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401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 401k Plan overview

Plan Name401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL
Plan identification number 004

401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL Benefits

401k Plan TypeDefined 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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.

401k Sponsoring company profile

EVANGELICAL COMMUNITY HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:EVANGELICAL COMMUNITY HOSPITAL
Employer identification number (EIN):240795411
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0042022-01-01
0042021-01-01
0042020-01-01
0042019-01-01
0042018-01-01
0042017-01-01RACHEL V. SMITH
0042016-01-01RACHEL V. SMITH
0042015-01-01RACHEL SMITH
0042014-01-01STEPHANIE COBURN
0042013-01-01STEPHANIE COBURN
0042012-01-01STEPHANIE COBURN
0042011-01-01MARCIA COONEY
0042009-01-01MARCIA COONEY

Plan Statistics for 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL

401k plan membership statisitcs for 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL

Measure Date Value
2022: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2022 401k membership
Total participants, beginning-of-year2022-01-012,301
Total number of active participants reported on line 7a of the Form 55002022-01-011,865
Number of retired or separated participants receiving benefits2022-01-0134
Number of other retired or separated participants entitled to future benefits2022-01-01497
Total of all active and inactive participants2022-01-012,396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-012,396
Number of participants with account balances2022-01-012,396
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2021 401k membership
Total participants, beginning-of-year2021-01-012,213
Total number of active participants reported on line 7a of the Form 55002021-01-011,796
Number of retired or separated participants receiving benefits2021-01-0133
Number of other retired or separated participants entitled to future benefits2021-01-01472
Total of all active and inactive participants2021-01-012,301
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-012,301
Number of participants with account balances2021-01-012,301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2020 401k membership
Total participants, beginning-of-year2020-01-012,205
Total number of active participants reported on line 7a of the Form 55002020-01-011,785
Number of retired or separated participants receiving benefits2020-01-0130
Number of other retired or separated participants entitled to future benefits2020-01-01398
Total of all active and inactive participants2020-01-012,213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-012,213
Number of participants with account balances2020-01-012,213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2019 401k membership
Total participants, beginning-of-year2019-01-012,102
Total number of active participants reported on line 7a of the Form 55002019-01-011,825
Number of retired or separated participants receiving benefits2019-01-0124
Number of other retired or separated participants entitled to future benefits2019-01-01356
Total of all active and inactive participants2019-01-012,205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-012,205
Number of participants with account balances2019-01-012,205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-016
2018: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2018 401k membership
Total participants, beginning-of-year2018-01-012,040
Total number of active participants reported on line 7a of the Form 55002018-01-011,790
Number of retired or separated participants receiving benefits2018-01-0119
Number of other retired or separated participants entitled to future benefits2018-01-01293
Total of all active and inactive participants2018-01-012,102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-012,102
Number of participants with account balances2018-01-012,102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2017 401k membership
Total participants, beginning-of-year2017-01-011,978
Total number of active participants reported on line 7a of the Form 55002017-01-011,747
Number of retired or separated participants receiving benefits2017-01-0120
Number of other retired or separated participants entitled to future benefits2017-01-01273
Total of all active and inactive participants2017-01-012,040
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-012,040
Number of participants with account balances2017-01-011,986
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2016 401k membership
Total participants, beginning-of-year2016-01-011,888
Total number of active participants reported on line 7a of the Form 55002016-01-011,729
Number of retired or separated participants receiving benefits2016-01-0116
Number of other retired or separated participants entitled to future benefits2016-01-01226
Total of all active and inactive participants2016-01-011,971
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,971
Number of participants with account balances2016-01-011,915
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2015 401k membership
Total participants, beginning-of-year2015-01-011,943
Total number of active participants reported on line 7a of the Form 55002015-01-011,675
Number of retired or separated participants receiving benefits2015-01-0117
Number of other retired or separated participants entitled to future benefits2015-01-01196
Total of all active and inactive participants2015-01-011,888
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,888
Number of participants with account balances2015-01-011,851
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2014 401k membership
Total participants, beginning-of-year2014-01-011,748
Total number of active participants reported on line 7a of the Form 55002014-01-011,738
Number of retired or separated participants receiving benefits2014-01-0118
Number of other retired or separated participants entitled to future benefits2014-01-01187
Total of all active and inactive participants2014-01-011,943
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,943
Number of participants with account balances2014-01-011,818
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2013 401k membership
Total participants, beginning-of-year2013-01-011,635
Total number of active participants reported on line 7a of the Form 55002013-01-011,466
Number of retired or separated participants receiving benefits2013-01-0112
Number of other retired or separated participants entitled to future benefits2013-01-01184
Total of all active and inactive participants2013-01-011,662
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,662
Number of participants with account balances2013-01-011,566
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2012 401k membership
