401k Plan data: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN plan

HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN
Plan identification number	004

HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. has sponsored the creation of one or more 401k plans.

Company Name: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC.

Employer identification number (EIN): 231709244

NAIC Classification: 812320
NAIC Description: Drycleaning and Laundry Services (except Coin-Operated)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2021-07-01
004 2020-07-01
004 2019-07-01
004 2018-07-01
004 2017-07-01 MARK ANGENY STEPHEN A GERGAR 2019-02-06
004 2016-07-01 MARK ANGENY MARK ANGENY 2018-02-27
004 2015-07-01 MARK ANGENY STEPHEN GERGAR 2017-03-06
004 2014-07-01 MARK ANGENY STEPHEN GERGAR 2016-03-17
004 2013-07-01 MARK ANGENY STEPHEN GERGAR 2015-02-28
004 2012-07-01 MARK ANGENY STEPHEN GERGAR 2014-03-05
004 2011-07-01 MARK ANGENY THOMAS FENSTERMACHER 2013-01-29
004 2009-07-01 MARK ANGENY THOMAS D FENSTERMACHER 2011-04-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
004	2021-07-01
004	2020-07-01
004	2019-07-01
004	2018-07-01
004	2017-07-01	MARK ANGENY	STEPHEN A GERGAR	2019-02-06
004	2016-07-01	MARK ANGENY	MARK ANGENY	2018-02-27
004	2015-07-01	MARK ANGENY	STEPHEN GERGAR	2017-03-06
004	2014-07-01	MARK ANGENY	STEPHEN GERGAR	2016-03-17
004	2013-07-01	MARK ANGENY	STEPHEN GERGAR	2015-02-28
004	2012-07-01	MARK ANGENY	STEPHEN GERGAR	2014-03-05
004	2011-07-01	MARK ANGENY	THOMAS FENSTERMACHER	2013-01-29
004	2009-07-01	MARK ANGENY	THOMAS D FENSTERMACHER	2011-04-11

Plan Statistics for HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN

Measure Date Value
2021: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 356
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 342
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 14
Total of all active and inactive participants 2021-07-01 356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 356
Number of participants with account balances 2021-07-01 212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 18
2020: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 362
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 342
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 14
Total of all active and inactive participants 2020-07-01 356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 356
Number of participants with account balances 2020-07-01 224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 14
2019: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 326
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 351
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 11
Total of all active and inactive participants 2019-07-01 362
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 362
Number of participants with account balances 2019-07-01 212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 6
2018: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 298
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 315
Number of retired or separated participants receiving benefits 2018-07-01 1
Number of other retired or separated participants entitled to future benefits 2018-07-01 10
Total of all active and inactive participants 2018-07-01 326
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 326
Number of participants with account balances 2018-07-01 169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 6
2017: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 356
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 287
Number of retired or separated participants receiving benefits 2017-07-01 1
Number of other retired or separated participants entitled to future benefits 2017-07-01 10
Total of all active and inactive participants 2017-07-01 298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 298
Number of participants with account balances 2017-07-01 141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 2
2016: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 137
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 350
Number of retired or separated participants receiving benefits 2016-07-01 1
Number of other retired or separated participants entitled to future benefits 2016-07-01 1
Total of all active and inactive participants 2016-07-01 352
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 352
Number of participants with account balances 2016-07-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 2
2015: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 132
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 101
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 21
Total of all active and inactive participants 2015-07-01 122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 122
Number of participants with account balances 2015-07-01 122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 1
2014: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 134
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 104
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 28
Total of all active and inactive participants 2014-07-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 132
Number of participants with account balances 2014-07-01 132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 138
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 105
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 29
Total of all active and inactive participants 2013-07-01 134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 134
Number of participants with account balances 2013-07-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 139
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 106
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 32
Total of all active and inactive participants 2012-07-01 138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 138
Number of participants with account balances 2012-07-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 130
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 108
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 31
Total of all active and inactive participants 2011-07-01 139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 139
Number of participants with account balances 2011-07-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 5
2009: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 103
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 104
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 14
Total of all active and inactive participants 2009-07-01 118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 118
Number of participants with account balances 2009-07-01 118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 3

