assets | 2019-09-30 | 57,462,090 |
| Acturial value of plan assets | 2019-09-30 | 56,851,182 |
| Funding target for retired participants and beneficiaries receiving payment | 2019-09-30 | 31,378,598 |
| Number of terminated vested participants | 2019-09-30 | 532 |
| Fundng target for terminated vested participants | 2019-09-30 | 14,868,404 |
| Active participant vested funding target | 2019-09-30 | 20,494,983 |
| Number of active participants | 2019-09-30 | 444 |
| Total funding liabilities for active participants | 2019-09-30 | 20,809,412 |
| Total participant count | 2019-09-30 | 1,376 |
| Total funding target for all participants | 2019-09-30 | 67,056,414 |
| Balance at beginning of prior year after applicable adjustments | 2019-09-30 | 0 |
| Prefunding balance at beginning of prior year after applicable adjustments | 2019-09-30 | 0 |
| Carryover balanced portion elected for use to offset prior years funding requirement | 2019-09-30 | 0 |
| Prefunding balanced used to offset prior years funding requirement | 2019-09-30 | 0 |
| Amount remaining of carryover balance | 2019-09-30 | 0 |
| Amount remaining of prefunding balance | 2019-09-30 | 0 |
| Present value of excess contributions | 2019-09-30 | 790 |
| Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance | 2019-09-30 | 837 |
| Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance | 2019-09-30 | 0 |
| Reductions in caryover balances due to elections or deemed elections | 2019-09-30 | 0 |
| Reductions in prefunding balances due to elections or deemed elections | 2019-09-30 | 0 |
| Balance of carryovers at beginning of current year | 2019-09-30 | 0 |
| Balance of prefunding at beginning of current year | 2019-09-30 | 0 |
| Total employer contributions | 2019-09-30 | 2,856,477 |
| Total employee contributions | 2019-09-30 | 0 |
| Contributions allocated toward unpaid minimum require contributions from prior years | 2019-09-30 | 0 |
| Contributions made to avoid restrictions adjusted to valuation date | 2019-09-30 | 0 |
| Contributions allocated toward minimum required contributions for current year adjusted to valuation date | 2019-09-30 | 2,733,075 |
| Liquidity shortfalls end of Q1 | 2019-09-30 | 0 |
| Liquidity shortfalls end of Q2 | 2019-09-30 | 0 |
| Liquidity shortfalls end of Q3 | 2019-09-30 | 0 |
| Liquidity shortfalls end of Q4 | 2019-09-30 | 0 |
| Unpaid minimum required contributions for all prior years | 2019-09-30 | 0 |
| iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years | 2019-09-30 | 0 |
| Remaining amount of unpaid minimum required contributions | 2019-09-30 | 0 |
| Minimum required contributions for current year target normal cost | 2019-09-30 | 175,000 |
| Net shortfall amortization installment of oustanding balance | 2019-09-30 | 10,205,232 |
| Waiver amortization installment | 2019-09-30 | 0 |
| Total funding amount beforereflecting carryover/prefunding balances | 2019-09-30 | 2,732,907 |
| Carryover balance elected to use to offset funding requirement | 2019-09-30 | 0 |
| Prefunding balance elected to use to offset funding requirement | 2019-09-30 | 0 |
| Additional cash requirement | 2019-09-30 | 2,732,907 |
| Contributions allocatedtoward minimum required contributions for current year | 2019-09-30 | 2,733,075 |
| Unpaid minimum required contributions for current year | 2019-09-30 | 0 |
| Unpaid minimum required contributions for all years | 2019-09-30 | 0 |
| 2018: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2018 401k membership |
|---|
| Market value of plan assets | 2018-09-30 | 57,058,144 |
| Acturial value of plan assets | 2018-09-30 | 55,341,385 |
| Funding target for retired participants and beneficiaries receiving payment | 2018-09-30 | 31,375,380 |
| Number of terminated vested participants | 2018-09-30 | 551 |
| Fundng target for terminated vested participants | 2018-09-30 | 14,589,177 |
| Active participant vested funding target | 2018-09-30 | 20,238,744 |
| Number of active participants | 2018-09-30 | 474 |
| Total funding liabilities for active participants | 2018-09-30 | 20,584,083 |
| Total participant count | 2018-09-30 | 1,402 |
| Total funding target for all participants | 2018-09-30 | 66,548,640 |
| Balance at beginning of prior year after applicable adjustments | 2018-09-30 | 0 |
| Prefunding balance at beginning of prior year after applicable adjustments | 2018-09-30 | 0 |
| Carryover balanced portion elected for use to offset prior years funding requirement | 2018-09-30 | 0 |
| Prefunding balanced used to offset prior years funding requirement | 2018-09-30 | 0 |
| Amount remaining of carryover balance | 2018-09-30 | 0 |
| Amount remaining of prefunding balance | 2018-09-30 | 0 |
| Present value of excess contributions | 2018-09-30 | 941 |
| Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance | 2018-09-30 | 999 |
| Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance | 2018-09-30 | 0 |
| Reductions in caryover balances due to elections or deemed elections | 2018-09-30 | 0 |
| Reductions in prefunding balances due to elections or deemed elections | 2018-09-30 | 0 |
| Balance of carryovers at beginning of current year | 2018-09-30 | 0 |
| Balance of prefunding at beginning of current year | 2018-09-30 | 0 |
| Total employer contributions | 2018-09-30 | 2,698,349 |
| Total employee contributions | 2018-09-30 | 0 |
| Contributions allocated toward unpaid minimum require contributions from prior years | 2018-09-30 | 0 |
| Contributions made to avoid restrictions adjusted to valuation date | 2018-09-30 | 0 |
| Contributions allocated toward minimum required contributions for current year adjusted to valuation date | 2018-09-30 | 2,559,372 |
| Liquidity shortfalls end of Q1 | 2018-09-30 | 0 |
| Liquidity shortfalls end of Q2 | 2018-09-30 | 0 |
| Liquidity shortfalls end of Q3 | 2018-09-30 | 0 |
| Liquidity shortfalls end of Q4 | 2018-09-30 | 0 |
| Unpaid minimum required contributions for all prior years | 2018-09-30 | 0 |
| iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years | 2018-09-30 | 0 |
| Remaining amount of unpaid minimum required contributions | 2018-09-30 | 0 |
| Minimum required contributions for current year target normal cost | 2018-09-30 | 156,000 |
| Net shortfall amortization installment of oustanding balance | 2018-09-30 | 11,207,255 |
| Waiver amortization installment | 2018-09-30 | 0 |
| Total funding amount beforereflecting carryover/prefunding balances | 2018-09-30 | 2,558,582 |
| Carryover balance elected to use to offset funding requirement | 2018-09-30 | 0 |
| Prefunding balance elected to use to offset funding requirement | 2018-09-30 | 0 |
| Additional cash requirement | 2018-09-30 | 2,558,582 |
| Contributions allocatedtoward minimum required contributions for current year | 2018-09-30 | 2,559,372 |
| Unpaid minimum required contributions for current year | 2018-09-30 | 0 |
| Unpaid minimum required contributions for all years | 2018-09-30 | 0 |
| 2017: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2017 401k membership |
|---|
| Market value of plan assets | 2017-09-30 | 54,599,199 |
| Acturial value of plan assets | 2017-09-30 | 55,348,227 |
| Funding target for retired participants and beneficiaries receiving payment | 2017-09-30 | 29,173,270 |
| Number of terminated vested participants | 2017-09-30 | 524 |
| Fundng target for terminated vested participants | 2017-09-30 | 13,630,533 |
| Active participant vested funding target | 2017-09-30 | 22,306,836 |
| Number of active participants | 2017-09-30 | 550 |
| Total funding liabilities for active participants | 2017-09-30 | 22,696,659 |
| Total participant count | 2017-09-30 | 1,427 |
| Total funding target for all participants | 2017-09-30 | 65,500,462 |
| Balance at beginning of prior year after applicable adjustments | 2017-09-30 | 0 |
| Prefunding balance at beginning of prior year after applicable adjustments | 2017-09-30 | 0 |
| Carryover balanced portion elected for use to offset prior years funding requirement | 2017-09-30 | 0 |
| Prefunding balanced used to offset prior years funding requirement | 2017-09-30 | 0 |
| Amount remaining of carryover balance | 2017-09-30 | 0 |
| Amount remaining of prefunding balance | 2017-09-30 | 0 |
| Present value of excess contributions | 2017-09-30 | 700 |
| Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance | 2017-09-30 | 745 |
| Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance | 2017-09-30 | 0 |
| Reductions in caryover balances due to elections or deemed elections | 2017-09-30 | 0 |
| Reductions in prefunding balances due to elections or deemed elections | 2017-09-30 | 0 |
| Balance of carryovers at beginning of current year | 2017-09-30 | 0 |
| Balance of prefunding at beginning of current year | 2017-09-30 | 0 |
| Total employer contributions | 2017-09-30 | 2,126,156 |
| Total employee contributions | 2017-09-30 | 0 |
| Contributions allocated toward unpaid minimum require contributions from prior years | 2017-09-30 | 0 |
| Contributions made to avoid restrictions adjusted to valuation date | 2017-09-30 | 0 |
| Contributions allocated toward minimum required contributions for current year adjusted to valuation date | 2017-09-30 | 2,017,112 |
| Liquidity shortfalls end of Q1 | 2017-09-30 | 0 |
| Liquidity shortfalls end of Q2 | 2017-09-30 | 0 |
| Liquidity shortfalls end of Q3 | 2017-09-30 | 0 |
| Liquidity shortfalls end of Q4 | 2017-09-30 | 0 |
| Unpaid minimum required contributions for all prior years | 2017-09-30 | 0 |
| iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years | 2017-09-30 | 0 |
| Remaining amount of unpaid minimum required contributions | 2017-09-30 | 0 |
| Minimum required contributions for current year target normal cost | 2017-09-30 | 38,250 |
| Net shortfall amortization installment of oustanding balance | 2017-09-30 | 10,152,235 |
| Waiver amortization installment | 2017-09-30 | 0 |
| Total funding amount beforereflecting carryover/prefunding balances | 2017-09-30 | 2,016,171 |
| Carryover balance elected to use to offset funding requirement | 2017-09-30 | 0 |
| Prefunding balance elected to use to offset funding requirement | 2017-09-30 | 0 |
| Additional cash requirement | 2017-09-30 | 2,016,171 |
| Contributions allocatedtoward minimum required contributions for current year | 2017-09-30 | 2,017,112 |
| Unpaid minimum required contributions for current year | 2017-09-30 | 0 |
| Unpaid minimum required contributions for all years | 2017-09-30 | 0 |
| 2016: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-10-01 | 1,414 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 461 |
| Number of retired or separated participants receiving benefits | 2016-10-01 | 353 |
| Number of other retired or separated participants entitled to future benefits | 2016-10-01 | 558 |
| Total of all active and inactive participants | 2016-10-01 | 1,372 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-10-01 | 30 |
| Total participants | 2016-10-01 | 1,402 |
| Number of participants with account balances | 2016-10-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-10-01 | 1 |
| 2015: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-10-01 | 1,440 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 539 |
| Number of retired or separated participants receiving benefits | 2015-10-01 | 325 |
| Number of other retired or separated participants entitled to future benefits | 2015-10-01 | 529 |
| Total of all active and inactive participants | 2015-10-01 | 1,393 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-10-01 | 32 |
| Total participants | 2015-10-01 | 1,425 |
| Number of participants with account balances | 2015-10-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-10-01 | 6 |
| 2014: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-10-01 | 1,489 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 633 |
| Number of retired or separated participants receiving benefits | 2014-10-01 | 320 |
| Number of other retired or separated participants entitled to future benefits | 2014-10-01 | 488 |
| Total of all active and inactive participants | 2014-10-01 | 1,441 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-10-01 | 28 |
| Total participants | 2014-10-01 | 1,469 |
