401k Plan data: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN plan

FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 401k Plan overview

Plan Name	FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN
Plan identification number	001

FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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.

401k Sponsoring company profile

FAYETTE REGIONAL HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name: FAYETTE REGIONAL HEALTH SYSTEM

Employer identification number (EIN): 251451183

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 BARB WEISS
001 2016-01-01 BARB WEISS
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 JAMES PROUD JAMES PROUD 2013-10-02
001 2011-01-01 JAMES PROUD JAMES PROUD 2012-10-10
001 2010-01-01 JAMES PROUD JAMES PROUD 2011-09-27
001 2009-01-01 JAMES PROUD

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	BARB WEISS
001	2016-01-01	BARB WEISS
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	JAMES PROUD	JAMES PROUD	2013-10-02
001	2011-01-01	JAMES PROUD	JAMES PROUD	2012-10-10
001	2010-01-01	JAMES PROUD	JAMES PROUD	2011-09-27
001	2009-01-01	JAMES PROUD

Plan Statistics for FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN

401k plan membership statisitcs for FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN

Measure Date Value
2020: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,382
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 936
Number of retired or separated participants receiving benefits 2020-01-01 1
Number of other retired or separated participants entitled to future benefits 2020-01-01 265
Total of all active and inactive participants 2020-01-01 1,202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 3
Total participants 2020-01-01 1,205
Number of participants with account balances 2020-01-01 1,066
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,357
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,133
Number of retired or separated participants receiving benefits 2019-01-01 5
Number of other retired or separated participants entitled to future benefits 2019-01-01 242
Total of all active and inactive participants 2019-01-01 1,380
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 2
Total participants 2019-01-01 1,382
Number of participants with account balances 2019-01-01 1,171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,294
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,134
Number of retired or separated participants receiving benefits 2018-01-01 3
Number of other retired or separated participants entitled to future benefits 2018-01-01 219
Total of all active and inactive participants 2018-01-01 1,356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 1,357
Number of participants with account balances 2018-01-01 1,127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,303
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 915
Number of retired or separated participants receiving benefits 2017-01-01 3
Number of other retired or separated participants entitled to future benefits 2017-01-01 183
Total of all active and inactive participants 2017-01-01 1,101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 1,101
Number of participants with account balances 2017-01-01 1,101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,490
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 904
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 399
Total of all active and inactive participants 2016-01-01 1,303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 1,303
Number of participants with account balances 2016-01-01 1,303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,475
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,090
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 400
Total of all active and inactive participants 2015-01-01 1,490
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1,490
Number of participants with account balances 2015-01-01 1,242
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,506
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,070
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 383
Total of all active and inactive participants 2014-01-01 1,453
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,453
Number of participants with account balances 2014-01-01 1,222
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,637
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,145
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 341
Total of all active and inactive participants 2013-01-01 1,486
Total participants 2013-01-01 1,486
Number of participants with account balances 2013-01-01 1,257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,676
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,340
Number of other retired or separated participants entitled to future benefits 2012-01-01 294
Total of all active and inactive participants 2012-01-01 1,634
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,634
Number of participants with account balances 2012-01-01 1,280
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,700
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,370
Number of other retired or separated participants entitled to future benefits 2011-01-01 279
Total of all active and inactive participants 2011-01-01 1,649
Total participants 2011-01-01 1,649
Number of participants with account balances 2011-01-01 1,275
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,611