Measure	Date	Value
2021: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	356
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	342
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	14
Total of all active and inactive participants	2021-07-01	356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	356
Number of participants with account balances	2021-07-01	212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	18
2020: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	362
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	342
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	14
Total of all active and inactive participants	2020-07-01	356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	356
Number of participants with account balances	2020-07-01	224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	14
2019: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	326
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	351
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	11
Total of all active and inactive participants	2019-07-01	362
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	362
Number of participants with account balances	2019-07-01	212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	6
2018: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	298
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	315
Number of retired or separated participants receiving benefits	2018-07-01	1
Number of other retired or separated participants entitled to future benefits	2018-07-01	10
Total of all active and inactive participants	2018-07-01	326
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	326
Number of participants with account balances	2018-07-01	169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	6
2017: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	356
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	287
Number of retired or separated participants receiving benefits	2017-07-01	1
Number of other retired or separated participants entitled to future benefits	2017-07-01	10
Total of all active and inactive participants	2017-07-01	298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	298
Number of participants with account balances	2017-07-01	141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	2
2016: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	137
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	350
Number of retired or separated participants receiving benefits	2016-07-01	1
Number of other retired or separated participants entitled to future benefits	2016-07-01	1
Total of all active and inactive participants	2016-07-01	352
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	352
Number of participants with account balances	2016-07-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	2
2015: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	132
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	101
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	21
Total of all active and inactive participants	2015-07-01	122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	122
Number of participants with account balances	2015-07-01	122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	1
2014: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	134
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	104
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	28
Total of all active and inactive participants	2014-07-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	132
Number of participants with account balances	2014-07-01	132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	138
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	105
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	29
Total of all active and inactive participants	2013-07-01	134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	134
Number of participants with account balances	2013-07-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	139
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	106
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	32
Total of all active and inactive participants	2012-07-01	138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	138
Number of participants with account balances	2012-07-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	130
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	108
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	31
Total of all active and inactive participants	2011-07-01	139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	139
Number of participants with account balances	2011-07-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	5
2009: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	103
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	104
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	14
Total of all active and inactive participants	2009-07-01	118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	118
Number of participants with account balances	2009-07-01	118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	3