| Number of participants with account balances | 2014-10-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-10-01 | 14 |
| 2013: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-10-01 | 1,534 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 746 |
| Number of retired or separated participants receiving benefits | 2013-10-01 | 307 |
| Number of other retired or separated participants entitled to future benefits | 2013-10-01 | 444 |
| Total of all active and inactive participants | 2013-10-01 | 1,497 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-10-01 | 26 |
| Total participants | 2013-10-01 | 1,523 |
| Number of participants with account balances | 2013-10-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-10-01 | 16 |
| Total participants, beginning-of-year | 2013-01-01 | 1,067 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 1,078 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 14 |
| Total of all active and inactive participants | 2013-01-01 | 1,092 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 1,092 |
| Number of participants with account balances | 2013-01-01 | 406 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 53 |
| 2012: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 1,082 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 1,098 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 6 |
| Total of all active and inactive participants | 2012-01-01 | 1,104 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 1,104 |
| Number of participants with account balances | 2012-01-01 | 350 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 30 |
| 2011: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 1,052 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 1,079 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 3 |
| Total of all active and inactive participants | 2011-01-01 | 1,082 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 1,082 |
| Number of participants with account balances | 2011-01-01 | 305 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 17 |
| 2010: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-07-01 | 1,608 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 1,706 |
| Number of retired or separated participants receiving benefits | 2010-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-07-01 | 2 |
| Total of all active and inactive participants | 2010-07-01 | 1,708 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-07-01 | 0 |
| Total participants | 2010-07-01 | 1,708 |
| Number of participants with account balances | 2010-07-01 | 210 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2010-07-01 | 0 |
| 2009: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-10-01 | 1,527 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 891 |
| Number of retired or separated participants receiving benefits | 2009-10-01 | 207 |
| Number of other retired or separated participants entitled to future benefits | 2009-10-01 | 380 |
| Total of all active and inactive participants | 2009-10-01 | 1,478 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-10-01 | 15 |
| Total participants | 2009-10-01 | 1,493 |
| Number of participants with account balances | 2009-10-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-10-01 | 19 |
| 2008: T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-10-01 | 1,463 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-10-01 | 967 |
| Number of retired or separated participants receiving benefits | 2008-10-01 | 187 |
| Number of other retired or separated participants entitled to future benefits | 2008-10-01 | 340 |
| Total of all active and inactive participants | 2008-10-01 | 1,494 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2008-10-01 | 0 |
| Total participants | 2008-10-01 | 1,494 |
| Measure | Date | Value |
|---|
| 2023 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2023 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2023-09-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-09-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-09-30 | $0 |
| Total income from all sources (including contributions) | 2023-09-30 | $5,077,904 |
| Total loss/gain on sale of assets | 2023-09-30 | $0 |
| Total of all expenses incurred | 2023-09-30 | $12,183,393 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-09-30 | $11,996,020 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-09-30 | $1,259,068 |
| Value of total assets at end of year | 2023-09-30 | $25,169,537 |
| Value of total assets at beginning of year | 2023-09-30 | $32,275,026 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-09-30 | $187,373 |
| Total interest from all sources | 2023-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-09-30 | No |
| Was this plan covered by a fidelity bond | 2023-09-30 | Yes |
| Value of fidelity bond cover | 2023-09-30 | $400,000 |
| If this is an individual account plan, was there a blackout period | 2023-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2023-09-30 | No |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2023-09-30 | $5,393,741 |
| Other income not declared elsewhere | 2023-09-30 | $17,959 |
| Administrative expenses (other) incurred | 2023-09-30 | $24,226 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-09-30 | No |
| Value of net income/loss | 2023-09-30 | $-7,105,489 |
| Value of net assets at end of year (total assets less liabilities) | 2023-09-30 | $25,169,537 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-09-30 | $32,275,026 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-09-30 | No |
| Value of interest in pooled separate accounts at end of year | 2023-09-30 | $24,448,421 |
| Value of interest in pooled separate accounts at beginning of year | 2023-09-30 | $32,009,613 |
| Net investment gain/loss from pooled separate accounts | 2023-09-30 | $3,800,877 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2023-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-09-30 | No |
| Contributions received in cash from employer | 2023-09-30 | $1,259,068 |
| Employer contributions (assets) at end of year | 2023-09-30 | $721,116 |
| Employer contributions (assets) at beginning of year | 2023-09-30 | $265,413 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-09-30 | $6,602,279 |
| Contract administrator fees | 2023-09-30 | $163,147 |
| Did the plan have assets held for investment | 2023-09-30 | 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 | 2023-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-09-30 | Disclaimer |
| Accountancy firm name | 2023-09-30 | TAYLOR POLSON & CO CPA PSC |
| Accountancy firm EIN | 2023-09-30 | 611305816 |
| 2022 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2022 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2022-10-01 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-10-01 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-10-01 | $0 |
| Total income from all sources (including contributions) | 2022-10-01 | $5,077,904 |
| Total loss/gain on sale of assets | 2022-10-01 | $0 |
| Total of all expenses incurred | 2022-10-01 | $12,183,393 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-10-01 | $11,996,020 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-10-01 | $1,259,068 |
| Value of total assets at end of year | 2022-10-01 | $25,169,537 |
| Value of total assets at beginning of year | 2022-10-01 | $32,275,026 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-10-01 | $187,373 |
| Total interest from all sources | 2022-10-01 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-10-01 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-10-01 | No |
| Was this plan covered by a fidelity bond | 2022-10-01 | Yes |
| Value of fidelity bond cover | 2022-10-01 | $400,000 |
| If this is an individual account plan, was there a blackout period | 2022-10-01 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-10-01 | No |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2022-10-01 | $5,393,741 |
| Other income not declared elsewhere | 2022-10-01 | $17,959 |
| Administrative expenses (other) incurred | 2022-10-01 | $24,226 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-10-01 | No |
| Value of net income/loss | 2022-10-01 | $-7,105,489 |
| Value of net assets at end of year (total assets less liabilities) | 2022-10-01 | $25,169,537 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-10-01 | $32,275,026 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-10-01 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-10-01 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-10-01 | No |
| Value of interest in pooled separate accounts at end of year | 2022-10-01 | $24,448,421 |
| Value of interest in pooled separate accounts at beginning of year | 2022-10-01 | $32,009,613 |
| Net investment gain/loss from pooled separate accounts | 2022-10-01 | $3,800,877 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-10-01 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-10-01 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-10-01 | No |
| Contributions received in cash from employer | 2022-10-01 | $1,259,068 |
| Employer contributions (assets) at end of year | 2022-10-01 | $721,116 |
| Employer contributions (assets) at beginning of year | 2022-10-01 | $265,413 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-10-01 | $6,602,279 |
| Contract administrator fees | 2022-10-01 | $163,147 |
| Did the plan have assets held for investment | 2022-10-01 | 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 | 2022-10-01 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-10-01 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-10-01 | 3 |
| Accountancy firm name | 2022-10-01 | TAYLOR POLSON & CO CPA PSC |
| Accountancy firm EIN | 2022-10-01 | 611305816 |
| Total unrealized appreciation/depreciation of assets | 2022-09-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-09-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-09-30 | $0 |
| Total income from all sources (including contributions) | 2022-09-30 | $-7,752,171 |
| Total loss/gain on sale of assets | 2022-09-30 | $0 |
| Total of all expenses incurred | 2022-09-30 | $5,338,515 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-09-30 | $5,152,840 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-09-30 | $748,689 |
| Value of total assets at end of year | 2022-09-30 | $32,275,026 |
| Value of total assets at beginning of year | 2022-09-30 | $45,365,712 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-09-30 | $185,675 |
| Total interest from all sources | 2022-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-09-30 | No |
| Was this plan covered by a fidelity bond | 2022-09-30 | Yes |
| Value of fidelity bond cover | 2022-09-30 | $400,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-09-30 | No |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2022-09-30 | $245,007 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-09-30 | No |
| Value of net income/loss | 2022-09-30 | $-13,090,686 |
| Value of net assets at end of year (total assets less liabilities) | 2022-09-30 | $32,275,026 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-09-30 | $45,365,712 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-09-30 | No |
| Investment advisory and management fees | 2022-09-30 | $26,395 |
| Value of interest in pooled separate accounts at end of year | 2022-09-30 | $32,009,613 |
| Value of interest in pooled separate accounts at beginning of year | 2022-09-30 | $45,087,642 |
| Net investment gain/loss from pooled separate accounts | 2022-09-30 | $-8,500,860 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-09-30 | No |
| Contributions received in cash from employer | 2022-09-30 | $748,689 |
| Employer contributions (assets) at end of year | 2022-09-30 | $265,413 |
| Employer contributions (assets) at beginning of year | 2022-09-30 | $278,070 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-09-30 | $4,907,833 |
| Contract administrator fees | 2022-09-30 | $159,280 |
| Did the plan have assets held for investment | 2022-09-30 | 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 | 2022-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-09-30 | Disclaimer |