Total participants, beginning-of-year2012-01-011,531
Total number of active participants reported on line 7a of the Form 55002012-01-011,459
Number of retired or separated participants receiving benefits2012-01-0112
Number of other retired or separated participants entitled to future benefits2012-01-01164
Total of all active and inactive participants2012-01-011,635
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,635
Number of participants with account balances2012-01-011,510
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-013
2011: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2011 401k membership
Total participants, beginning-of-year2011-01-011,606
Total number of active participants reported on line 7a of the Form 55002011-01-011,334
Number of retired or separated participants receiving benefits2011-01-017
Number of other retired or separated participants entitled to future benefits2011-01-01183
Total of all active and inactive participants2011-01-011,524
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,524
Number of participants with account balances2011-01-011,428
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2009 401k membership
Total participants, beginning-of-year2009-01-011,258
Total number of active participants reported on line 7a of the Form 55002009-01-011,029
Number of retired or separated participants receiving benefits2009-01-017
Number of other retired or separated participants entitled to future benefits2009-01-01237
Total of all active and inactive participants2009-01-011,273
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-011,273
Number of participants with account balances2009-01-011,273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL

Measure Date Value
2022 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-19,180,633
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$14,808,765
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$14,288,487
Expenses. Certain deemed distributions of participant loans2022-12-31$175,641
Value of total corrective distributions2022-12-31$298
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$14,236,322
Value of total assets at end of year2022-12-31$180,743,861
Value of total assets at beginning of year2022-12-31$214,733,259
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$344,339
Total interest from all sources2022-12-31$1,247,628
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$2,223,622
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$2,223,622
Administrative expenses professional fees incurred2022-12-31$15,198
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$11,160,240
Participant contributions at end of year2022-12-31$378,365
Participant contributions at beginning of year2022-12-31$541,682
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$317,237
Other income not declared elsewhere2022-12-31$-198
Administrative expenses (other) incurred2022-12-31$1,450
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-33,989,398
Value of net assets at end of year (total assets less liabilities)2022-12-31$180,743,861
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$214,733,259
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$131,931
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$138,525,095
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$170,113,932
Interest on participant loans2022-12-31$21,237
Interest earned on other investments2022-12-31$1,226,391
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$41,439,506
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$43,268,941
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-36,888,007
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$2,758,845
Employer contributions (assets) at end of year2022-12-31$400,895
Employer contributions (assets) at beginning of year2022-12-31$808,704
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$14,288,487
Contract administrator fees2022-12-31$195,760
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BAKER TILLY US, LLP
Accountancy firm EIN2022-12-31390859910
2021 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$34,916,086
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$17,526,486
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$17,231,712
Expenses. Certain deemed distributions of participant loans2021-12-31$110,167
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$14,164,429
Value of total assets at end of year2021-12-31$214,733,259
Value of total assets at beginning of year2021-12-31$197,343,659
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$184,607
Total interest from all sources2021-12-31$1,297,769
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$2,204,340
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$2,204,340
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$10,360,367
Participant contributions at end of year2021-12-31$541,682
Participant contributions at beginning of year2021-12-31$543,953
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$753,570
Other income not declared elsewhere2021-12-31$489
Administrative expenses (other) incurred2021-12-31$184,607
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$17,389,600
Value of net assets at end of year (total assets less liabilities)2021-12-31$214,733,259
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$197,343,659
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$170,113,932
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$153,973,994
Interest on participant loans2021-12-31$28,267
Interest earned on other investments2021-12-31$1,269,502
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$43,268,941
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$42,029,491
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$17,249,059
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$3,050,492
Employer contributions (assets) at end of year2021-12-31$808,704
Employer contributions (assets) at beginning of year2021-12-31$796,221
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$17,231,712
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BAKER TILLY US, LLP
Accountancy firm EIN2021-12-31390859910
2020 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$44,134,866
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$8,738,553
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$8,138,129
Expenses. Certain deemed distributions of participant loans2020-12-31$114,970
Value of total corrective distributions2020-12-31$3,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$13,404,935
Value of total assets at end of year2020-12-31$197,343,659
Value of total assets at beginning of year2020-12-31$161,947,346
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$482,062
Total interest from all sources2020-12-31$1,210,066
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,670,049