Financial Data on HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN

Measure	Date	Value
2022 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$-19,577
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$353,013
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$333,637
Expenses. Certain deemed distributions of participant loans	2022-06-30	$5,013
Value of total corrective distributions	2022-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$256,875
Value of total assets at end of year	2022-06-30	$2,834,912
Value of total assets at beginning of year	2022-06-30	$3,207,502
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$14,363
Total interest from all sources	2022-06-30	$24,430
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$111,637
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$111,637
Administrative expenses professional fees incurred	2022-06-30	$0
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$200,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$154,104
Participant contributions at end of year	2022-06-30	$231,604
Participant contributions at beginning of year	2022-06-30	$213,033
Assets. Other investments not covered elsewhere at end of year	2022-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2022-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-06-30	$0
Other income not declared elsewhere	2022-06-30	$0
Administrative expenses (other) incurred	2022-06-30	$2,123
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-372,590
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$2,834,912
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$3,207,502
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Investment advisory and management fees	2022-06-30	$6,965
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$1,537,251
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$1,957,542
Value of interest in pooled separate accounts at end of year	2022-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2022-06-30	$0
Interest on participant loans	2022-06-30	$9,387
Interest earned on other investments	2022-06-30	$15,043
Value of interest in common/collective trusts at end of year	2022-06-30	$0
Value of interest in common/collective trusts at beginning of year	2022-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$1,066,057
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$1,036,927
Expenses. Payments to insurance carriers foe the provision of benefits	2022-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-412,519
Net investment gain/loss from pooled separate accounts	2022-06-30	$0
Net investment gain or loss from common/collective trusts	2022-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Assets. Invements in employer securities at end of year	2022-06-30	$0
Assets. Invements in employer securities at beginning of year	2022-06-30	$0
Contributions received in cash from employer	2022-06-30	$102,771
Income. Dividends from common stock	2022-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$333,637
Contract administrator fees	2022-06-30	$5,275
Did the plan have assets held for investment	2022-06-30	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	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2022-06-30	410746749
2021 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$763,676
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$244,448
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$240,212
Expenses. Certain deemed distributions of participant loans	2021-06-30	$0
Value of total corrective distributions	2021-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$256,202
Value of total assets at end of year	2021-06-30	$3,207,502
Value of total assets at beginning of year	2021-06-30	$2,688,274
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$4,236
Total interest from all sources	2021-06-30	$27,568
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$59,478
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$59,478
Administrative expenses professional fees incurred	2021-06-30	$0
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$200,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$144,884
Participant contributions at end of year	2021-06-30	$213,033
Participant contributions at beginning of year	2021-06-30	$218,623
Assets. Other investments not covered elsewhere at end of year	2021-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2021-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-06-30	$0
Other income not declared elsewhere	2021-06-30	$0
Administrative expenses (other) incurred	2021-06-30	$30
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$519,228
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$3,207,502
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$2,688,274
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Investment advisory and management fees	2021-06-30	$1,141
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$1,957,542
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$1,484,221
Value of interest in pooled separate accounts at end of year	2021-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2021-06-30	$0
Interest on participant loans	2021-06-30	$11,899
Interest earned on other investments	2021-06-30	$15,669
Value of interest in common/collective trusts at end of year	2021-06-30	$0
Value of interest in common/collective trusts at beginning of year	2021-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$1,036,927
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$985,430
Expenses. Payments to insurance carriers foe the provision of benefits	2021-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$420,428
Net investment gain/loss from pooled separate accounts	2021-06-30	$0
Net investment gain or loss from common/collective trusts	2021-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Assets. Invements in employer securities at end of year	2021-06-30	$0
Assets. Invements in employer securities at beginning of year	2021-06-30	$0
Contributions received in cash from employer	2021-06-30	$111,318
Income. Dividends from common stock	2021-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$240,212
Contract administrator fees	2021-06-30	$3,065
Did the plan have assets held for investment	2021-06-30	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	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	CONCANNON MILLER
Accountancy firm EIN	2021-06-30	232620120
2020 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$366,769
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$50,046
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$46,956
Expenses. Certain deemed distributions of participant loans	2020-06-30	$0
Value of total corrective distributions	2020-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$261,203
Value of total assets at end of year	2020-06-30	$2,687,620
Value of total assets at beginning of year	2020-06-30	$2,370,897
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$3,090
Total interest from all sources	2020-06-30	$31,464
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$62,452
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$62,452
Administrative expenses professional fees incurred	2020-06-30	$0
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$500,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$136,353
Participant contributions at end of year	2020-06-30	$217,969
Participant contributions at beginning of year	2020-06-30	$169,430
Assets. Other investments not covered elsewhere at end of year	2020-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-06-30	$0
Other income not declared elsewhere	2020-06-30	$235
Administrative expenses (other) incurred	2020-06-30	$320
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$316,723
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$2,687,620
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$2,370,897
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Investment advisory and management fees	2020-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$1,484,221
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$1,308,461
Value of interest in pooled separate accounts at end of year	2020-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2020-06-30	$0
Interest on participant loans	2020-06-30	$12,406
Interest earned on other investments	2020-06-30	$19,058
Value of interest in common/collective trusts at end of year	2020-06-30	$0
Value of interest in common/collective trusts at beginning of year	2020-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$985,430
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$893,006
Expenses. Payments to insurance carriers foe the provision of benefits	2020-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$11,415