| Accountancy firm name | 2022-09-30 | TAYLOR POLSON & CO CPA PSC |
| Accountancy firm EIN | 2022-09-30 | 611305816 |
| 2021 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2021 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2021-09-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-09-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-09-30 | $0 |
| Total income from all sources (including contributions) | 2021-09-30 | $11,782,539 |
| Total loss/gain on sale of assets | 2021-09-30 | $0 |
| Total of all expenses incurred | 2021-09-30 | $4,926,547 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-09-30 | $4,743,823 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-09-30 | $784,656 |
| Value of total assets at end of year | 2021-09-30 | $45,365,712 |
| Value of total assets at beginning of year | 2021-09-30 | $38,509,720 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-09-30 | $182,724 |
| Total interest from all sources | 2021-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-09-30 | No |
| Was this plan covered by a fidelity bond | 2021-09-30 | Yes |
| Value of fidelity bond cover | 2021-09-30 | $400,000 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2021-09-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-09-30 | No |
| Other income not declared elsewhere | 2021-09-30 | $3,028,133 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-09-30 | No |
| Value of net income/loss | 2021-09-30 | $6,855,992 |
| Value of net assets at end of year (total assets less liabilities) | 2021-09-30 | $45,365,712 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-09-30 | $38,509,720 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-09-30 | No |
| Investment advisory and management fees | 2021-09-30 | $26,444 |
| Value of interest in pooled separate accounts at end of year | 2021-09-30 | $45,087,642 |
| Value of interest in pooled separate accounts at beginning of year | 2021-09-30 | $35,995,598 |
| Net investment gain/loss from pooled separate accounts | 2021-09-30 | $7,969,750 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-09-30 | No |
| Contributions received in cash from employer | 2021-09-30 | $784,656 |
| Employer contributions (assets) at end of year | 2021-09-30 | $278,070 |
| Employer contributions (assets) at beginning of year | 2021-09-30 | $2,514,122 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-09-30 | $4,743,823 |
| Contract administrator fees | 2021-09-30 | $156,280 |
| Did the plan have assets held for investment | 2021-09-30 | 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 | 2021-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-09-30 | Disclaimer |
| Accountancy firm name | 2021-09-30 | TAYLOR POLSON & CO CPA PSC |
| Accountancy firm EIN | 2021-09-30 | 611305816 |
| 2020 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2020-09-30 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-09-30 | $0 |
| Total unrealized appreciation/depreciation of assets | 2020-09-30 | $0 |
| Total transfer of assets to this plan | 2020-09-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-09-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-09-30 | $0 |
| Total income from all sources (including contributions) | 2020-09-30 | $10,385,803 |
| Total loss/gain on sale of assets | 2020-09-30 | $0 |
| Total of all expenses incurred | 2020-09-30 | $4,906,224 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-09-30 | $4,679,711 |
| Value of total corrective distributions | 2020-09-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-09-30 | $4,563,803 |
| Value of total assets at end of year | 2020-09-30 | $38,509,720 |
| Value of total assets at beginning of year | 2020-09-30 | $33,030,141 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-09-30 | $226,513 |
| Total income from rents | 2020-09-30 | $0 |
| Total interest from all sources | 2020-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-09-30 | $0 |
| Administrative expenses professional fees incurred | 2020-09-30 | $0 |
| Was this plan covered by a fidelity bond | 2020-09-30 | Yes |
| Value of fidelity bond cover | 2020-09-30 | $400,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-09-30 | No |
| Amount of non-exempt transactions with any party-in-interest | 2020-09-30 | $0 |
| Contributions received from participants | 2020-09-30 | $0 |
| Participant contributions at end of year | 2020-09-30 | $0 |
| Participant contributions at beginning of year | 2020-09-30 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2020-09-30 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2020-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-09-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-09-30 | $0 |
| Other income not declared elsewhere | 2020-09-30 | $974,155 |
| Administrative expenses (other) incurred | 2020-09-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2020-09-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-09-30 | No |
| Value of net income/loss | 2020-09-30 | $5,479,579 |
| Value of net assets at end of year (total assets less liabilities) | 2020-09-30 | $38,509,720 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-09-30 | $33,030,141 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-09-30 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2020-09-30 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2020-09-30 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2020-09-30 | $0 |
| Investment advisory and management fees | 2020-09-30 | $24,633 |
| Value of interest in pooled separate accounts at end of year | 2020-09-30 | $35,995,598 |
| Value of interest in pooled separate accounts at beginning of year | 2020-09-30 | $32,016,417 |
| Income. Interest from loans (other than to participants) | 2020-09-30 | $0 |
| Interest earned on other investments | 2020-09-30 | $0 |
| Income. Interest from US Government securities | 2020-09-30 | $0 |
| Income. Interest from corporate debt instruments | 2020-09-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-09-30 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-09-30 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-09-30 | $0 |
| Net investment gain/loss from pooled separate accounts | 2020-09-30 | $4,847,845 |
| Net investment gain or loss from common/collective trusts | 2020-09-30 | $0 |
| Net gain/loss from 103.12 investment entities | 2020-09-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-09-30 | No |
| Contributions received in cash from employer | 2020-09-30 | $4,563,803 |
| Employer contributions (assets) at end of year | 2020-09-30 | $2,514,122 |
| Employer contributions (assets) at beginning of year | 2020-09-30 | $1,013,724 |
| Income. Dividends from preferred stock | 2020-09-30 | $0 |
| Income. Dividends from common stock | 2020-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-09-30 | $4,679,711 |
| Contract administrator fees | 2020-09-30 | $201,880 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-09-30 | $0 |
| Did the plan have assets held for investment | 2020-09-30 | 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 | 2020-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-09-30 | No |
| Aggregate proceeds on sale of assets | 2020-09-30 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2020-09-30 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2020-09-30 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-09-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2020-09-30 | Disclaimer |
| Accountancy firm name | 2020-09-30 | TAYLOR POLSON & CO CPA PSC |
| Accountancy firm EIN | 2020-09-30 | 611305816 |
| 2019 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2019-09-30 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-09-30 | $0 |
| Total unrealized appreciation/depreciation of assets | 2019-09-30 | $0 |
| Total transfer of assets to this plan | 2019-09-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-09-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-09-30 | $0 |
| Total income from all sources (including contributions) | 2019-09-30 | $5,757,984 |
| Total loss/gain on sale of assets | 2019-09-30 | $0 |
| Total of all expenses incurred | 2019-09-30 | $30,217,365 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-09-30 | $30,031,743 |
| Value of total corrective distributions | 2019-09-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-09-30 | $2,856,477 |
| Value of total assets at end of year | 2019-09-30 | $33,030,141 |
| Value of total assets at beginning of year | 2019-09-30 | $57,489,522 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-09-30 | $185,622 |
| Total income from rents | 2019-09-30 | $0 |
| Total interest from all sources | 2019-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-09-30 | $0 |
| Administrative expenses professional fees incurred | 2019-09-30 | $0 |
| Was this plan covered by a fidelity bond | 2019-09-30 | Yes |
| Value of fidelity bond cover | 2019-09-30 | $400,000 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2019-09-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-09-30 | No |
| Amount of non-exempt transactions with any party-in-interest | 2019-09-30 | $0 |
| Contributions received from participants | 2019-09-30 | $0 |
| Participant contributions at end of year | 2019-09-30 | $0 |
| Participant contributions at beginning of year | 2019-09-30 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2019-09-30 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-09-30 | $24,005,251 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-09-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-09-30 | $0 |
| Other income not declared elsewhere | 2019-09-30 | $0 |
| Administrative expenses (other) incurred | 2019-09-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2019-09-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-09-30 | No |
| Value of net income/loss | 2019-09-30 | $-24,459,381 |
| Value of net assets at end of year (total assets less liabilities) | 2019-09-30 | $33,030,141 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-09-30 | $57,489,522 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-09-30 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2019-09-30 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2019-09-30 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2019-09-30 | $0 |
| Investment advisory and management fees | 2019-09-30 | $24,502 |
| Value of interest in pooled separate accounts at end of year | 2019-09-30 | $32,016,417 |
| Value of interest in pooled separate accounts at beginning of year | 2019-09-30 | $56,303,302 |
| Income. Interest from loans (other than to participants) | 2019-09-30 | $0 |
| Interest earned on other investments | 2019-09-30 | $0 |
| Income. Interest from US Government securities | 2019-09-30 | $0 |
| Income. Interest from corporate debt instruments | 2019-09-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-09-30 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-09-30 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-09-30 | $0 |
| Net investment gain/loss from pooled separate accounts | 2019-09-30 | $2,901,507 |
| Net investment gain or loss from common/collective trusts | 2019-09-30 | $0 |
| Net gain/loss from 103.12 investment entities | 2019-09-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-09-30 | No |
| Contributions received in cash from employer | 2019-09-30 | $2,856,477 |
| Employer contributions (assets) at end of year | 2019-09-30 | $1,013,724 |
| Employer contributions (assets) at beginning of year | 2019-09-30 | $1,186,220 |
| Income. Dividends from preferred stock | 2019-09-30 | $0 |
| Income. Dividends from common stock | 2019-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-09-30 | $6,026,492 |
| Contract administrator fees | 2019-09-30 | $161,120 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-09-30 | $0 |
| Did the plan have assets held for investment | 2019-09-30 | 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 | 2019-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-09-30 | No |