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$1,670,049
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$9,751,041
Participant contributions at end of year2020-12-31$543,953
Participant contributions at beginning of year2020-12-31$556,871
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$743,818
Other income not declared elsewhere2020-12-31$154,342
Administrative expenses (other) incurred2020-12-31$482,062
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$35,396,313
Value of net assets at end of year (total assets less liabilities)2020-12-31$197,343,659
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$161,947,346
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$153,973,994
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$127,319,818
Interest on participant loans2020-12-31$33,391
Interest earned on other investments2020-12-31$1,176,675
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$42,029,491
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$33,304,536
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$27,695,474
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$2,910,076
Employer contributions (assets) at end of year2020-12-31$796,221
Employer contributions (assets) at beginning of year2020-12-31$766,121
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$8,138,129
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BAKER TILLY US, LLP
Accountancy firm EIN2020-12-31390859910
2019 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$40,796,136
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$6,620,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$6,326,823
Expenses. Certain deemed distributions of participant loans2019-12-31$135,907
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$13,746,948
Value of total assets at end of year2019-12-31$161,947,346
Value of total assets at beginning of year2019-12-31$127,772,004
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$158,064
Total interest from all sources2019-12-31$6,700,069
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$9,251,725
Participant contributions at end of year2019-12-31$556,871
Participant contributions at beginning of year2019-12-31$705,391
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$1,742,393
Administrative expenses (other) incurred2019-12-31$158,064
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$34,175,342
Value of net assets at end of year (total assets less liabilities)2019-12-31$161,947,346
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$127,772,004
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$127,319,818
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$98,896,177
Interest on participant loans2019-12-31$6,700,069
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$33,304,536
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$27,452,620
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$20,349,119
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,752,830
Employer contributions (assets) at end of year2019-12-31$766,121
Employer contributions (assets) at beginning of year2019-12-31$717,816
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,326,823
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2019-12-31390859910
2018 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$5,417,819
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$6,092,801
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$5,748,889
Expenses. Certain deemed distributions of participant loans2018-12-31$173,492
Value of total corrective distributions2018-12-31$10,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$12,428,657
Value of total assets at end of year2018-12-31$127,772,004
Value of total assets at beginning of year2018-12-31$128,446,986
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$159,511
Total interest from all sources2018-12-31$834,108
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,789,042
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,789,042
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$8,372,362
Participant contributions at end of year2018-12-31$705,391
Participant contributions at beginning of year2018-12-31$608,298
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$1,502,337
Other income not declared elsewhere2018-12-31$3,301,434
Administrative expenses (other) incurred2018-12-31$159,511
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-674,982
Value of net assets at end of year (total assets less liabilities)2018-12-31$127,772,004
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$128,446,986
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$98,896,177
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$101,146,399
Interest on participant loans2018-12-31$32,518
Interest earned on other investments2018-12-31$801,590
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$27,452,620
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$26,034,109
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-12,935,422
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,553,958
Employer contributions (assets) at end of year2018-12-31$717,816
Employer contributions (assets) at beginning of year2018-12-31$658,180
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$5,748,889
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2018-12-31390859910
2017 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$29,531,188
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$6,332,724
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$5,988,680
Expenses. Certain deemed distributions of participant loans2017-12-31$191,146
Value of total corrective distributions2017-12-31$7,498
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$11,000,199
Value of total assets at end of year2017-12-31$128,446,986
Value of total assets at beginning of year2017-12-31$105,248,522
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$145,400
Total interest from all sources2017-12-31$748,878
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,408,978
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,408,978
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$7,750,160
Participant contributions at end of year2017-12-31$608,299
Participant contributions at beginning of year2017-12-31$521,846
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$873,784
Other income not declared elsewhere2017-12-31$2,843,376
Administrative expenses (other) incurred2017-12-31$145,400
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$23,198,464
Value of net assets at end of year (total assets less liabilities)2017-12-31$128,446,986
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$105,248,522
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$101,146,398
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$81,439,186