Net investment gain/loss from pooled separate accounts	2020-06-30	$0
Net investment gain or loss from common/collective trusts	2020-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Assets. Invements in employer securities at end of year	2020-06-30	$0
Assets. Invements in employer securities at beginning of year	2020-06-30	$0
Contributions received in cash from employer	2020-06-30	$124,850
Income. Dividends from common stock	2020-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$46,956
Contract administrator fees	2020-06-30	$2,770
Did the plan have assets held for investment	2020-06-30	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	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	CONCANNON MILLER & CO,, P.C.
Accountancy firm EIN	2020-06-30	232620120
2019 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$334,469
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$98,893
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$93,542
Expenses. Certain deemed distributions of participant loans	2019-06-30	$0
Value of total corrective distributions	2019-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$225,982
Value of total assets at end of year	2019-06-30	$2,370,897
Value of total assets at beginning of year	2019-06-30	$2,135,321
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$5,351
Total interest from all sources	2019-06-30	$24,350
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$71,096
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$71,096
Administrative expenses professional fees incurred	2019-06-30	$0
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$500,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$116,808
Participant contributions at end of year	2019-06-30	$169,430
Participant contributions at beginning of year	2019-06-30	$116,862
Assets. Other investments not covered elsewhere at end of year	2019-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2019-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$10,949
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-06-30	$0
Other income not declared elsewhere	2019-06-30	$40
Administrative expenses (other) incurred	2019-06-30	$1,958
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$235,576
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$2,370,897
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$2,135,321
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Investment advisory and management fees	2019-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$1,308,461
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$1,124,753
Value of interest in pooled separate accounts at end of year	2019-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$0
Interest on participant loans	2019-06-30	$6,699
Interest earned on other investments	2019-06-30	$17,651
Value of interest in common/collective trusts at end of year	2019-06-30	$0
Value of interest in common/collective trusts at beginning of year	2019-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$893,006
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$893,706
Expenses. Payments to insurance carriers foe the provision of benefits	2019-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$13,001
Net investment gain/loss from pooled separate accounts	2019-06-30	$0
Net investment gain or loss from common/collective trusts	2019-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Assets. Invements in employer securities at end of year	2019-06-30	$0
Assets. Invements in employer securities at beginning of year	2019-06-30	$0
Contributions received in cash from employer	2019-06-30	$98,225
Income. Dividends from common stock	2019-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$93,542
Contract administrator fees	2019-06-30	$3,393
Did the plan have assets held for investment	2019-06-30	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	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2019-06-30	232620120
2018 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$75
Total income from all sources (including contributions)	2018-06-30	$311,951
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$543,138
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$534,983
Expenses. Certain deemed distributions of participant loans	2018-06-30	$3,755
Value of total corrective distributions	2018-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$158,591
Value of total assets at end of year	2018-06-30	$2,135,321
Value of total assets at beginning of year	2018-06-30	$2,366,583
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$4,400
Total interest from all sources	2018-06-30	$25,518
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$38,583
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$38,583
Administrative expenses professional fees incurred	2018-06-30	$699
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$500,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$109,716
Participant contributions at end of year	2018-06-30	$116,862
Participant contributions at beginning of year	2018-06-30	$209,699
Assets. Other investments not covered elsewhere at end of year	2018-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-06-30	$75
Other income not declared elsewhere	2018-06-30	$1,514
Administrative expenses (other) incurred	2018-06-30	$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	2018-06-30	No
Value of net income/loss	2018-06-30	$-231,187
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$2,135,321
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$2,366,508
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Investment advisory and management fees	2018-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$1,124,753
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$1,070,650
Value of interest in pooled separate accounts at end of year	2018-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2018-06-30	$0
Interest on participant loans	2018-06-30	$7,585
Interest earned on other investments	2018-06-30	$17,933
Value of interest in common/collective trusts at end of year	2018-06-30	$0
Value of interest in common/collective trusts at beginning of year	2018-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$893,706
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$1,086,234
Expenses. Payments to insurance carriers foe the provision of benefits	2018-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$87,745
Net investment gain/loss from pooled separate accounts	2018-06-30	$0
Net investment gain or loss from common/collective trusts	2018-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Assets. Invements in employer securities at end of year	2018-06-30	$0
Assets. Invements in employer securities at beginning of year	2018-06-30	$0
Contributions received in cash from employer	2018-06-30	$48,875
Income. Dividends from common stock	2018-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$534,983
Contract administrator fees	2018-06-30	$3,475
Did the plan have assets held for investment	2018-06-30	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	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	CONCANNON, MILLER &CO., P.C.
Accountancy firm EIN	2018-06-30	232620120
2017 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$75
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$376,894
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$151,180
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$138,636
Expenses. Certain deemed distributions of participant loans	2017-06-30	$7,220
Value of total corrective distributions	2017-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$230,577
Value of total assets at end of year	2017-06-30	$2,366,583
Value of total assets at beginning of year	2017-06-30	$2,140,794
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$5,324
Total interest from all sources	2017-06-30	$27,146
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$25,960
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-06-30	$25,960
Administrative expenses professional fees incurred	2017-06-30	$0
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$500,000
If this is an individual account plan, was there a blackout period	2017-06-30	Yes
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$153,127
Participant contributions at end of year	2017-06-30	$209,699
Participant contributions at beginning of year	2017-06-30	$272,035
Assets. Other investments not covered elsewhere at end of year	2017-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-06-30	$75
Other income not declared elsewhere	2017-06-30	$0
Administrative expenses (other) incurred	2017-06-30	$2,272
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$225,714
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$2,366,508