| Aggregate proceeds on sale of assets | 2019-09-30 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2019-09-30 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2019-09-30 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-09-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2019-09-30 | Disclaimer |
| Accountancy firm name | 2019-09-30 | TAYLOR POLSON & CO CPA PSC |
| Accountancy firm EIN | 2019-09-30 | 611305816 |
| 2018 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2018-09-30 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-09-30 | $0 |
| Total unrealized appreciation/depreciation of assets | 2018-09-30 | $0 |
| Total transfer of assets to this plan | 2018-09-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-09-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-09-30 | $0 |
| Total income from all sources (including contributions) | 2018-09-30 | $5,909,396 |
| Total loss/gain on sale of assets | 2018-09-30 | $0 |
| Total of all expenses incurred | 2018-09-30 | $5,497,419 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-09-30 | $5,321,297 |
| Value of total corrective distributions | 2018-09-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-09-30 | $2,698,349 |
| Value of total assets at end of year | 2018-09-30 | $57,489,522 |
| Value of total assets at beginning of year | 2018-09-30 | $57,077,545 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-09-30 | $176,122 |
| Total income from rents | 2018-09-30 | $0 |
| Total interest from all sources | 2018-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-09-30 | $0 |
| Administrative expenses professional fees incurred | 2018-09-30 | $0 |
| Was this plan covered by a fidelity bond | 2018-09-30 | Yes |
| Value of fidelity bond cover | 2018-09-30 | $400,000 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2018-09-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-09-30 | No |
| Amount of non-exempt transactions with any party-in-interest | 2018-09-30 | $0 |
| Contributions received from participants | 2018-09-30 | $0 |
| Participant contributions at end of year | 2018-09-30 | $0 |
| Participant contributions at beginning of year | 2018-09-30 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2018-09-30 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2018-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-09-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-09-30 | $0 |
| Other income not declared elsewhere | 2018-09-30 | $0 |
| Administrative expenses (other) incurred | 2018-09-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2018-09-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-09-30 | No |
| Value of net income/loss | 2018-09-30 | $411,977 |
| Value of net assets at end of year (total assets less liabilities) | 2018-09-30 | $57,489,522 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-09-30 | $57,077,545 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-09-30 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2018-09-30 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2018-09-30 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2018-09-30 | $0 |
| Investment advisory and management fees | 2018-09-30 | $24,762 |
| Value of interest in pooled separate accounts at end of year | 2018-09-30 | $56,303,302 |
| Value of interest in pooled separate accounts at beginning of year | 2018-09-30 | $56,200,805 |
| Income. Interest from loans (other than to participants) | 2018-09-30 | $0 |
| Interest earned on other investments | 2018-09-30 | $0 |
| Income. Interest from US Government securities | 2018-09-30 | $0 |
| Income. Interest from corporate debt instruments | 2018-09-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-09-30 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-09-30 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-09-30 | $0 |
| Net investment gain/loss from pooled separate accounts | 2018-09-30 | $3,211,047 |
| Net investment gain or loss from common/collective trusts | 2018-09-30 | $0 |
| Net gain/loss from 103.12 investment entities | 2018-09-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-09-30 | No |
| Contributions received in cash from employer | 2018-09-30 | $2,698,349 |
| Employer contributions (assets) at end of year | 2018-09-30 | $1,186,220 |
| Employer contributions (assets) at beginning of year | 2018-09-30 | $876,740 |
| Income. Dividends from preferred stock | 2018-09-30 | $0 |
| Income. Dividends from common stock | 2018-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-09-30 | $5,321,297 |
| Contract administrator fees | 2018-09-30 | $151,360 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-09-30 | $0 |
| Did the plan have assets held for investment | 2018-09-30 | 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 | 2018-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-09-30 | No |
| Aggregate proceeds on sale of assets | 2018-09-30 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2018-09-30 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2018-09-30 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-09-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2018-09-30 | Disclaimer |
| Accountancy firm name | 2018-09-30 | TAYLOR POLSON & CO CPA PSC |
| Accountancy firm EIN | 2018-09-30 | 611305816 |
| 2017 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2017-09-30 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-09-30 | $0 |
| Total unrealized appreciation/depreciation of assets | 2017-09-30 | $0 |
| Total transfer of assets to this plan | 2017-09-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-09-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-09-30 | $0 |
| Total income from all sources (including contributions) | 2017-09-30 | $7,616,077 |
| Total loss/gain on sale of assets | 2017-09-30 | $0 |
| Total of all expenses incurred | 2017-09-30 | $5,159,683 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-09-30 | $5,028,299 |
| Value of total corrective distributions | 2017-09-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-09-30 | $2,126,156 |
| Value of total assets at end of year | 2017-09-30 | $57,077,545 |
| Value of total assets at beginning of year | 2017-09-30 | $54,621,151 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-09-30 | $131,384 |
| Total income from rents | 2017-09-30 | $0 |
| Total interest from all sources | 2017-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-09-30 | $0 |
| Administrative expenses professional fees incurred | 2017-09-30 | $0 |
| Was this plan covered by a fidelity bond | 2017-09-30 | Yes |
| Value of fidelity bond cover | 2017-09-30 | $400,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-09-30 | No |
| Amount of non-exempt transactions with any party-in-interest | 2017-09-30 | $0 |
| Contributions received from participants | 2017-09-30 | $0 |
| Participant contributions at end of year | 2017-09-30 | $0 |
| Participant contributions at beginning of year | 2017-09-30 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2017-09-30 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2017-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-09-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-09-30 | $0 |
| Other income not declared elsewhere | 2017-09-30 | $0 |
| Administrative expenses (other) incurred | 2017-09-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2017-09-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-09-30 | No |
| Value of net income/loss | 2017-09-30 | $2,456,394 |
| Value of net assets at end of year (total assets less liabilities) | 2017-09-30 | $57,077,545 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-09-30 | $54,621,151 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-09-30 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2017-09-30 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2017-09-30 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2017-09-30 | $0 |
| Investment advisory and management fees | 2017-09-30 | $24,303 |
| Value of interest in pooled separate accounts at end of year | 2017-09-30 | $56,200,805 |
| Value of interest in pooled separate accounts at beginning of year | 2017-09-30 | $53,794,456 |
| Income. Interest from loans (other than to participants) | 2017-09-30 | $0 |
| Interest earned on other investments | 2017-09-30 | $0 |
| Income. Interest from US Government securities | 2017-09-30 | $0 |
| Income. Interest from corporate debt instruments | 2017-09-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-09-30 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-09-30 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-09-30 | $0 |
| Net investment gain/loss from pooled separate accounts | 2017-09-30 | $5,489,921 |
| Net investment gain or loss from common/collective trusts | 2017-09-30 | $0 |
| Net gain/loss from 103.12 investment entities | 2017-09-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-09-30 | No |
| Contributions received in cash from employer | 2017-09-30 | $2,126,156 |
| Employer contributions (assets) at end of year | 2017-09-30 | $876,740 |
| Employer contributions (assets) at beginning of year | 2017-09-30 | $826,695 |
| Income. Dividends from preferred stock | 2017-09-30 | $0 |
| Income. Dividends from common stock | 2017-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-09-30 | $5,028,299 |
| Contract administrator fees | 2017-09-30 | $107,081 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-09-30 | $0 |
| Did the plan have assets held for investment | 2017-09-30 | 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 | 2017-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-09-30 | No |
| Aggregate proceeds on sale of assets | 2017-09-30 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2017-09-30 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2017-09-30 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-09-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2017-09-30 | Disclaimer |
| Accountancy firm name | 2017-09-30 | TAYLOR POLSON & CO CPAPSC |
| Accountancy firm EIN | 2017-09-30 | 611305816 |
| 2016 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2016-09-30 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-09-30 | $0 |
| Total unrealized appreciation/depreciation of assets | 2016-09-30 | $0 |
| Total transfer of assets to this plan | 2016-09-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-09-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-09-30 | $0 |
| Total income from all sources (including contributions) | 2016-09-30 | $5,917,924 |
| Total loss/gain on sale of assets | 2016-09-30 | $0 |
| Total of all expenses incurred | 2016-09-30 | $4,690,448 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-09-30 | $4,656,517 |
| Value of total corrective distributions | 2016-09-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-09-30 | $1,767,444 |
| Value of total assets at end of year | 2016-09-30 | $54,621,151 |
| Value of total assets at beginning of year | 2016-09-30 | $53,393,675 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-09-30 | $33,931 |
| Total income from rents | 2016-09-30 | $0 |
| Total interest from all sources | 2016-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-09-30 | $0 |
| Administrative expenses professional fees incurred | 2016-09-30 | $0 |
| Was this plan covered by a fidelity bond | 2016-09-30 | Yes |
| Value of fidelity bond cover | 2016-09-30 | $400,000 |
| If this is an individual account plan, was there a blackout period | 2016-09-30 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-09-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-09-30 | No |
| Amount of non-exempt transactions with any party-in-interest | 2016-09-30 | $0 |
| Contributions received from participants | 2016-09-30 | $0 |
| Participant contributions at end of year | 2016-09-30 | $0 |
| Participant contributions at beginning of year | 2016-09-30 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2016-09-30 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2016-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-09-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-09-30 | $0 |
| Other income not declared elsewhere | 2016-09-30 | $0 |