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,437
Number of other retired or separated participants entitled to future benefits 2010-01-01 238
Total of all active and inactive participants 2010-01-01 1,675
Total participants 2010-01-01 1,675
Number of participants with account balances 2010-01-01 1,267
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,295
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,033
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 112
Total of all active and inactive participants 2009-01-01 1,145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,145
Number of participants with account balances 2009-01-01 1,145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2020: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,382
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	936
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	265
Total of all active and inactive participants	2020-01-01	1,202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	3
Total participants	2020-01-01	1,205
Number of participants with account balances	2020-01-01	1,066
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,357
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,133
Number of retired or separated participants receiving benefits	2019-01-01	5
Number of other retired or separated participants entitled to future benefits	2019-01-01	242
Total of all active and inactive participants	2019-01-01	1,380
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	2
Total participants	2019-01-01	1,382
Number of participants with account balances	2019-01-01	1,171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,294
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,134
Number of retired or separated participants receiving benefits	2018-01-01	3
Number of other retired or separated participants entitled to future benefits	2018-01-01	219
Total of all active and inactive participants	2018-01-01	1,356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	1,357
Number of participants with account balances	2018-01-01	1,127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,303
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	915
Number of retired or separated participants receiving benefits	2017-01-01	3
Number of other retired or separated participants entitled to future benefits	2017-01-01	183
Total of all active and inactive participants	2017-01-01	1,101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	1,101
Number of participants with account balances	2017-01-01	1,101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,490
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	904
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	399
Total of all active and inactive participants	2016-01-01	1,303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	1,303
Number of participants with account balances	2016-01-01	1,303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,475
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,090
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	400
Total of all active and inactive participants	2015-01-01	1,490
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1,490
Number of participants with account balances	2015-01-01	1,242
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,506
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,070
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	383
Total of all active and inactive participants	2014-01-01	1,453
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,453
Number of participants with account balances	2014-01-01	1,222
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,637
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,145
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	341
Total of all active and inactive participants	2013-01-01	1,486
Total participants	2013-01-01	1,486
Number of participants with account balances	2013-01-01	1,257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,676
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,340
Number of other retired or separated participants entitled to future benefits	2012-01-01	294
Total of all active and inactive participants	2012-01-01	1,634
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,634
Number of participants with account balances	2012-01-01	1,280
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,700
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,370
Number of other retired or separated participants entitled to future benefits	2011-01-01	279
Total of all active and inactive participants	2011-01-01	1,649
Total participants	2011-01-01	1,649
Number of participants with account balances	2011-01-01	1,275
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,611
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,437
Number of other retired or separated participants entitled to future benefits	2010-01-01	238
Total of all active and inactive participants	2010-01-01	1,675
Total participants	2010-01-01	1,675
Number of participants with account balances	2010-01-01	1,267
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,295
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,033
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	112
Total of all active and inactive participants	2009-01-01	1,145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,145
Number of participants with account balances	2009-01-01	1,145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN