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$2,140,794
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Investment advisory and management fees	2017-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$1,070,650
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$0
Value of interest in pooled separate accounts at end of year	2017-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2017-06-30	$813,150
Interest on participant loans	2017-06-30	$10,861
Interest earned on other investments	2017-06-30	$16,285
Value of interest in common/collective trusts at end of year	2017-06-30	$0
Value of interest in common/collective trusts at beginning of year	2017-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$1,086,234
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$978,284
Expenses. Payments to insurance carriers foe the provision of benefits	2017-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$54,645
Net investment gain/loss from pooled separate accounts	2017-06-30	$38,566
Net investment gain or loss from common/collective trusts	2017-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Assets. Invements in employer securities at end of year	2017-06-30	$0
Assets. Invements in employer securities at beginning of year	2017-06-30	$0
Contributions received in cash from employer	2017-06-30	$77,450
Employer contributions (assets) at beginning of year	2017-06-30	$77,325
Income. Dividends from common stock	2017-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$138,636
Contract administrator fees	2017-06-30	$3,052
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	2017-06-30	Yes
Did the plan have assets held for investment	2017-06-30	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	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2017-06-30	232620120
2016 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$269,389
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$87,778
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$84,659
Expenses. Certain deemed distributions of participant loans	2016-06-30	$300
Value of total corrective distributions	2016-06-30	$2,001
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$247,074
Value of total assets at end of year	2016-06-30	$2,140,794
Value of total assets at beginning of year	2016-06-30	$1,959,183
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$818
Total interest from all sources	2016-06-30	$25,136
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$500,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$161,686
Participant contributions at end of year	2016-06-30	$272,035
Participant contributions at beginning of year	2016-06-30	$249,033
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$8,063
Administrative expenses (other) incurred	2016-06-30	$818
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$181,611
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$2,140,794
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$1,959,183
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in pooled separate accounts at end of year	2016-06-30	$813,150
Value of interest in pooled separate accounts at beginning of year	2016-06-30	$777,380
Interest on participant loans	2016-06-30	$11,877
Interest earned on other investments	2016-06-30	$13,259
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$978,284
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$932,770
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-2,821
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$77,325
Employer contributions (assets) at end of year	2016-06-30	$77,325
Employer contributions (assets) at beginning of year	2016-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$84,659
Did the plan have assets held for investment	2016-06-30	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	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2016-06-30	232620120
2015 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$241,154
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$82,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$76,604
Expenses. Certain deemed distributions of participant loans	2015-06-30	$659
Value of total corrective distributions	2015-06-30	$4,132
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$196,811
Value of total assets at end of year	2015-06-30	$1,959,183
Value of total assets at beginning of year	2015-06-30	$1,800,131
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$707
Total interest from all sources	2015-06-30	$22,833
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$500,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$131,871
Participant contributions at end of year	2015-06-30	$249,033
Participant contributions at beginning of year	2015-06-30	$242,670
Other income not declared elsewhere	2015-06-30	$967
Administrative expenses (other) incurred	2015-06-30	$707
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$159,052
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$1,959,183
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$1,800,131
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in pooled separate accounts at end of year	2015-06-30	$777,380
Value of interest in pooled separate accounts at beginning of year	2015-06-30	$722,116
Interest on participant loans	2015-06-30	$9,926
Interest earned on other investments	2015-06-30	$12,907
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$932,770
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$835,345
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$20,543
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$64,940
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$76,604
Did the plan have assets held for investment	2015-06-30	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	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2015-06-30	232620120
2014 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$311,618
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$67,454
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$53,853
Expenses. Certain deemed distributions of participant loans	2014-06-30	$11,410
Value of total corrective distributions	2014-06-30	$1,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$186,623
Value of total assets at end of year	2014-06-30	$1,800,131
Value of total assets at beginning of year	2014-06-30	$1,555,967
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$770
Total interest from all sources	2014-06-30	$22,282
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$124,073
Participant contributions at end of year	2014-06-30	$242,670
Participant contributions at beginning of year	2014-06-30	$210,996
Administrative expenses (other) incurred	2014-06-30	$770
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$244,164
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$1,800,131
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$1,555,967
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in pooled separate accounts at end of year	2014-06-30	$722,116
Value of interest in pooled separate accounts at beginning of year	2014-06-30	$575,118
Interest on participant loans	2014-06-30	$9,473
Interest earned on other investments	2014-06-30	$12,809
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$835,345
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$769,853
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$102,713
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$62,550
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$53,853
Did the plan have assets held for investment	2014-06-30	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	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2014-06-30	232620120
2013 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$270,766
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$64,986
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$60,670
Expenses. Certain deemed distributions of participant loans	2013-06-30	$3,508
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$183,591
Value of total assets at end of year	2013-06-30	$1,555,967
Value of total assets at beginning of year	2013-06-30	$1,350,187
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$808
Total interest from all sources	2013-06-30	$22,989
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$116,291
Participant contributions at end of year	2013-06-30	$210,996
Participant contributions at beginning of year	2013-06-30	$167,258
Administrative expenses (other) incurred	2013-06-30	$808
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$205,780
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$1,555,967
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$1,350,187