| Administrative expenses (other) incurred | 2016-09-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2016-09-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-09-30 | No |
| Value of net income/loss | 2016-09-30 | $1,227,476 |
| Value of net assets at end of year (total assets less liabilities) | 2016-09-30 | $54,621,151 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-09-30 | $53,393,675 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-09-30 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2016-09-30 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2016-09-30 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2016-09-30 | $0 |
| Investment advisory and management fees | 2016-09-30 | $23,996 |
| Value of interest in pooled separate accounts at end of year | 2016-09-30 | $53,794,456 |
| Value of interest in pooled separate accounts at beginning of year | 2016-09-30 | $52,829,046 |
| Income. Interest from loans (other than to participants) | 2016-09-30 | $0 |
| Interest earned on other investments | 2016-09-30 | $0 |
| Income. Interest from US Government securities | 2016-09-30 | $0 |
| Income. Interest from corporate debt instruments | 2016-09-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-09-30 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-09-30 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-09-30 | $0 |
| Net investment gain/loss from pooled separate accounts | 2016-09-30 | $4,150,480 |
| Net investment gain or loss from common/collective trusts | 2016-09-30 | $0 |
| Net gain/loss from 103.12 investment entities | 2016-09-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-09-30 | No |
| Contributions received in cash from employer | 2016-09-30 | $1,767,444 |
| Employer contributions (assets) at end of year | 2016-09-30 | $826,695 |
| Employer contributions (assets) at beginning of year | 2016-09-30 | $564,629 |
| Income. Dividends from preferred stock | 2016-09-30 | $0 |
| Income. Dividends from common stock | 2016-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-09-30 | $4,656,517 |
| Contract administrator fees | 2016-09-30 | $9,935 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-09-30 | $0 |
| Did the plan have assets held for investment | 2016-09-30 | 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 | 2016-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-09-30 | No |
| Aggregate proceeds on sale of assets | 2016-09-30 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2016-09-30 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2016-09-30 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-09-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2016-09-30 | Disclaimer |
| Accountancy firm name | 2016-09-30 | TAYLOR POLSON & CO CPAPSC |
| Accountancy firm EIN | 2016-09-30 | 611305816 |
| 2015 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2015-09-30 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-09-30 | $0 |
| Total unrealized appreciation/depreciation of assets | 2015-09-30 | $0 |
| Total transfer of assets to this plan | 2015-09-30 | $0 |
| 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 |
| Total income from all sources (including contributions) | 2015-09-30 | $1,103,939 |
| Total loss/gain on sale of assets | 2015-09-30 | $0 |
| Total of all expenses incurred | 2015-09-30 | $4,683,803 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-09-30 | $4,615,142 |
| Value of total corrective distributions | 2015-09-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-09-30 | $1,317,977 |
| Value of total assets at end of year | 2015-09-30 | $53,393,675 |
| Value of total assets at beginning of year | 2015-09-30 | $56,973,539 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-09-30 | $68,661 |
| Total income from rents | 2015-09-30 | $0 |
| Total interest from all sources | 2015-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-09-30 | $0 |
| Administrative expenses professional fees incurred | 2015-09-30 | $0 |
| Was this plan covered by a fidelity bond | 2015-09-30 | Yes |
| Value of fidelity bond cover | 2015-09-30 | $400,000 |
| If this is an individual account plan, was there a blackout period | 2015-09-30 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-09-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-09-30 | No |
| Amount of non-exempt transactions with any party-in-interest | 2015-09-30 | $0 |
| Contributions received from participants | 2015-09-30 | $0 |
| Participant contributions at end of year | 2015-09-30 | $0 |
| Participant contributions at beginning of year | 2015-09-30 | $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 year | 2015-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-09-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-09-30 | $0 |
| Other income not declared elsewhere | 2015-09-30 | $0 |
| Administrative expenses (other) incurred | 2015-09-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2015-09-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-09-30 | No |
| Value of net income/loss | 2015-09-30 | $-3,579,864 |
| Value of net assets at end of year (total assets less liabilities) | 2015-09-30 | $53,393,675 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-09-30 | $56,973,539 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-09-30 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2015-09-30 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2015-09-30 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2015-09-30 | $0 |
| Investment advisory and management fees | 2015-09-30 | $24,971 |
| Value of interest in pooled separate accounts at end of year | 2015-09-30 | $52,829,046 |
| Value of interest in pooled separate accounts at beginning of year | 2015-09-30 | $56,651,262 |
| Income. Interest from loans (other than to participants) | 2015-09-30 | $0 |
| Interest earned on other investments | 2015-09-30 | $0 |
| Income. Interest from US Government securities | 2015-09-30 | $0 |
| Income. Interest from corporate debt instruments | 2015-09-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-09-30 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-09-30 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-09-30 | $0 |
| Net investment gain/loss from pooled separate accounts | 2015-09-30 | $-214,038 |
| Net investment gain or loss from common/collective trusts | 2015-09-30 | $0 |
| Net gain/loss from 103.12 investment entities | 2015-09-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-09-30 | No |
| Contributions received in cash from employer | 2015-09-30 | $1,317,977 |
| Employer contributions (assets) at end of year | 2015-09-30 | $564,629 |
| Employer contributions (assets) at beginning of year | 2015-09-30 | $322,277 |
| Income. Dividends from preferred stock | 2015-09-30 | $0 |
| Income. Dividends from common stock | 2015-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-09-30 | $4,615,142 |
| Contract administrator fees | 2015-09-30 | $43,690 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-09-30 | $0 |
| Did the plan have assets held for investment | 2015-09-30 | 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 | 2015-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-09-30 | No |
| Aggregate proceeds on sale of assets | 2015-09-30 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2015-09-30 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2015-09-30 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-09-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2015-09-30 | Disclaimer |
| Accountancy firm name | 2015-09-30 | TAYLOR POLSON & CO CPA PSC |
| Accountancy firm EIN | 2015-09-30 | 611305816 |
| 2014 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2014-09-30 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-09-30 | $0 |
| Total unrealized appreciation/depreciation of assets | 2014-09-30 | $0 |
| Total transfer of assets to this plan | 2014-09-30 | $0 |
| 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 |
| Expenses. Interest paid | 2014-09-30 | $0 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2014-09-30 | $0 |
| Total income from all sources (including contributions) | 2014-09-30 | $6,286,531 |
| Total loss/gain on sale of assets | 2014-09-30 | $0 |
| Total of all expenses incurred | 2014-09-30 | $4,141,267 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-09-30 | $4,067,454 |
| Value of total corrective distributions | 2014-09-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-09-30 | $1,580,603 |
| Value of total assets at end of year | 2014-09-30 | $56,973,539 |
| Value of total assets at beginning of year | 2014-09-30 | $54,828,275 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-09-30 | $73,813 |
| Total income from rents | 2014-09-30 | $0 |
| Total interest from all sources | 2014-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-09-30 | $0 |
| Administrative expenses professional fees incurred | 2014-09-30 | $0 |
| Was this plan covered by a fidelity bond | 2014-09-30 | Yes |
| Value of fidelity bond cover | 2014-09-30 | $400,000 |
| If this is an individual account plan, was there a blackout period | 2014-09-30 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-09-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-09-30 | No |
| Amount of non-exempt transactions with any party-in-interest | 2014-09-30 | $0 |
| Contributions received from participants | 2014-09-30 | $0 |
| Participant contributions at end of year | 2014-09-30 | $0 |
| Participant contributions at beginning of year | 2014-09-30 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2014-09-30 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-09-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-09-30 | $0 |
| Other income not declared elsewhere | 2014-09-30 | $0 |
| Administrative expenses (other) incurred | 2014-09-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2014-09-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-09-30 | No |
| Income. Non cash contributions | 2014-09-30 | $0 |
| Value of net income/loss | 2014-09-30 | $2,145,264 |
| Value of net assets at end of year (total assets less liabilities) | 2014-09-30 | $56,973,539 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-09-30 | $54,828,275 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-09-30 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2014-09-30 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2014-09-30 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2014-09-30 | $0 |
| Investment advisory and management fees | 2014-09-30 | $24,913 |
| Value of interest in pooled separate accounts at end of year | 2014-09-30 | $56,651,262 |
| Value of interest in pooled separate accounts at beginning of year | 2014-09-30 | $54,828,275 |
| Income. Interest from loans (other than to participants) | 2014-09-30 | $0 |
| Interest earned on other investments | 2014-09-30 | $0 |
| Income. Interest from US Government securities | 2014-09-30 | $0 |
| Income. Interest from corporate debt instruments | 2014-09-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-09-30 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-09-30 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-09-30 | $0 |
| Net investment gain/loss from pooled separate accounts | 2014-09-30 | $4,705,928 |
| Net investment gain or loss from common/collective trusts | 2014-09-30 | $0 |
| Net gain/loss from 103.12 investment entities | 2014-09-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-09-30 | No |
| Contributions received in cash from employer | 2014-09-30 | $1,580,603 |
| Employer contributions (assets) at end of year | 2014-09-30 | $322,277 |
| Employer contributions (assets) at beginning of year | 2014-09-30 | $0 |
| Income. Dividends from preferred stock | 2014-09-30 | $0 |
| Income. Dividends from common stock | 2014-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-09-30 | $4,067,454 |
| Contract administrator fees | 2014-09-30 | $48,900 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-09-30 | $0 |
| Did the plan have assets held for investment | 2014-09-30 | 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 | 2014-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-09-30 | No |