Interest on participant loans2017-12-31$23,353
Interest earned on other investments2017-12-31$725,525
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$26,034,109
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$22,648,075
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$13,529,757
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,376,255
Employer contributions (assets) at end of year2017-12-31$658,180
Employer contributions (assets) at beginning of year2017-12-31$639,415
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$5,988,680
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2017-12-31390859910
2016 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets to this plan2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$16,144,059
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$5,237,896
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$5,079,885
Expenses. Certain deemed distributions of participant loans2016-12-31$14,078
Value of total corrective distributions2016-12-31$978
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$10,074,081
Value of total assets at end of year2016-12-31$105,248,522
Value of total assets at beginning of year2016-12-31$94,342,359
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$142,955
Total interest from all sources2016-12-31$642,947
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,377,044
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,377,044
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$6,934,633
Participant contributions at end of year2016-12-31$521,846
Participant contributions at beginning of year2016-12-31$492,772
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$862,249
Other income not declared elsewhere2016-12-31$1,124,288
Administrative expenses (other) incurred2016-12-31$142,955
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$10,906,163
Value of net assets at end of year (total assets less liabilities)2016-12-31$105,248,522
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$94,342,359
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$81,439,186
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$74,401,098
Value of interest in pooled separate accounts at end of year2016-12-31$0
Interest on participant loans2016-12-31$22,073
Interest earned on other investments2016-12-31$620,869
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$5
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$22,648,075
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$18,841,894
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$2,925,699
Net investment gain/loss from pooled separate accounts2016-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,277,199
Employer contributions (assets) at end of year2016-12-31$639,415
Employer contributions (assets) at beginning of year2016-12-31$606,595
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$5,079,885
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2016-12-31390859910
2015 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$11,419,071
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$6,145,965
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$5,812,133
Expenses. Certain deemed distributions of participant loans2015-12-31$175,134
Value of total corrective distributions2015-12-31$44,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$10,300,027
Value of total assets at end of year2015-12-31$94,342,359
Value of total assets at beginning of year2015-12-31$89,069,253
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$114,342
Total interest from all sources2015-12-31$551,350
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,193,068
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,193,068
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$6,080,179
Participant contributions at end of year2015-12-31$492,772
Participant contributions at beginning of year2015-12-31$543,430
Participant contributions at beginning of year2015-12-31$1,008
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$2,132,123
Other income not declared elsewhere2015-12-31$2,942,211
Administrative expenses (other) incurred2015-12-31$114,342
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$5,273,106
Value of net assets at end of year (total assets less liabilities)2015-12-31$94,342,359
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$89,069,253
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$74,401,098
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$71,088,679
Interest on participant loans2015-12-31$22,920
Interest earned on other investments2015-12-31$528,348
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$82
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$18,841,894
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$16,839,575
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-3,567,585
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,087,725
Employer contributions (assets) at end of year2015-12-31$606,595
Employer contributions (assets) at beginning of year2015-12-31$596,561
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$5,812,133
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2015-12-31390859910
2014 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$2,086,637
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$12,864,727
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$4,698,439
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$4,453,503
Expenses. Certain deemed distributions of participant loans2014-12-31$48,486
Value of total corrective distributions2014-12-31$80,973
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$8,106,161
Value of total assets at end of year2014-12-31$89,069,253
Value of total assets at beginning of year2014-12-31$78,816,328
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$115,477
Total interest from all sources2014-12-31$508,007
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$1,048,112
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$1,048,112
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$5,276,856
Participant contributions at end of year2014-12-31$543,430
Participant contributions at beginning of year2014-12-31$460,911
Participant contributions at end of year2014-12-31$1,008
Participant contributions at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$908,692
Other income not declared elsewhere2014-12-31$110,798
Administrative expenses (other) incurred2014-12-31$115,477
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$8,166,288
Value of net assets at end of year (total assets less liabilities)2014-12-31$89,069,253
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$78,816,328
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$71,088,679
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$61,786,178
Interest on participant loans2014-12-31$28,871