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in pooled separate accounts at end of year	2013-06-30	$575,118
Value of interest in pooled separate accounts at beginning of year	2013-06-30	$439,783
Interest on participant loans	2013-06-30	$8,635
Interest earned on other investments	2013-06-30	$14,354
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$769,853
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$743,146
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$64,186
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$67,300
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$60,670
Did the plan have assets held for investment	2013-06-30	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	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2013-06-30	232620120
2012 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$217,162
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$44,426
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$40,969
Expenses. Certain deemed distributions of participant loans	2012-06-30	$2,239
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$196,185
Value of total assets at end of year	2012-06-30	$1,350,187
Value of total assets at beginning of year	2012-06-30	$1,177,451
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$1,218
Total interest from all sources	2012-06-30	$6,558
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$99,024
Participant contributions at end of year	2012-06-30	$167,258
Participant contributions at beginning of year	2012-06-30	$139,095
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$33,211
Other income not declared elsewhere	2012-06-30	$0
Administrative expenses (other) incurred	2012-06-30	$1,218
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$172,736
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$1,350,187
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$1,177,451
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in pooled separate accounts at end of year	2012-06-30	$439,783
Value of interest in pooled separate accounts at beginning of year	2012-06-30	$379,725
Interest on participant loans	2012-06-30	$6,558
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$743,146
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$658,631
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$14,419
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$63,950
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$40,969
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2012-06-30	232620120
2011 : HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2011-06-30	$0
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Expenses. Interest paid	2011-06-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$244,870
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$27,525
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$24,739
Expenses. Certain deemed distributions of participant loans	2011-06-30	$2,101
Value of total corrective distributions	2011-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$156,546
Value of total assets at end of year	2011-06-30	$1,177,451
Value of total assets at beginning of year	2011-06-30	$960,106
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$685
Total income from rents	2011-06-30	$0
Total interest from all sources	2011-06-30	$6,605
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-06-30	$0
Assets. Real estate other than employer real property at end of year	2011-06-30	$0
Assets. Real estate other than employer real property at beginning of year	2011-06-30	$0
Administrative expenses professional fees incurred	2011-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2011-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-06-30	$0
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$89,896
Participant contributions at end of year	2011-06-30	$139,095
Participant contributions at beginning of year	2011-06-30	$119,460
Participant contributions at end of year	2011-06-30	$0
Participant contributions at beginning of year	2011-06-30	$0
Assets. Other investments not covered elsewhere at end of year	2011-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2011-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-06-30	$0
Assets. Loans (other than to participants) at end of year	2011-06-30	$0
Assets. Loans (other than to participants) at beginning of year	2011-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-06-30	$0
Other income not declared elsewhere	2011-06-30	$0
Administrative expenses (other) incurred	2011-06-30	$685
Liabilities. Value of operating payables at end of year	2011-06-30	$0
Liabilities. Value of operating payables at beginning of year	2011-06-30	$0
Total non interest bearing cash at end of year	2011-06-30	$0
Total non interest bearing cash at beginning of year	2011-06-30	$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	2011-06-30	No
Income. Non cash contributions	2011-06-30	$0
Value of net income/loss	2011-06-30	$217,345
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$1,177,451
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$960,106
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Assets. partnership/joint venture interests at end of year	2011-06-30	$0
Assets. partnership/joint venture interests at beginning of year	2011-06-30	$0
Investment advisory and management fees	2011-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$0
Value of interest in pooled separate accounts at end of year	2011-06-30	$379,725
Value of interest in pooled separate accounts at beginning of year	2011-06-30	$258,714
Interest on participant loans	2011-06-30	$6,605
Income. Interest from loans (other than to participants)	2011-06-30	$0
Interest earned on other investments	2011-06-30	$0
Income. Interest from US Government securities	2011-06-30	$0
Income. Interest from corporate debt instruments	2011-06-30	$0
Value of interest in master investment trust accounts at end of year	2011-06-30	$0
Value of interest in master investment trust accounts at beginning of year	2011-06-30	$0
Value of interest in common/collective trusts at end of year	2011-06-30	$0
Value of interest in common/collective trusts at beginning of year	2011-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-06-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-06-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-06-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2011-06-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$658,631
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$581,932
Expenses. Payments to insurance carriers foe the provision of benefits	2011-06-30	$0
Asset value of US Government securities at end of year	2011-06-30	$0
Asset value of US Government securities at beginning of year	2011-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$81,719
Net investment gain/loss from pooled separate accounts	2011-06-30	$0
Net investment gain or loss from common/collective trusts	2011-06-30	$0
Net gain/loss from 103.12 investment entities	2011-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Assets. Invements in employer securities at end of year	2011-06-30	$0
Assets. Invements in employer securities at beginning of year	2011-06-30	$0
Assets. Value of employer real property at end of year	2011-06-30	$0
Assets. Value of employer real property at beginning of year	2011-06-30	$0
Contributions received in cash from employer	2011-06-30	$66,650
Employer contributions (assets) at end of year	2011-06-30	$0
Employer contributions (assets) at beginning of year	2011-06-30	$0
Income. Dividends from preferred stock	2011-06-30	$0
Income. Dividends from common stock	2011-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$24,739
Asset. Corporate debt instrument preferred debt at end of year	2011-06-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2011-06-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2011-06-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2011-06-30	$0
Contract administrator fees	2011-06-30	$0
Assets. Corporate common stocks other than exployer securities at end of year	2011-06-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-06-30	$0
Liabilities. Value of benefit claims payable at end of year	2011-06-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-06-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2011-06-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-06-30	$0
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Aggregate proceeds on sale of assets	2011-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2011-06-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2011-06-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-06-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	CONCANNON, MILLER, & CO., P.C.
Accountancy firm EIN	2011-06-30	232620120