| Aggregate proceeds on sale of assets | 2014-09-30 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2014-09-30 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2014-09-30 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-09-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2014-09-30 | Disclaimer |
| Accountancy firm name | 2014-09-30 | TAYLOR POLSON |
| Accountancy firm EIN | 2014-09-30 | 611305816 |
| 2013 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2013-12-31 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $0 |
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $0 |
| Total transfer of assets to this plan | 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 | $3,109,468 |
| Total loss/gain on sale of assets | 2013-12-31 | $0 |
| Total of all expenses incurred | 2013-12-31 | $292,142 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $250,550 |
| Expenses. Certain deemed distributions of participant loans | 2013-12-31 | $0 |
| Value of total corrective distributions | 2013-12-31 | $24,271 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $1,846,707 |
| Value of total assets at end of year | 2013-12-31 | $9,318,553 |
| Value of total assets at beginning of year | 2013-12-31 | $6,501,227 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $17,321 |
| Total income from rents | 2013-12-31 | $0 |
| Total interest from all sources | 2013-12-31 | $10,878 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $112,638 |
| 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 | $112,638 |
| Administrative expenses professional fees incurred | 2013-12-31 | $0 |
| Was this plan covered by a fidelity bond | 2013-12-31 | No |
| Value of fidelity bond cover | 2013-12-31 | $0 |
| 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 |
| Amount of non-exempt transactions with any party-in-interest | 2013-12-31 | $0 |
| Contributions received from participants | 2013-12-31 | $1,335,659 |
| Participant contributions at end of year | 2013-12-31 | $172,743 |
| Participant contributions at beginning of year | 2013-12-31 | $101,283 |
| Participant contributions at end of year | 2013-12-31 | $0 |
| Participant contributions at beginning of year | 2013-12-31 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2013-12-31 | $102,976 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-12-31 | $0 |
| Other income not declared elsewhere | 2013-12-31 | $0 |
| Administrative expenses (other) incurred | 2013-12-31 | $0 |
| Liabilities. Value of operating payables 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 | $2,817,326 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $9,318,553 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $6,501,227 |
| 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 |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2013-12-31 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2013-12-31 | $0 |
| Investment advisory and management fees | 2013-12-31 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $8,726,139 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-12-31 | $6,042,769 |
| Interest on participant loans | 2013-12-31 | $5,444 |
| Income. Interest from loans (other than to participants) | 2013-12-31 | $0 |
| Interest earned on other investments | 2013-12-31 | $5,434 |
| Income. Interest from US Government securities | 2013-12-31 | $0 |
| Income. Interest from corporate debt instruments | 2013-12-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2013-12-31 | $419,671 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2013-12-31 | $357,175 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-12-31 | $1,139,245 |
| Net investment gain/loss from pooled separate accounts | 2013-12-31 | $0 |
| Net investment gain or loss from common/collective trusts | 2013-12-31 | $0 |
| Net gain/loss from 103.12 investment entities | 2013-12-31 | $0 |
| 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 | $408,072 |
| Employer contributions (assets) at end of year | 2013-12-31 | $0 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $0 |
| Income. Dividends from preferred stock | 2013-12-31 | $0 |
| Income. Dividends from common stock | 2013-12-31 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $250,550 |
| Contract administrator fees | 2013-12-31 | $17,321 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $0 |
| 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 |
| Aggregate proceeds on sale of assets | 2013-12-31 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2013-12-31 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2013-12-31 | $0 |
| 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 | TAYLOR POLSON & COMPANY |
| Accountancy firm EIN | 2013-12-31 | 611305816 |
| Unrealized appreciation/depreciation of real estate assets | 2013-09-30 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-09-30 | $0 |
| Total unrealized appreciation/depreciation of assets | 2013-09-30 | $0 |
| Total transfer of assets to this plan | 2013-09-30 | $0 |
| Total transfer of assets from this plan | 2013-09-30 | $0 |
| 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 |
| Expenses. Interest paid | 2013-09-30 | $0 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2013-09-30 | $0 |
| Total income from all sources (including contributions) | 2013-09-30 | $5,499,260 |
| Total loss/gain on sale of assets | 2013-09-30 | $0 |
| Total of all expenses incurred | 2013-09-30 | $2,806,675 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-09-30 | $2,745,369 |
| Value of total corrective distributions | 2013-09-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-09-30 | $1,734,855 |
| Value of total assets at end of year | 2013-09-30 | $54,828,275 |
| Value of total assets at beginning of year | 2013-09-30 | $52,135,690 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-09-30 | $61,306 |
| Total income from rents | 2013-09-30 | $0 |
| Total interest from all sources | 2013-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-09-30 | $0 |
| Administrative expenses professional fees incurred | 2013-09-30 | $0 |
| Was this plan covered by a fidelity bond | 2013-09-30 | Yes |
| Value of fidelity bond cover | 2013-09-30 | $400,000 |
| If this is an individual account plan, was there a blackout period | 2013-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-09-30 | No |
| Amount of non-exempt transactions with any party-in-interest | 2013-09-30 | $0 |
| Contributions received from participants | 2013-09-30 | $0 |
| Participant contributions at end of year | 2013-09-30 | $0 |
| Participant contributions at beginning of year | 2013-09-30 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2013-09-30 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-09-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-09-30 | $0 |
| Other income not declared elsewhere | 2013-09-30 | $0 |
| Administrative expenses (other) incurred | 2013-09-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2013-09-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-09-30 | No |
| Income. Non cash contributions | 2013-09-30 | $0 |
| Value of net income/loss | 2013-09-30 | $2,692,585 |
| Value of net assets at end of year (total assets less liabilities) | 2013-09-30 | $54,828,275 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-09-30 | $52,135,690 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-09-30 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2013-09-30 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2013-09-30 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2013-09-30 | $0 |
| Investment advisory and management fees | 2013-09-30 | $23,806 |
| Value of interest in pooled separate accounts at end of year | 2013-09-30 | $54,828,275 |
| Value of interest in pooled separate accounts at beginning of year | 2013-09-30 | $51,099,528 |
| Income. Interest from loans (other than to participants) | 2013-09-30 | $0 |
| Interest earned on other investments | 2013-09-30 | $0 |
| Income. Interest from US Government securities | 2013-09-30 | $0 |
| Income. Interest from corporate debt instruments | 2013-09-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-09-30 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-09-30 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-09-30 | $0 |
| Net investment gain/loss from pooled separate accounts | 2013-09-30 | $3,764,405 |
| Net investment gain or loss from common/collective trusts | 2013-09-30 | $0 |
| Net gain/loss from 103.12 investment entities | 2013-09-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-09-30 | No |
| Contributions received in cash from employer | 2013-09-30 | $1,734,855 |
| Employer contributions (assets) at end of year | 2013-09-30 | $0 |
| Employer contributions (assets) at beginning of year | 2013-09-30 | $1,036,162 |
| Income. Dividends from preferred stock | 2013-09-30 | $0 |
| Income. Dividends from common stock | 2013-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-09-30 | $2,745,369 |
| Contract administrator fees | 2013-09-30 | $37,500 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-09-30 | $0 |
| Did the plan have assets held for investment | 2013-09-30 | 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 | 2013-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-09-30 | No |
| Aggregate proceeds on sale of assets | 2013-09-30 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2013-09-30 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2013-09-30 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-09-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2013-09-30 | Unqualified |
| Accountancy firm name | 2013-09-30 | TAYLOR, POLSON & COMPANY, PSC |
| Accountancy firm EIN | 2013-09-30 | 611305816 |
| 2012 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2012-12-31 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $0 |
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $0 |
| Total transfer of assets to this plan | 2012-12-31 | $28,872 |
| Total transfer of assets from this plan | 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 | $0 |
| Total income from all sources (including contributions) | 2012-12-31 | $2,354,888 |
| Total loss/gain on sale of assets | 2012-12-31 | $0 |
| Total of all expenses incurred | 2012-12-31 | $175,321 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $163,512 |
| Expenses. Certain deemed distributions of participant loans | 2012-12-31 | $0 |
| Value of total corrective distributions | 2012-12-31 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $1,702,492 |
| Value of total assets at end of year | 2012-12-31 | $6,501,227 |
| Value of total assets at beginning of year | 2012-12-31 | $4,292,788 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $11,809 |
| Total income from rents | 2012-12-31 | $0 |
| Total interest from all sources | 2012-12-31 | $8,878 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $97,625 |
| 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 | $97,625 |
| Administrative expenses professional fees incurred | 2012-12-31 | $0 |
| Was this plan covered by a fidelity bond | 2012-12-31 | No |
| Value of fidelity bond cover | 2012-12-31 | $0 |
| 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 |
| Amount of non-exempt transactions with any party-in-interest | 2012-12-31 | $0 |
| Contributions received from participants | 2012-12-31 | $1,223,125 |
| Participant contributions at end of year | 2012-12-31 | $101,283 |
| Participant contributions at beginning of year | 2012-12-31 | $54,750 |
| Participant contributions at end of year | 2012-12-31 | $0 |
| Participant contributions at beginning of year | 2012-12-31 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2012-12-31 | $114,391 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2012-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-12-31 | $0 |
| Other income not declared elsewhere | 2012-12-31 | $0 |
| Administrative expenses (other) incurred | 2012-12-31 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $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 | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $2,179,567 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $6,501,227 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $4,292,788 |