Measure	Date	Value
2020 : FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$9,288,078
Total of all expenses incurred	2020-12-31	$4,540,131
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$4,431,863
Expenses. Certain deemed distributions of participant loans	2020-12-31	$9,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$3,391,467
Value of total assets at end of year	2020-12-31	$46,929,584
Value of total assets at beginning of year	2020-12-31	$42,181,637
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$99,203
Total interest from all sources	2020-12-31	$53,148
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$752,919
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$752,919
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$2,740,793
Participant contributions at end of year	2020-12-31	$722,731
Participant contributions at beginning of year	2020-12-31	$796,159
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$650,674
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$994
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$1,219
Administrative expenses (other) incurred	2020-12-31	$60,286
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$4,747,947
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$46,929,584
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$42,181,637
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$38,917
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$45,166,460
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$40,893,275
Interest on participant loans	2020-12-31	$33,087
Interest earned on other investments	2020-12-31	$20,061
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$1,039,399
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$490,984
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$5,090,544
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$4,431,863
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-12-31	No
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	BKD, LLP
Accountancy firm EIN	2020-12-31	440160260
2019 : FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$10,571,497
Total of all expenses incurred	2019-12-31	$4,773,985
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$4,670,143
Expenses. Certain deemed distributions of participant loans	2019-12-31	$819
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,202,958
Value of total assets at end of year	2019-12-31	$42,181,637
Value of total assets at beginning of year	2019-12-31	$36,384,125
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$103,023
Total interest from all sources	2019-12-31	$46,523
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$902,973
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$902,973
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$2,591,319
Participant contributions at end of year	2019-12-31	$796,159
Participant contributions at beginning of year	2019-12-31	$702,539
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$611,639
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$1,219
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$981
Administrative expenses (other) incurred	2019-12-31	$63,772
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$5,797,512
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$42,181,637
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$36,384,125
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$39,251
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$40,893,275
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$35,159,650
Interest on participant loans	2019-12-31	$32,878
Interest earned on other investments	2019-12-31	$13,645
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$490,984
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$520,955
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$6,419,043
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$4,670,143
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BDK, LLP
Accountancy firm EIN	2019-12-31	440160260
2018 : FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$322,953
Total of all expenses incurred	2018-12-31	$3,262,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$3,155,641
Expenses. Certain deemed distributions of participant loans	2018-12-31	$8,810
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,365,185
Value of total assets at end of year	2018-12-31	$36,384,125
Value of total assets at beginning of year	2018-12-31	$39,323,775
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$98,152
Total interest from all sources	2018-12-31	$37,974
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$876,219
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$876,219
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$2,318,885
Participant contributions at end of year	2018-12-31	$702,539
Participant contributions at beginning of year	2018-12-31	$676,985
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$46,300
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$981
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$859
Administrative expenses (other) incurred	2018-12-31	$59,727
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-2,939,650
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$36,384,125
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$39,323,775
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$38,425
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$35,159,650
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$38,295,215
Interest on participant loans	2018-12-31	$28,812
Interest earned on other investments	2018-12-31	$9,162
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$520,955
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$350,716
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-2,956,425
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$3,155,641
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BKD, LLP
Accountancy firm EIN	2018-12-31	440160260
2017 : FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2017 401k financial data
Total transfer of assets to this plan	2017-12-31	$211,087
Total income from all sources (including contributions)	2017-12-31	$7,870,225
Total of all expenses incurred	2017-12-31	$2,303,597
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$2,191,315
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$2,317,113
Value of total assets at end of year	2017-12-31	$39,323,775
Value of total assets at beginning of year	2017-12-31	$33,546,060
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$112,282
Total interest from all sources	2017-12-31	$27,818
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$731,456
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$731,456
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$2,251,200
Participant contributions at end of year	2017-12-31	$676,985
Participant contributions at beginning of year	2017-12-31	$504,094
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$65,913
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$859
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$761
Administrative expenses (other) incurred	2017-12-31	$67,144
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$5,566,628
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$39,323,775
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$33,546,060
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$45,138
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$38,295,215
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$32,830,017
Income. Interest from loans (other than to participants)	2017-12-31	$21,260
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$6,558
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$350,716
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$211,188
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$4,793,838
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$2,191,315
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	BKD, LLP
Accountancy firm EIN	2017-12-31	440160260