Interest earned on other investments2014-12-31$479,051
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$85
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$16,839,575
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$15,322,059
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$3,091,649
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,920,613
Employer contributions (assets) at end of year2014-12-31$596,561
Employer contributions (assets) at beginning of year2014-12-31$1,247,180
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$4,453,503
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2014-12-31390859910
2013 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$18,944,341
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$4,428,094
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,170,352
Expenses. Certain deemed distributions of participant loans2013-12-31$128,431
Value of total corrective distributions2013-12-31$16,474
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$6,892,352
Value of total assets at end of year2013-12-31$78,816,328
Value of total assets at beginning of year2013-12-31$64,300,081
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$112,837
Total interest from all sources2013-12-31$451,280
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$733,430
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$733,430
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$4,079,956
Participant contributions at end of year2013-12-31$460,911
Participant contributions at beginning of year2013-12-31$463,592
Participant contributions at beginning of year2013-12-31$3,151
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$739,902
Other income not declared elsewhere2013-12-31$103,946
Administrative expenses (other) incurred2013-12-31$112,837
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$14,516,247
Value of net assets at end of year (total assets less liabilities)2013-12-31$78,816,328
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$64,300,081
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$61,786,178
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$48,446,976
Value of interest in pooled separate accounts at beginning of year2013-12-31$0
Interest on participant loans2013-12-31$19,202
Interest earned on other investments2013-12-31$432,078
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$15,322,059
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$14,228,255
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$10,763,333
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,072,494
Employer contributions (assets) at end of year2013-12-31$1,247,180
Employer contributions (assets) at beginning of year2013-12-31$1,158,107
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$4,170,352
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31PARENTEBEARD LLC
Accountancy firm EIN2013-12-31232932984
2012 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$12,121,856
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$2,457,692
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,313,619
Expenses. Certain deemed distributions of participant loans2012-12-31$138,697
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$5,821,834
Value of total assets at end of year2012-12-31$64,300,081
Value of total assets at beginning of year2012-12-31$54,635,917
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$5,376
Total interest from all sources2012-12-31$407,031
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$767,567
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$767,567
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$3,631,132
Participant contributions at end of year2012-12-31$463,592
Participant contributions at beginning of year2012-12-31$487,750
Participant contributions at end of year2012-12-31$3,151
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$274,608
Other income not declared elsewhere2012-12-31$33,475
Administrative expenses (other) incurred2012-12-31$5,376
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$9,664,164
Value of net assets at end of year (total assets less liabilities)2012-12-31$64,300,081
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$54,635,917
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$48,446,976
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$40,671,671
Value of interest in pooled separate accounts at end of year2012-12-31$0
Value of interest in pooled separate accounts at beginning of year2012-12-31$213,876
Interest on participant loans2012-12-31$23,677
Interest earned on other investments2012-12-31$383,354
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$14,228,255
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$12,233,718
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$5,110,383
Net investment gain/loss from pooled separate accounts2012-12-31$-18,434
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,916,094
Employer contributions (assets) at end of year2012-12-31$1,158,107
Employer contributions (assets) at beginning of year2012-12-31$1,028,902
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,313,619
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31PARENTEBEARD LLC
Accountancy firm EIN2012-12-31232932984
2011 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$5,386,699
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$4,293,405
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$2,627,239
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,504,535
Expenses. Certain deemed distributions of participant loans2011-12-31$119,142
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$4,857,033
Value of total assets at end of year2011-12-31$54,635,917
Value of total assets at beginning of year2011-12-31$47,583,052
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,562
Total interest from all sources2011-12-31$370,332
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$633,299
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$633,299
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$3,075,138
Participant contributions at end of year2011-12-31$487,750
Participant contributions at beginning of year2011-12-31$613,058
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$77,394
Other income not declared elsewhere2011-12-31$8,457
Administrative expenses (other) incurred2011-12-31$3,562
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$1,666,166
Value of net assets at end of year (total assets less liabilities)2011-12-31$54,635,917
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$47,583,052
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$40,671,671
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$36,062,992
Value of interest in pooled separate accounts at end of year2011-12-31$213,876
Value of interest in pooled separate accounts at beginning of year2011-12-31$251,661