| 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 |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2012-12-31 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2012-12-31 | $0 |
| Investment advisory and management fees | 2012-12-31 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $6,042,769 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $3,973,444 |
| Interest on participant loans | 2012-12-31 | $3,229 |
| Income. Interest from loans (other than to participants) | 2012-12-31 | $0 |
| Interest earned on other investments | 2012-12-31 | $5,649 |
| Income. Interest from US Government securities | 2012-12-31 | $0 |
| Income. Interest from corporate debt instruments | 2012-12-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2012-12-31 | $357,175 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2012-12-31 | $264,594 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-12-31 | $545,893 |
| Net investment gain/loss from pooled separate accounts | 2012-12-31 | $0 |
| Net investment gain or loss from common/collective trusts | 2012-12-31 | $0 |
| Net gain/loss from 103.12 investment entities | 2012-12-31 | $0 |
| 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 | $364,976 |
| Employer contributions (assets) at end of year | 2012-12-31 | $0 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $0 |
| Income. Dividends from preferred stock | 2012-12-31 | $0 |
| Income. Dividends from common stock | 2012-12-31 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $163,512 |
| Contract administrator fees | 2012-12-31 | $11,809 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $0 |
| 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 |
| Aggregate proceeds on sale of assets | 2012-12-31 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2012-12-31 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2012-12-31 | $0 |
| 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 | TAYLOR, POLSON, & COMPANY, PSC |
| Accountancy firm EIN | 2012-12-31 | 611305816 |
| Unrealized appreciation/depreciation of real estate assets | 2012-09-30 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-09-30 | $0 |
| Total unrealized appreciation/depreciation of assets | 2012-09-30 | $0 |
| Total transfer of assets to this plan | 2012-09-30 | $0 |
| Total transfer of assets from this plan | 2012-09-30 | $0 |
| 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 |
| Expenses. Interest paid | 2012-09-30 | $0 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2012-09-30 | $0 |
| Total income from all sources (including contributions) | 2012-09-30 | $9,285,470 |
| Total loss/gain on sale of assets | 2012-09-30 | $0 |
| Total of all expenses incurred | 2012-09-30 | $2,680,032 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-09-30 | $2,621,600 |
| Value of total corrective distributions | 2012-09-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-09-30 | $2,921,614 |
| Value of total assets at end of year | 2012-09-30 | $52,135,690 |
| Value of total assets at beginning of year | 2012-09-30 | $45,530,252 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-09-30 | $58,432 |
| Total income from rents | 2012-09-30 | $0 |
| Total interest from all sources | 2012-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-09-30 | $0 |
| Administrative expenses professional fees incurred | 2012-09-30 | $0 |
| Was this plan covered by a fidelity bond | 2012-09-30 | Yes |
| Value of fidelity bond cover | 2012-09-30 | $400,000 |
| If this is an individual account plan, was there a blackout period | 2012-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-09-30 | No |
| Amount of non-exempt transactions with any party-in-interest | 2012-09-30 | $0 |
| Contributions received from participants | 2012-09-30 | $0 |
| Participant contributions at end of year | 2012-09-30 | $0 |
| Participant contributions at beginning of year | 2012-09-30 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2012-09-30 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2012-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-09-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-09-30 | $0 |
| Other income not declared elsewhere | 2012-09-30 | $0 |
| Administrative expenses (other) incurred | 2012-09-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2012-09-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-09-30 | No |
| Income. Non cash contributions | 2012-09-30 | $0 |
| Value of net income/loss | 2012-09-30 | $6,605,438 |
| Value of net assets at end of year (total assets less liabilities) | 2012-09-30 | $52,135,690 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-09-30 | $45,530,252 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-09-30 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2012-09-30 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2012-09-30 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2012-09-30 | $0 |
| Investment advisory and management fees | 2012-09-30 | $22,432 |
| Value of interest in pooled separate accounts at end of year | 2012-09-30 | $51,099,528 |
| Value of interest in pooled separate accounts at beginning of year | 2012-09-30 | $45,384,718 |
| Income. Interest from loans (other than to participants) | 2012-09-30 | $0 |
| Interest earned on other investments | 2012-09-30 | $0 |
| Income. Interest from US Government securities | 2012-09-30 | $0 |
| Income. Interest from corporate debt instruments | 2012-09-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-09-30 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-09-30 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-09-30 | $0 |
| Net investment gain/loss from pooled separate accounts | 2012-09-30 | $6,363,856 |
| Net investment gain or loss from common/collective trusts | 2012-09-30 | $0 |
| Net gain/loss from 103.12 investment entities | 2012-09-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-09-30 | No |
| Contributions received in cash from employer | 2012-09-30 | $2,921,614 |
| Employer contributions (assets) at end of year | 2012-09-30 | $1,036,162 |
| Employer contributions (assets) at beginning of year | 2012-09-30 | $145,534 |
| Income. Dividends from preferred stock | 2012-09-30 | $0 |
| Income. Dividends from common stock | 2012-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-09-30 | $2,621,600 |
| Contract administrator fees | 2012-09-30 | $36,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-09-30 | $0 |
| Did the plan have assets held for investment | 2012-09-30 | 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 | 2012-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-09-30 | No |
| Aggregate proceeds on sale of assets | 2012-09-30 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2012-09-30 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2012-09-30 | $0 |
| 2011 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2011-12-31 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-12-31 | $0 |
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $0 |
| Total transfer of assets to this plan | 2011-12-31 | $0 |
| Total transfer of assets from this plan | 2011-12-31 | $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 | $952,730 |
| Total loss/gain on sale of assets | 2011-12-31 | $0 |
| Total of all expenses incurred | 2011-12-31 | $244,807 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $235,300 |
| Expenses. Certain deemed distributions of participant loans | 2011-12-31 | $0 |
| Value of total corrective distributions | 2011-12-31 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $1,051,586 |
| Value of total assets at end of year | 2011-12-31 | $4,292,788 |
| Value of total assets at beginning of year | 2011-12-31 | $3,584,865 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $9,507 |
| Total income from rents | 2011-12-31 | $0 |
| Total interest from all sources | 2011-12-31 | $7,907 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $64,666 |
| 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 | $64,666 |
| Administrative expenses professional fees incurred | 2011-12-31 | $0 |
| Was this plan covered by a fidelity bond | 2011-12-31 | No |
| Value of fidelity bond cover | 2011-12-31 | $0 |
| 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 |
| Amount of non-exempt transactions with any party-in-interest | 2011-12-31 | $0 |
| Contributions received from participants | 2011-12-31 | $905,736 |
| Participant contributions at end of year | 2011-12-31 | $54,750 |
| Participant contributions at beginning of year | 2011-12-31 | $73,334 |
| Participant contributions at end of year | 2011-12-31 | $0 |
| Participant contributions at beginning of year | 2011-12-31 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2011-12-31 | $69,430 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2011-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-12-31 | $0 |
| Other income not declared elsewhere | 2011-12-31 | $0 |
| Administrative expenses (other) incurred | 2011-12-31 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $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 | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $707,923 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $4,292,788 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $3,584,865 |
| 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 |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2011-12-31 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2011-12-31 | $0 |
| Investment advisory and management fees | 2011-12-31 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $3,973,444 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $3,272,672 |
| Interest on participant loans | 2011-12-31 | $2,970 |
| Income. Interest from loans (other than to participants) | 2011-12-31 | $0 |
| Interest earned on other investments | 2011-12-31 | $4,937 |
| Income. Interest from US Government securities | 2011-12-31 | $0 |
| Income. Interest from corporate debt instruments | 2011-12-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2011-12-31 | $264,594 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2011-12-31 | $238,859 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-12-31 | $-171,429 |
| Net investment gain/loss from pooled separate accounts | 2011-12-31 | $0 |
| Net investment gain or loss from common/collective trusts | 2011-12-31 | $0 |
| Net gain/loss from 103.12 investment entities | 2011-12-31 | $0 |
| 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 | $76,420 |
| Employer contributions (assets) at end of year | 2011-12-31 | $0 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $0 |
| Income. Dividends from preferred stock | 2011-12-31 | $0 |
| Income. Dividends from common stock | 2011-12-31 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $235,300 |
| Contract administrator fees | 2011-12-31 | $9,507 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $0 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Aggregate proceeds on sale of assets | 2011-12-31 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2011-12-31 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2011-12-31 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Disclaimer |
| Accountancy firm name | 2011-12-31 | TAYLOR AND POLSON |
| Accountancy firm EIN | 2011-12-31 | 611305816 |
| Unrealized appreciation/depreciation of real estate assets | 2011-09-30 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-09-30 | $0 |
| Total unrealized appreciation/depreciation of assets | 2011-09-30 | $0 |
| Total transfer of assets to this plan | 2011-09-30 | $0 |
| Total transfer of assets from this plan | 2011-09-30 | $0 |
| 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 |
| Expenses. Interest paid | 2011-09-30 | $0 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2011-09-30 | $0 |
| Total income from all sources (including contributions) | 2011-09-30 | $-421,856 |
| Total loss/gain on sale of assets | 2011-09-30 | $0 |
| Total of all expenses incurred | 2011-09-30 | $2,567,559 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-09-30 | $2,508,849 |
| Value of total corrective distributions | 2011-09-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-09-30 | $145,534 |