2016 : FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2016 401k financial data
Total transfer of assets to this plan	2016-12-31	$51,726
Total income from all sources (including contributions)	2016-12-31	$4,804,014
Total of all expenses incurred	2016-12-31	$3,997,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$3,784,234
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,258,650
Value of total assets at end of year	2016-12-31	$33,546,060
Value of total assets at beginning of year	2016-12-31	$32,687,851
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$213,297
Total interest from all sources	2016-12-31	$18,885
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$642,006
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$642,006
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$2,067,279
Participant contributions at end of year	2016-12-31	$504,094
Participant contributions at beginning of year	2016-12-31	$540,258
Participant contributions at beginning of year	2016-12-31	$1,093
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$191,371
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$761
Administrative expenses (other) incurred	2016-12-31	$213,297
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$806,483
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$33,546,060
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$32,687,851
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$32,830,017
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$31,974,042
Interest on participant loans	2016-12-31	$18,032
Interest earned on other investments	2016-12-31	$853
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$172,458
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$172,458
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$211,188
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,884,473
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$3,784,234
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BKD, LLP
Accountancy firm EIN	2016-12-31	440160260
2015 : FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$1,840,077
Total of all expenses incurred	2015-12-31	$3,026,138
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,673,462
Expenses. Certain deemed distributions of participant loans	2015-12-31	$70,276
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,095,783
Value of total assets at end of year	2015-12-31	$32,687,851
Value of total assets at beginning of year	2015-12-31	$33,873,912
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$282,400
Total interest from all sources	2015-12-31	$20,698
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$2,045,715
Participant contributions at end of year	2015-12-31	$540,258
Participant contributions at beginning of year	2015-12-31	$636,419
Participant contributions at end of year	2015-12-31	$1,093
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$50,068
Administrative expenses (other) incurred	2015-12-31	$282,400
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-1,186,061
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$32,687,851
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$33,873,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$31,974,042
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$33,017,760
Interest on participant loans	2015-12-31	$20,538
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$172,458
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$219,733
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$219,733
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$160
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-276,404
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,673,462
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BKD, LLP
Accountancy firm EIN	2015-12-31	440160260
2014 : FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$4,340,902
Total of all expenses incurred	2014-12-31	$2,969,920
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,601,700
Expenses. Certain deemed distributions of participant loans	2014-12-31	$82,595
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,148,023
Value of total assets at end of year	2014-12-31	$33,873,912
Value of total assets at beginning of year	2014-12-31	$32,502,930
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$285,625
Total interest from all sources	2014-12-31	$18,730
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$2,090,966
Participant contributions at end of year	2014-12-31	$636,419
Participant contributions at beginning of year	2014-12-31	$558,437
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$57,057
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$53
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$1,292
Administrative expenses (other) incurred	2014-12-31	$285,625
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,370,982
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$33,873,912
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$32,502,930
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$33,017,760
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$31,699,639
Interest on participant loans	2014-12-31	$18,573
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$219,733
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$202,753
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$202,753
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$157
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$42,101
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$2,172,857
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,601,647
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BKD, LLP
Accountancy firm EIN	2014-12-31	440160260
2013 : FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$7,671,029
Total of all expenses incurred	2013-12-31	$3,998,530
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$3,678,291
Expenses. Certain deemed distributions of participant loans	2013-12-31	$56,251
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,525,204
Value of total assets at end of year	2013-12-31	$32,502,930
Value of total assets at beginning of year	2013-12-31	$28,830,431
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$263,988
Total interest from all sources	2013-12-31	$16,596
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$2,377,955
Participant contributions at end of year	2013-12-31	$558,437
Participant contributions at beginning of year	2013-12-31	$464,761
Participant contributions at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$147,249
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$33,639
Other income not declared elsewhere	2013-12-31	$1,400
Administrative expenses (other) incurred	2013-12-31	$263,988
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,672,499
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$32,502,930
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$28,830,431
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$31,699,639
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$27,842,945
Interest on participant loans	2013-12-31	$16,338
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$202,753
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$448,385
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$448,385
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$258
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$42,101
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$40,701
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$5,127,829
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Employer contributions (assets) at beginning of year	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$3,678,291
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	BKD, LLP
Accountancy firm EIN	2013-12-31	440160260
2012 : FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$5,683,258
Total of all expenses incurred	2012-12-31	$1,648,783
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,418,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,484,916