Interest on participant loans2011-12-31$26,125
Interest earned on other investments2011-12-31$343,967
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$240
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$12,233,718
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$9,680,405
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-1,570,229
Net investment gain/loss from pooled separate accounts2011-12-31$-5,487
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,704,501
Employer contributions (assets) at end of year2011-12-31$1,028,902
Employer contributions (assets) at beginning of year2011-12-31$974,936
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,504,535
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31PARENTEBEARD LLC
Accountancy firm EIN2011-12-31232932984
2010 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$9,031
Total income from all sources (including contributions)2010-12-31$8,749,561
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$2,704,324
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,667,210
Expenses. Certain deemed distributions of participant loans2010-12-31$31,696
Value of total corrective distributions2010-12-31$848
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,634,507
Value of total assets at end of year2010-12-31$47,583,052
Value of total assets at beginning of year2010-12-31$41,546,846
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$4,570
Total interest from all sources2010-12-31$313,782
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$499,918
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$499,918
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$2,711,835
Participant contributions at end of year2010-12-31$613,058
Participant contributions at beginning of year2010-12-31$471,296
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$325,526
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$9,031
Administrative expenses (other) incurred2010-12-31$4,570
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$6,045,237
Value of net assets at end of year (total assets less liabilities)2010-12-31$47,583,052
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$41,537,815
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$36,062,992
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$31,099,654
Value of interest in pooled separate accounts at end of year2010-12-31$251,661
Value of interest in pooled separate accounts at beginning of year2010-12-31$235,973
Interest on participant loans2010-12-31$29,380
Interest earned on other investments2010-12-31$284,402
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$9,680,405
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$8,769,546
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$3,279,558
Net investment gain/loss from pooled separate accounts2010-12-31$21,796
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,597,146
Employer contributions (assets) at end of year2010-12-31$974,936
Employer contributions (assets) at beginning of year2010-12-31$970,377
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,667,210
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31PARENTEBEARD LLC
Accountancy firm EIN2010-12-31232932984
2009 : 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL

2022: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: 401(K) PLAN OF EVANGELICAL COMMUNITY HOSPITAL 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number007765
Policy instance 1
Insurance contract or identification number007765
Number of Individuals Covered2396
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number300044
Policy instance 1
Insurance contract or identification number300044
Number of Individuals Covered2301
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number300044
Policy instance 1
Insurance contract or identification number300044
Number of Individuals Covered2213
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number300044
Policy instance 1
Insurance contract or identification number300044
Number of Individuals Covered2205
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number300044
Policy instance 1
Insurance contract or identification number300044
Number of Individuals Covered2102
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number300044
Policy instance 1
Insurance contract or identification number300044
Number of Individuals Covered2040
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number300044
Policy instance 1
Insurance contract or identification number300044
Number of Individuals Covered1888
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number300044
Policy instance 1
Insurance contract or identification number300044
Number of Individuals Covered1943
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number300044
Policy instance 1
Insurance contract or identification number300044
Number of Individuals Covered1566
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number300044
Policy instance 1
Insurance contract or identification number300044
Number of Individuals Covered1510
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG00714
Policy instance 3
Insurance contract or identification numberG00714
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number916532
Policy instance 2
Insurance contract or identification number916532
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $320
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Amount paid for insurance broker fees320
Additional information about fees paid to insurance brokerSERVICES TO PROVIDER
Insurance broker organization code?4
Insurance broker nameMETLIFE SECURITIES, INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number300044
Policy instance 2
Insurance contract or identification number300044
Number of Individuals Covered1428
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number916532
Policy instance 3
Insurance contract or identification number916532
Number of Individuals Covered3
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $825
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG00714
Policy instance 1
Insurance contract or identification numberG00714
Number of Individuals Covered38
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number916532
Policy instance 3
Insurance contract or identification number916532
Number of Individuals Covered3
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $882
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number300044
Policy instance 2
Insurance contract or identification number300044
Number of Individuals Covered1322
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG00714
Policy instance 1
Insurance contract or identification numberG00714
Number of Individuals Covered38
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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