| Value of total assets at end of year | 2011-09-30 | $45,530,252 |
| Value of total assets at beginning of year | 2011-09-30 | $48,519,667 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-09-30 | $58,710 |
| Total income from rents | 2011-09-30 | $0 |
| Total interest from all sources | 2011-09-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-09-30 | $0 |
| Administrative expenses professional fees incurred | 2011-09-30 | $0 |
| Was this plan covered by a fidelity bond | 2011-09-30 | Yes |
| Value of fidelity bond cover | 2011-09-30 | $400,000 |
| If this is an individual account plan, was there a blackout period | 2011-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-09-30 | No |
| Amount of non-exempt transactions with any party-in-interest | 2011-09-30 | $0 |
| Contributions received from participants | 2011-09-30 | $0 |
| Participant contributions at end of year | 2011-09-30 | $0 |
| Participant contributions at beginning of year | 2011-09-30 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2011-09-30 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2011-09-30 | $229 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-09-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-09-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-09-30 | $0 |
| Other income not declared elsewhere | 2011-09-30 | $0 |
| Administrative expenses (other) incurred | 2011-09-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2011-09-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-09-30 | No |
| Income. Non cash contributions | 2011-09-30 | $0 |
| Value of net income/loss | 2011-09-30 | $-2,989,415 |
| Value of net assets at end of year (total assets less liabilities) | 2011-09-30 | $45,530,252 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-09-30 | $48,519,667 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-09-30 | No |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2011-09-30 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2011-09-30 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2011-09-30 | $0 |
| Investment advisory and management fees | 2011-09-30 | $0 |
| Value of interest in pooled separate accounts at end of year | 2011-09-30 | $45,384,718 |
| Value of interest in pooled separate accounts at beginning of year | 2011-09-30 | $48,519,667 |
| Income. Interest from loans (other than to participants) | 2011-09-30 | $0 |
| Interest earned on other investments | 2011-09-30 | $0 |
| Income. Interest from US Government securities | 2011-09-30 | $0 |
| Income. Interest from corporate debt instruments | 2011-09-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-09-30 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-09-30 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-09-30 | $0 |
| Net investment gain/loss from pooled separate accounts | 2011-09-30 | $-567,390 |
| Net investment gain or loss from common/collective trusts | 2011-09-30 | $0 |
| Net gain/loss from 103.12 investment entities | 2011-09-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-09-30 | No |
| Contributions received in cash from employer | 2011-09-30 | $145,534 |
| Employer contributions (assets) at end of year | 2011-09-30 | $145,534 |
| Employer contributions (assets) at beginning of year | 2011-09-30 | $0 |
| Income. Dividends from preferred stock | 2011-09-30 | $0 |
| Income. Dividends from common stock | 2011-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-09-30 | $2,508,620 |
| Contract administrator fees | 2011-09-30 | $58,710 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-09-30 | $0 |
| Did the plan have assets held for investment | 2011-09-30 | 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 | 2011-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-09-30 | No |
| Aggregate proceeds on sale of assets | 2011-09-30 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2011-09-30 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2011-09-30 | $0 |
| 2010 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2010 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2010-12-31 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2010-12-31 | $0 |
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $0 |
| Total transfer of assets to this plan | 2010-12-31 | $2,660,880 |
| Total transfer of assets from this plan | 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 | $927,237 |
| Total loss/gain on sale of assets | 2010-12-31 | $0 |
| Total of all expenses incurred | 2010-12-31 | $3,252 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $0 |
| Expenses. Certain deemed distributions of participant loans | 2010-12-31 | $0 |
| Value of total corrective distributions | 2010-12-31 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $550,252 |
| Value of total assets at end of year | 2010-12-31 | $3,584,865 |
| Value of total assets at beginning of year | 2010-12-31 | $0 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $3,252 |
| Total income from rents | 2010-12-31 | $0 |
| Total interest from all sources | 2010-12-31 | $3,417 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $46,043 |
| 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 | $46,043 |
| Administrative expenses professional fees incurred | 2010-12-31 | $0 |
| Was this plan covered by a fidelity bond | 2010-12-31 | No |
| Value of fidelity bond cover | 2010-12-31 | $0 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | Yes |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Amount of non-exempt transactions with any party-in-interest | 2010-12-31 | $0 |
| Contributions received from participants | 2010-12-31 | $380,873 |
| Participant contributions at end of year | 2010-12-31 | $73,334 |
| Participant contributions at end of year | 2010-12-31 | $0 |
| Participant contributions at beginning of year | 2010-12-31 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2010-12-31 | $169,379 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2010-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $0 |
| Other income not declared elsewhere | 2010-12-31 | $0 |
| Administrative expenses (other) incurred | 2010-12-31 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $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 | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $923,985 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $3,584,865 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $0 |
| 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 |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2010-12-31 | $0 |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year | 2010-12-31 | $0 |
| Investment advisory and management fees | 2010-12-31 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $3,272,672 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-12-31 | $0 |
| Interest on participant loans | 2010-12-31 | $1,006 |
| Income. Interest from loans (other than to participants) | 2010-12-31 | $0 |
| Interest earned on other investments | 2010-12-31 | $2,411 |
| Income. Interest from US Government securities | 2010-12-31 | $0 |
| Income. Interest from corporate debt instruments | 2010-12-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2010-12-31 | $238,859 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2010-12-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2010-12-31 | $327,525 |
| Net investment gain/loss from pooled separate accounts | 2010-12-31 | $0 |
| Net investment gain or loss from common/collective trusts | 2010-12-31 | $0 |
| Net gain/loss from 103.12 investment entities | 2010-12-31 | $0 |
| 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 | $0 |
| Employer contributions (assets) at end of year | 2010-12-31 | $0 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $0 |
| Income. Dividends from preferred stock | 2010-12-31 | $0 |
| Income. Dividends from common stock | 2010-12-31 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $0 |
| Contract administrator fees | 2010-12-31 | $3,252 |
| 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 | 2010-12-31 | Yes |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $0 |
| 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 |
| Aggregate proceeds on sale of assets | 2010-12-31 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2010-12-31 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2010-12-31 | $0 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-09-30 | $0 |
| 2009 : T. J. SAMSON COMMUNITY HOSPITAL, INC. RETIREMENT PLAN 2009 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2009-09-30 | $1,856,696 |
| Total unrealized appreciation/depreciation of assets | 2009-09-30 | $1,856,696 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2009-09-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2009-09-30 | $0 |
| Total income from all sources (including contributions) | 2009-09-30 | $2,298,889 |
| Total loss/gain on sale of assets | 2009-09-30 | $-1,260,537 |
| Total of all expenses incurred | 2009-09-30 | $1,613,569 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2009-09-30 | $1,613,538 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2009-09-30 | $0 |
| Value of total assets at end of year | 2009-09-30 | $48,198,881 |
| Value of total assets at beginning of year | 2009-09-30 | $47,513,561 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2009-09-30 | $31 |
| Total interest from all sources | 2009-09-30 | $1,702,730 |
| Total dividends received (eg from common stock, registered investment company shares) | 2009-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2009-09-30 | No |
| Was this plan covered by a fidelity bond | 2009-09-30 | Yes |
| Value of fidelity bond cover | 2009-09-30 | $400,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2009-09-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2009-09-30 | $252,044 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2009-09-30 | $258,924 |
| Administrative expenses (other) incurred | 2009-09-30 | $31 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2009-09-30 | No |
| Value of net income/loss | 2009-09-30 | $685,320 |
| Value of net assets at end of year (total assets less liabilities) | 2009-09-30 | $48,198,881 |
| Value of net assets at beginning of year (total assets less liabilities) | 2009-09-30 | $47,513,561 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2009-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2009-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2009-09-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2009-09-30 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2009-09-30 | $0 |
| Interest earned on other investments | 2009-09-30 | $8,770 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2009-09-30 | $90,698 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2009-09-30 | $394,491 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2009-09-30 | $394,491 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2009-09-30 | $1,693,960 |
| Asset value of US Government securities at end of year | 2009-09-30 | $21,181,231 |
| Asset value of US Government securities at beginning of year | 2009-09-30 | $21,618,823 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2009-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2009-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2009-09-30 | No |
| Employer contributions (assets) at end of year | 2009-09-30 | $0 |
| Employer contributions (assets) at beginning of year | 2009-09-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2009-09-30 | $1,613,538 |
| Asset. Corporate debt instrument preferred debt at end of year | 2009-09-30 | $6,679,503 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2009-09-30 | $4,706,903 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2009-09-30 | $19,995,405 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2009-09-30 | $20,534,420 |
| Did the plan have assets held for investment | 2009-09-30 | 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 | 2009-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2009-09-30 | No |
| Aggregate proceeds on sale of assets | 2009-09-30 | $-1,260,537 |