Form 5500 Responses for HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN

2021: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	Yes
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	Yes
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	Yes
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: HOSPITAL CENTRAL SERVICES COOPERATIVE, INC. RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62191

Policy instance

Insurance contract or identification number	MR 62191
Number of Individuals Covered	356
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62191

Policy instance

Insurance contract or identification number	MR 62191
Number of Individuals Covered	356
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62191

Policy instance

Insurance contract or identification number	MR 62191
Number of Individuals Covered	362
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62191

Policy instance

Insurance contract or identification number	MR 62191
Number of Individuals Covered	326
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62191

Policy instance

Insurance contract or identification number	MR 62191
Number of Individuals Covered	298
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

31828-002

Policy instance

Insurance contract or identification number	31828-002
Number of Individuals Covered	122
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

31828-002

Policy instance

Insurance contract or identification number	31828-002
Number of Individuals Covered	132
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

31828-002

Policy instance

Insurance contract or identification number	31828-002
Number of Individuals Covered	134
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

31828-002

Policy instance

Insurance contract or identification number	31828-002
Number of Individuals Covered	138
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

31828-002

Policy instance

Insurance contract or identification number	31828-002
Number of Individuals Covered	139
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,218
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

31828-002

Policy instance

Insurance contract or identification number	31828-002
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $685
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	HOSPITAL CENTRAL SERVICES COOPERATIVE, INC.
Employer identification number (EIN):	231709244
NAIC Classification:	812320
NAIC Description:	Drycleaning and Laundry Services (except Coin-Operated)