Value of total assets at end of year	2012-12-31	$28,830,431
Value of total assets at beginning of year	2012-12-31	$24,795,956
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$230,675
Total interest from all sources	2012-12-31	$13,601
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$2,352,659
Participant contributions at end of year	2012-12-31	$464,761
Participant contributions at beginning of year	2012-12-31	$275,045
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$117
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$132,257
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$33,639
Other income not declared elsewhere	2012-12-31	$1,594
Administrative expenses (other) incurred	2012-12-31	$230,675
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$4,034,475
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$28,830,431
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$24,795,956
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$27,842,945
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$24,272,442
Interest on participant loans	2012-12-31	$13,235
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$448,385
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$208,784
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$208,784
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$366
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$40,701
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$39,346
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$3,183,147
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,418,108
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	BKD, LLP
Accountancy firm EIN	2012-12-31	440160260
2011 : FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2011 401k financial data
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	$2,539,132
Total of all expenses incurred	2011-12-31	$893,106
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$672,462
Expenses. Certain deemed distributions of participant loans	2011-12-31	$17,067
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,726,811
Value of total assets at end of year	2011-12-31	$24,795,956
Value of total assets at beginning of year	2011-12-31	$23,149,930
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$203,577
Total interest from all sources	2011-12-31	$12,604
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$211,582
Participant contributions at end of year	2011-12-31	$275,045
Participant contributions at beginning of year	2011-12-31	$269,939
Participant contributions at end of year	2011-12-31	$117
Participant contributions at beginning of year	2011-12-31	$117
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$63,223
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$250
Other income not declared elsewhere	2011-12-31	$2,140
Administrative expenses (other) incurred	2011-12-31	$203,577
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,646,026
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$24,795,956
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$23,149,930
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$24,272,442
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$22,742,954
Interest on participant loans	2011-12-31	$12,434
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$208,784
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$98,776
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$98,776
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$170
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$39,346
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$37,922
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-202,423
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$2,452,006
Employer contributions (assets) at end of year	2011-12-31	$222
Employer contributions (assets) at beginning of year	2011-12-31	$222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$672,212
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	BKD, LLP
Accountancy firm EIN	2011-12-31	440160260
2010 : FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$5,569,457
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$978,445
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$809,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,890,689
Value of total assets at end of year	2010-12-31	$23,149,930
Value of total assets at beginning of year	2010-12-31	$18,558,918
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$169,249
Total interest from all sources	2010-12-31	$16,578
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$2,400,630
Participant contributions at end of year	2010-12-31	$269,939
Participant contributions at beginning of year	2010-12-31	$226,535
Participant contributions at end of year	2010-12-31	$117
Participant contributions at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$119,270
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$3,990
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$0
Other income not declared elsewhere	2010-12-31	$1,434
Administrative expenses (other) incurred	2010-12-31	$169,249
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$4,591,012
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$23,149,930
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$18,558,918
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$22,742,954
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$18,229,548
Interest on participant loans	2010-12-31	$16,386
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$98,776
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$66,347
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$66,347
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$192
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$37,922
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$36,488
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,660,756
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$370,789
Employer contributions (assets) at end of year	2010-12-31	$222
Employer contributions (assets) at beginning of year	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$805,206
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	BKD, LLP
Accountancy firm EIN	2010-12-31	440160260

Form 5500 Responses for FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN

2020: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: FAYETTE REGIONAL HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

TA069843

Policy instance

Insurance contract or identification number	TA069843
Number of Individuals Covered	1066
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

TA069843

Policy instance

Insurance contract or identification number	TA069843
Number of Individuals Covered	1171
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

TA069843

Policy instance

Insurance contract or identification number	TA069843
Number of Individuals Covered	1127
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

TA069843

Policy instance

Insurance contract or identification number	TA069843
Number of Individuals Covered	1101
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

96-9658476

Policy instance

Insurance contract or identification number	96-9658476
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

96-9658476

Policy instance

Insurance contract or identification number	96-9658476
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

96-9658476

Policy instance

Insurance contract or identification number	96-9658476
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

96-9658476

Policy instance

Insurance contract or identification number	96-9658476
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

96-9658476

Policy instance

Insurance contract or identification number	96-9658476
Number of Individuals Covered	1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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Company Name:	FAYETTE REGIONAL HEALTH SYSTEM
Employer identification number (EIN):	251451183
NAIC Classification:	622000
NAIC Description:	Hospitals